Pain Around the Belly Button: Causes and Relief Strategies - Gastroenterology and Hepatology

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There is tenderness around the navel?


I often lie down and play with my child, and when my child sits on my stomach, I experience unbearable pain.
When I press around my navel, it hurts a lot, and I can feel a pulsating sensation.
I frequently have bloating in my abdomen, along with alternating constipation and diarrhea.
I wonder if these symptoms are related.
Additionally, how can I alleviate this pain?

iris, 30~39 year old female. Ask Date: 2004/04/29

Dr. Liang Jiade reply Gastroenterology and Hepatology


Hello, based on your description, the intermittent pain and bloating around the navel are mostly related to functional gastrointestinal disorders and dyspepsia.
Additionally, since you experience alternating constipation and diarrhea, it is important to consider the timing of these symptoms in relation to your abdominal pain and bloating.
It is also necessary to determine if you have undergone any abdominal surgeries, radiation therapy, or local trauma to make a proper assessment.
This will help identify any other issues such as structural abnormalities, intestinal adhesions, or irritable bowel syndrome.
It is recommended to maintain regular bowel habits, engage in regular physical activity, and reduce the intake of gas-producing foods (such as fermented or pickled foods).

Reply Date: 2004/04/29

More Info


Pain around the belly button can be caused by a variety of factors, and understanding these can help you find relief. Given your description of the pain occurring when your child sits on your abdomen, along with your history of bloating, constipation, and alternating diarrhea, there are several potential causes to consider.

Firstly, the area around the belly button, or umbilicus, is rich in nerves and can be sensitive to pressure. When your child sits on your abdomen, the pressure can exacerbate any underlying issues, leading to pain. This pain could be related to gastrointestinal issues, such as gas buildup or inflammation in the intestines, which is common in conditions like irritable bowel syndrome (IBS). IBS can cause symptoms such as bloating, abdominal pain, and changes in bowel habits, which you mentioned experiencing.

Another possibility is that you might be experiencing referred pain from other abdominal organs. For instance, conditions affecting the appendix, intestines, or even the urinary tract can manifest as pain around the belly button. If the pain is sharp, persistent, or accompanied by other symptoms like fever, nausea, or vomiting, it would be advisable to seek medical attention promptly, as these could be signs of a more serious condition.

In terms of relief strategies, here are some suggestions:
1. Dietary Changes: Since you mentioned experiencing bloating and alternating bowel habits, consider keeping a food diary to identify any potential food triggers. Common culprits include dairy, gluten, and high-fiber foods. Gradually eliminating these from your diet may help alleviate symptoms.

2. Hydration: Ensure you are drinking enough water throughout the day, as dehydration can contribute to constipation. Aim for at least 8 glasses of water daily, and consider incorporating high-water-content foods like fruits and vegetables.

3. Gentle Exercise: Engaging in light physical activity, such as walking or yoga, can help stimulate digestion and relieve bloating. Avoiding heavy lifting or activities that put pressure on your abdomen, especially when playing with your child, may also help reduce pain.

4. Heat Therapy: Applying a warm compress or heating pad to your abdomen can help relax the muscles and alleviate pain. Just be sure to use a comfortable temperature to avoid burns.

5. Over-the-Counter Medications: If the pain is significant, consider using over-the-counter pain relievers such as acetaminophen or ibuprofen, as long as you have no contraindications to these medications. Additionally, medications that relieve gas, such as simethicone, may help with bloating.

6. Consult a Healthcare Provider: If the pain persists or worsens, or if you experience any alarming symptoms, it’s crucial to consult a healthcare provider. They may recommend imaging studies, such as an ultrasound or CT scan, to rule out any serious conditions.

In summary, while the pain around your belly button could be related to pressure from your child sitting on your abdomen, it may also be linked to underlying gastrointestinal issues. By making dietary adjustments, staying hydrated, and incorporating gentle exercise, you may find relief. However, do not hesitate to seek medical advice if your symptoms do not improve or if you have concerns about your health.

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