Umbilical Bleeding: Causes, Symptoms, and Treatment Options

Umbilical bleeding

Hello Doctor, I have been experiencing bleeding from my navel for a long time, and the cause is unclear.
Before the bleeding occurs, I feel a dull pain about 2 to 3 centimeters above the navel, and then after 1 to 2 days, bleeding happens.
This usually occurs more frequently during seasonal changes, and the bleeding is mostly limited to the navel area, with a small amount of blood oozing out that has a foul odor.
My self-treatment involves drying the area after a shower, applying a bit of iodine into the navel, and then cleaning the inside with a cotton swab.
If I'm lucky, it resolves in 2 to 3 days, but sometimes it takes a week or more to heal.
I have visited a hospital and undergone imaging with contrast in the abdominal cavity, but no abnormalities were found.
I would like to ask the doctor what condition I might have.
This symptom has troubled me for many years, and I have been unsure which specialty to consult.
I have visited general surgery, and they prescribed me some ointment, but the issue has not been resolved.
I kindly ask the doctor for a diagnosis or advice on which specialty I should seek treatment from and what examinations should be conducted to achieve a cure.
Thank you very much.

I'm sorry, 30~39 year old female. Ask Date: 2011/03/03

Dr. Lin Zhiguang reply Surgery

Hello, your condition sounds like an umbilical abscess.
It is likely caused by fecal matter trapped deep in the umbilicus, leading to recurrent inflammation.
If medication and topical treatments are ineffective, surgical debridement should be considered to remove the obstruction.

Reply Date: 2011/03/03

More Info

Umbilical bleeding, or bleeding from the navel, can be a perplexing and concerning issue. It is important to understand that this condition can arise from various causes, and identifying the underlying reason is crucial for effective treatment. Based on your description, it seems that you have been experiencing intermittent bleeding from your umbilicus, accompanied by pain and an unpleasant odor. Here, I will outline potential causes, symptoms, and treatment options for umbilical bleeding.

Causes of Umbilical Bleeding
1. Infection: One of the most common causes of umbilical bleeding is an infection. This could be due to bacteria entering through the skin or from the gastrointestinal tract. Symptoms may include redness, swelling, and discharge that may have a foul odor.

2. Umbilical Granuloma: This is a growth of tissue that can occur at the site of the umbilicus. It can be caused by irritation or infection and may bleed if it becomes inflamed or irritated.

3. Dermatitis: Skin conditions such as eczema or contact dermatitis can affect the area around the navel, leading to irritation and bleeding.

4. Hernia: An umbilical hernia occurs when tissue protrudes through a weak spot in the abdominal muscles. This can sometimes lead to bleeding if the hernia becomes strangulated or inflamed.

5. Underlying Medical Conditions: Conditions such as diabetes or vascular diseases can affect healing and increase the risk of infections, leading to bleeding.

6. Trauma: Any injury to the area, even minor, can cause bleeding. This could be from scratching or irritation from clothing.

Symptoms to Watch For
- Pain: As you mentioned, pain above the navel before bleeding can indicate inflammation or infection.

- Discharge: The presence of foul-smelling discharge is a sign of infection.

- Redness and Swelling: These symptoms can indicate an inflammatory process.

- Persistent Bleeding: If bleeding continues for more than a few days or is recurrent, it warrants further investigation.

Treatment Options
1. Medical Evaluation: Since you have already sought medical attention, it may be beneficial to revisit a healthcare provider, preferably a specialist in dermatology or gastroenterology. They can perform a thorough examination and possibly recommend imaging studies or cultures to identify any underlying infections.

2. Topical Treatments: If an infection is diagnosed, topical antibiotics may be prescribed. In cases of umbilical granuloma, treatments may include cauterization or cryotherapy.

3. Hygiene Practices: Maintaining good hygiene is crucial. Gently cleaning the area with mild soap and water, and avoiding harsh chemicals can help prevent irritation.

4. Avoiding Irritants: Be mindful of clothing that may rub against the area, as this can exacerbate symptoms.

5. Surgical Intervention: If a hernia or granuloma is diagnosed and does not respond to conservative treatment, surgical options may be necessary.

Conclusion
It is understandable to feel frustrated with a condition that has persisted for years without a clear diagnosis. Given the complexity of your symptoms, I recommend seeking a referral to a specialist who can provide a more focused evaluation. This may include a dermatologist for skin-related issues or a gastroenterologist for potential internal causes. Diagnostic tests, such as ultrasound or MRI, may also be warranted to rule out any anatomical abnormalities.

In the meantime, continue to practice good hygiene and monitor your symptoms closely. If you experience increased pain, significant bleeding, or any other concerning symptoms, do not hesitate to seek immediate medical attention. Your health is paramount, and finding the right specialist can lead to a more effective treatment plan.

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