Persistent Discomfort Around the Belly Button: Seeking Medical Guidance - Family Medicine

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Discomfort to the right of the navel, including the navel itself, has been present since May?


I have discomfort around my belly button, including the right side, which has been ongoing since May.
Sometimes it feels like I have diarrhea.
Previously, pressing on my belly button would relieve the discomfort.
Occasionally, the skin and muscles on the right side of my belly button cramp.
I consulted a dermatologist who diagnosed it as eczema, but there are currently no visible symptoms.
There is a fold on the right side of my belly button that sometimes appears red and dark.
I have undergone X-ray and colonoscopy examinations, as well as tests for umbilical hernia, all of which were negative.
In May, there seemed to be some skin inflammation near the right side of my belly button, which extended into the belly button itself, eventually forming a fold next to it.
The belly button, which was originally round, now has skin on the right side that hangs down, making it look like a three-quarters circle, and it is very uncomfortable.
However, I cannot find the cause, which makes me anxious and affects my mood.
What specialist should I see? Thank you.

Muzi, 40~49 year old female. Ask Date: 2021/10/25

Dr. Ye Qianyu reply Family Medicine


Hello! For issues around the navel, it is recommended that you visit a general surgery outpatient clinic for evaluation.
Additionally, for regular cleaning, you can use soapy water to gently massage the area after moistening it, and avoid unnecessary scratching.

Reply Date: 2021/10/25

More Info


It sounds like you are experiencing persistent discomfort around your belly button, particularly on the right side, and have undergone various examinations without a clear diagnosis. This situation can understandably lead to anxiety and frustration, especially when the cause of your discomfort remains elusive despite multiple medical evaluations.

Given the symptoms you've described, including the discomfort that feels like cramping or diarrhea, the skin issues around your belly button, and the changes in the appearance of your skin, it is essential to consider a few potential avenues for further investigation and treatment.

1. Gastroenterology: Since you mentioned experiencing discomfort that resembles gastrointestinal issues, it would be prudent to consult a gastroenterologist if you haven't already. They specialize in digestive system disorders and can provide insights into whether there are underlying issues related to your intestines or other digestive organs that might be contributing to your symptoms.

2. Dermatology: You mentioned that a dermatologist diagnosed you with eczema. If the skin condition persists or worsens, it may be beneficial to revisit a dermatologist or seek a second opinion. Sometimes, skin conditions can be tricky to diagnose, and a different perspective might lead to a more effective treatment plan.

3. General Surgery: Since you have undergone examinations for a possible hernia, consulting a general surgeon could be beneficial. They can evaluate the structural aspects of your abdomen and determine if there are any issues that might not have been identified in previous assessments, such as an incisional hernia or other abnormalities.

4. Psychological Support: Chronic discomfort can take a toll on your mental health. If you find that your anxiety and frustration are affecting your overall well-being, consider speaking with a mental health professional. They can help you develop coping strategies and provide support as you navigate your health concerns.

5. Holistic Approaches: Sometimes, complementary therapies such as physical therapy, acupuncture, or dietary adjustments can help alleviate discomfort. Discussing these options with your healthcare provider may provide additional relief.

In terms of the specific symptoms you are experiencing, the redness and changes in the skin around your belly button could indicate an inflammatory response, possibly related to the skin condition or another underlying issue. The fact that pressing on the area provides temporary relief might suggest that there is some muscular or nerve involvement as well.

It is crucial to maintain open communication with your healthcare providers. If you feel that your concerns are not being adequately addressed, do not hesitate to seek a second opinion or ask for further testing. Keeping a detailed record of your symptoms, including when they occur and any associated factors (such as diet or stress levels), can also be helpful for your doctors in diagnosing the issue.

In summary, I recommend consulting with a gastroenterologist, revisiting a dermatologist, and considering a general surgical evaluation. Additionally, addressing any psychological impacts of your chronic discomfort is essential for your overall well-being. Remember, you are your best advocate in your healthcare journey, and seeking clarity and support is a vital part of that process.

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