Painful Bumps in Your Belly Button: Causes and Care

There is something inside the belly button?

I recently noticed a lump in my navel.
It doesn't appear to have changed on the outside, but when I press on it, I can feel a mass that is painful.
What could this be, and what should I be aware of?

Ms. Wu, 20~29 year old female. Ask Date: 2017/08/25

Dr. Chen Jiaming reply Surgery

Without a physical examination, I cannot provide a definitive diagnosis.
While it may be a benign subcutaneous tumor, one should be cautious of the possibility of an umbilical hernia, as it may gradually enlarge over time, causing protrusion of intra-abdominal tissue.
It is advisable to seek an evaluation from a general surgeon.

Reply Date: 2017/08/25

More Info

When it comes to painful bumps in the belly button area, there are several potential causes that could be responsible for the discomfort you're experiencing. The belly button, or navel, is a sensitive area of the body that can be affected by various conditions, and understanding these can help you determine the appropriate course of action.

One common cause of a painful bump in the belly button is an umbilical hernia. This occurs when a portion of the intestine protrudes through the abdominal wall near the belly button. Symptoms can include a noticeable bulge, pain or discomfort, especially when straining or lifting heavy objects. Umbilical hernias are more common in infants but can also occur in adults, particularly those who are overweight or have a history of abdominal surgery.

Another possibility is an infection. The belly button can become a site for infections, especially if there is any irritation or if it is not kept clean. An umbilical infection can lead to redness, swelling, and pain in the area. In some cases, pus or discharge may be present. If the bump is accompanied by fever or worsening pain, it is essential to seek medical attention promptly.

Cysts can also form in the belly button area. These are typically benign and can be filled with fluid or semi-solid material. While many cysts are painless, they can become infected or inflamed, leading to discomfort. If the bump feels firm and is painful, it could be a sign of an infected cyst.

In some cases, dermatological conditions such as folliculitis (inflammation of hair follicles) or contact dermatitis (skin irritation due to contact with an allergen or irritant) can cause bumps and pain around the belly button. These conditions may present with redness, itching, and swelling.

Given that you mentioned the bump is painful when pressed, it is crucial to monitor the symptoms closely. Here are some steps you can take:
1. Keep the Area Clean: Gently wash the area with mild soap and water. Avoid using harsh chemicals or scrubs that could irritate the skin further.

2. Avoid Irritation: Wear loose-fitting clothing to prevent additional pressure or friction on the area.

3. Monitor Symptoms: Keep an eye on the bump for any changes in size, color, or pain level. If it becomes increasingly painful, red, or starts to ooze, it may indicate an infection.

4. Seek Medical Attention: If the bump does not improve within a few days, or if you experience fever, nausea, or other concerning symptoms, it is essential to consult a healthcare professional. A doctor can perform a physical examination and may order imaging studies or lab tests to determine the exact cause of the bump.

In summary, while there are several potential causes for a painful bump in the belly button, including umbilical hernias, infections, cysts, and dermatological conditions, it is essential to monitor the situation closely and seek medical advice if symptoms persist or worsen. Early intervention can help prevent complications and ensure proper treatment.

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