Belly Button Issues: When to See a Dermatologist - Dermatology

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Umbilical issues


Hello Doctor: I discovered a lump near my belly button last September.
I later visited a gastroenterologist who performed an ultrasound and found no abnormalities (he mentioned only seeing blood vessels).
This lump is neither painful nor itchy, but it seems to have grown slightly larger and feels like a soft blister when I pinch it.
Here are the photos: https://ibb.co/R2MNwyX https://ibb.co/DKx3468.
I would like to ask if I should see a dermatologist? Will applying medication help? Thank you!

Shen Shen, 20~29 year old female. Ask Date: 2022/09/10

Dr. Wu Yuxin reply Dermatology


If the issue has been present since last September and is still ongoing, topical medications may be difficult to resolve the problem.
It is recommended to see a dermatologist as soon as possible.

Reply Date: 2022/09/10

More Info


When it comes to skin issues, particularly those involving the belly button, it’s essential to approach the situation with caution and awareness of the potential underlying causes. Based on your description, it seems you have developed a soft, possibly cystic structure near your belly button that has been present since September of last year. It’s good to hear that you have already consulted a gastroenterologist and had an ultrasound, which did not reveal any abnormalities apart from the presence of blood vessels.

Given that the lump is not painful or itchy, it may be a benign condition such as an epidermoid cyst or a lipoma. These types of growths are generally harmless and can be soft to the touch. However, the fact that you have noticed a slight increase in size is worth monitoring. While many cysts and lipomas do not require treatment unless they become bothersome, it’s important to keep an eye on any changes in size, shape, or symptoms.

In terms of whether you should see a dermatologist, the answer is yes, especially since the lump has changed slightly over time. A dermatologist specializes in skin conditions and can provide a more thorough examination. They may perform a physical examination and, if necessary, recommend further imaging or a biopsy to rule out any serious conditions. It’s always better to err on the side of caution when it comes to changes in your skin or soft tissue.

As for the use of topical medications, it’s unlikely that applying ointments or creams will resolve the issue if it is indeed a cyst or similar growth. Topical treatments are generally more effective for inflammatory conditions, infections, or superficial skin issues rather than deeper cystic formations. If the dermatologist determines that the lump is benign and not causing any problems, they may suggest leaving it alone. However, if it becomes bothersome or if you desire its removal for cosmetic reasons, they can discuss surgical options with you.

In summary, while your current situation does not seem alarming, it is advisable to consult a dermatologist for a professional evaluation. They can provide you with a definitive diagnosis and discuss potential treatment options if necessary. Monitoring the lump for any changes is also crucial, and keeping a record of any new symptoms will be helpful for your healthcare provider. Remember, proactive care is key in managing skin health, and seeking expert advice is always a wise choice.

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