Itchy Belly Button and Clear Discharge: Causes and Treatments

Itching around the navel with suspected clear discharge?

Hello Dr.
Chen, my symptoms started with an itching sensation around my navel for about 3 to 4 days.
After that, I began to notice what seems to be discharge inside my navel, which dries up and forms a thin layer of secretion.
At the same time, the itching sensation has become more frequent, and I also started experiencing sharp pain around the navel.
Since I am currently in a Southeast Asian country, I only brought along a soothing cream and a topical antiseptic ointment.
Currently, after showering, I gently pat the area dry with tissue and use a hairdryer to enhance drying before applying the soothing cream around the navel (I am hesitant to apply it deep inside the navel).
However, the condition has not improved.
Should I consider using other medications or local alternative ointments for treatment? Thank you, Dr.
Chen.

Jessica, 30~39 year old female. Ask Date: 2020/12/27

Dr. Chen Jiaming reply Surgery

Based solely on your description, it is not possible to confirm the presence of a wound or signs of infection.
If there is a wound, it is important to avoid contact with unclean water and to provide appropriate cleaning and disinfection (using antiseptics like Betadine, etc.).
If there is an infection, antibiotics should be used in conjunction.
As for topical ointments, only those containing antibiotics are recommended (the two you mentioned are not suitable; steroid ointments are not appropriate for wounds, and one contains salicylic acid which has exfoliating properties that may cause itching or a stinging sensation).
Currently, the discharge does not appear to be purulent, but if necessary, it is advisable to seek medical attention.

Flusalic Ointment contains Flumethasone (a steroid) and Salicylic Acid.
It is suitable for dermatitis, keratosis, and eczema.
Side effects may include a burning sensation and itching.

TOPSYM contains Fluocinonide (a steroid) and is suitable for eczema.
Side effects may include skin infection.

Reply Date: 2020/12/27

More Info

It sounds like you are experiencing some discomfort and symptoms around your belly button, including itching, discharge, and pain. These symptoms can be indicative of several conditions, and understanding the potential causes and treatments is essential for effective management.

Possible Causes
1. Infection: One of the most common causes of itching and discharge from the belly button is an infection. This could be a bacterial or fungal infection, especially if the area is moist and not kept clean. Infections can lead to the formation of pus or other discharge, which may dry and form a crust.

2. Dermatitis: Contact dermatitis or allergic reactions can also cause itching and irritation around the belly button. This could be due to soaps, lotions, or even clothing materials that irritate the skin.

3. Hygiene Issues: Sometimes, inadequate cleaning of the belly button can lead to the accumulation of dirt, sweat, and dead skin cells, which can cause irritation and itching.

4. Umbilical Granuloma: This is a small growth of tissue that can occur at the belly button, often following the healing of the umbilical cord in infants but can also occur in adults. It can be itchy and may discharge fluid.

Recommended Treatments
1. Maintain Hygiene: Continue to keep the area clean and dry. After showering, ensure that the belly button is thoroughly dried. You can use a cotton swab to gently clean the inside of the belly button, but be careful not to irritate it further.

2. Topical Treatments: Since you are currently using a soothing ointment (like the one you mentioned), it may help to switch to an over-the-counter antifungal or antibacterial cream if you suspect an infection. Look for products containing clotrimazole or miconazole for fungal infections, or bacitracin for bacterial infections.

3. Avoid Irritants: If you suspect that your symptoms may be due to contact dermatitis, try to identify and avoid any potential irritants. This includes soaps, lotions, or fabrics that may be causing a reaction.

4. Hydrocortisone Cream: A low-potency hydrocortisone cream can help reduce inflammation and itching. However, it should be used sparingly and not for prolonged periods without medical advice.

5. Consult a Healthcare Provider: If your symptoms persist or worsen, it is crucial to seek medical attention. A healthcare provider can examine the area, possibly perform a culture if an infection is suspected, and prescribe appropriate medications.

6. Local Alternatives: If you are in Southeast Asia and have access to local pharmacies, you might find topical antifungal or antibacterial creams that are effective. Look for products that are commonly used for skin infections or irritations.

When to Seek Immediate Care
- If you notice increased redness, swelling, or warmth around the belly button.

- If the discharge becomes foul-smelling or changes in color.

- If you develop a fever or other systemic symptoms.

- If the pain becomes severe or persistent.

In conclusion, while your current treatment regimen is a good start, it may be beneficial to incorporate additional topical treatments and maintain strict hygiene. If symptoms do not improve, please consult a healthcare professional for further evaluation and treatment.

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