Umbilical Issues: When to Seek Further Medical Help

Umbilical issues

Hello, I have been experiencing inflammation of the navel since January.
I consulted a dermatologist who mentioned that there is a cyst in the navel.
I am currently applying iodine medication for treatment.
In the past few days, my navel has been emitting a foul odor.
I clean it daily with saline solution, and while the pus has significantly decreased, I still notice a bit of blood on the cotton swab.
It has been over two months, and my navel has not healed.
Could there be other underlying conditions? Which specialty should I consult for further examination? Thank you for your response.

Janet, 30~39 year old female. Ask Date: 2023/03/15

Dr. Chen Ronghong reply Surgery

Hello Janet, the discharge from your navel may be due to a simple subcutaneous infection, an epidermoid cyst, or, less commonly, an adult urachal cyst.
It is recommended that you visit a general surgeon to examine the wound for any residual cyst wall or even a tumor that may be causing poor healing.

Reply Date: 2023/03/15

More Info

When dealing with umbilical issues, particularly persistent inflammation or infection, it is crucial to understand the potential underlying causes and when to seek further medical help. Based on your description, it seems that you have been experiencing umbilical inflammation since January, which has not improved despite treatment. The presence of a foul odor, bleeding when cleaning, and the fact that the condition has persisted for over two months are significant indicators that further evaluation is necessary.

The umbilicus, or belly button, can be prone to various conditions, including infections, cysts, and even more serious issues such as abscesses or hernias. The fact that your doctor noted a "囊袋" (cyst) suggests that there may be a structural issue contributing to your symptoms. The odor you describe could indicate an ongoing infection, which may require more aggressive treatment than topical antiseptics.

Given that you have already seen a dermatologist, it may be beneficial to consult with a general surgeon or a gastroenterologist. Surgeons are particularly skilled at evaluating and treating conditions related to the abdominal cavity, including any potential complications arising from the umbilical area. A gastroenterologist may also be able to assess whether there are any gastrointestinal issues contributing to your symptoms.

In addition to seeking further medical evaluation, it is essential to monitor your symptoms closely. If you experience increased redness, swelling, or pain around the umbilicus, or if you develop fever or chills, these could be signs of a more serious infection that requires immediate medical attention.
Furthermore, if you notice any changes in the discharge from the umbilicus, such as an increase in pus or a change in color, this should also prompt a visit to a healthcare provider. Persistent bleeding, even if minimal, is another red flag that should not be ignored.

In summary, while it is good that you are maintaining cleanliness with saline solution, the ongoing symptoms you are experiencing warrant further investigation. A consultation with a general surgeon or gastroenterologist is advisable to rule out any serious underlying conditions and to discuss potential treatment options. Early intervention can help prevent complications and promote healing, so do not hesitate to seek further medical advice.

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