Umbilical Skin Issues: Causes and Treatments - Dermatology

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The skin around the navel has been broken and hasn't healed?


Hello doctor, my mother had an itchy belly button last week, and when she scratched it, it broke the skin.
She hasn't applied any ointment since then, and it hasn't healed.
Today, it started to ooze a clear fluid.
She says her belly button keeps leaking, but it doesn't hurt or itch, just feels a little warm.
I would like to know if this is an infection?

Bailu 18, 20~29 year old female. Ask Date: 2021/08/23

Dr. Li Yufen reply Dermatology


Hello: Based on the description, the clear liquid may be tissue fluid that has leaked out after skin damage.
It is recommended to disinfect the wound with povidone-iodine and saline solution.
If there is an ointment for wounds, a thin layer can be applied.
If the skin symptoms do not improve or worsen, it is advisable to consult a dermatologist for diagnosis and treatment.
Thank you!

Reply Date: 2021/08/23

More Info


Umbilical skin issues can arise from various causes, and understanding these can help in determining the appropriate treatment. In your mother's case, the symptoms she is experiencing—itching, skin breakdown, and the discharge of a clear fluid—suggest that there may be an underlying inflammatory process occurring at the site of the umbilicus.

One common cause of umbilical irritation is an infection, which can be bacterial or fungal in nature. The fact that your mother scratched the area, leading to a break in the skin, increases the risk of infection. When the skin barrier is compromised, pathogens can enter, leading to inflammation and discharge. The clear fluid could be a sign of serous exudate, which is often seen in inflammatory conditions. The slight warmth she feels may indicate localized inflammation, which is a typical response of the body to infection or irritation.

Another possibility is that the umbilical area is prone to irritation due to moisture and friction, especially if it is not kept clean and dry. This can lead to conditions such as umbilical dermatitis, which can present with itching, redness, and sometimes discharge. In some cases, if there is a history of any underlying skin conditions, such as eczema or psoriasis, these could also contribute to the symptoms.

In terms of treatment, it is essential to keep the area clean and dry. Gently cleansing the umbilical area with mild soap and water can help remove any irritants or pathogens. After cleansing, applying a barrier cream or ointment may help protect the skin and promote healing. If there is any sign of infection, such as increased redness, swelling, or the presence of pus, it would be advisable to consult a healthcare professional for further evaluation and possibly a course of antibiotics.

If the symptoms persist or worsen, it is crucial to seek medical attention. A healthcare provider can assess the area more thoroughly and may perform a culture if an infection is suspected. They can also provide guidance on appropriate topical treatments, which may include antifungal or antibacterial ointments, depending on the underlying cause.

In summary, while your mother's symptoms may suggest an inflammatory or infectious process, proper hygiene and care are vital. If there is any doubt or if the condition does not improve, consulting a healthcare professional is the best course of action to ensure appropriate treatment and to prevent complications.

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