Umbilical Inflammation: Symptoms, Treatment, and Antibiotic Concerns - Dermatology

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Umbilical inflammation


Hello Doctor, about a week ago, I suddenly felt a sharp pain around my navel.
Later, I noticed some pus, so I cleaned the white liquid from my navel and applied a topical ointment containing Bacillus Calmette-Guérin and Neomycin.
I also took Cephalexin 500 mg, which I brought back from Taiwan, every six hours.
Currently, I no longer feel pain, and the white discharge has gradually stopped.
I later visited a doctor here, who advised me to continue taking the medication every six hours.
After finishing 20 pills, the doctor instructed me to take another 20 pills of Cephalexin 500 mg for a total of ten days.
However, I would like to ask the doctor if this antibiotic can harm my kidneys.
I have already been taking it for seven days and often feel joint and lower back pain (I had previously taken antibiotics for dental pain for three days, but I did not take them simultaneously; I finished the dental antibiotics before starting Cephalexin).
Thank you, Doctor, and I wish you all the best.

Albert, 30~39 year old female. Ask Date: 2014/06/29

Dr. Li Yufen reply Dermatology


Hello: The most common side effect of Cephalexin is diarrhea.
Other possible side effects include dizziness, headache, abdominal pain, indigestion, nausea, joint pain, and gastrointestinal discomfort.
Therefore, these may be side effects of the medication itself.
Thank you!

Reply Date: 2014/06/29

More Info


Understanding umbilical inflammation, also known as umbilical infection or omphalitis, is crucial for effective treatment and management. This condition can arise from various causes, including poor hygiene, infection from bacteria, or irritation from foreign substances. Symptoms typically include redness, swelling, tenderness around the umbilicus, and in some cases, discharge that may be purulent (pus-like).
In your case, you have experienced sharp pain and the presence of a white discharge from your navel, which you have managed by cleaning the area and applying topical antibiotics. You also mentioned taking Cephalexin, a cephalosporin antibiotic, which is commonly prescribed for bacterial infections. It is important to note that while antibiotics like Cephalexin are effective in treating infections, they can have side effects and potential impacts on kidney function, especially if used over an extended period or in higher doses.

Cephalexin is generally considered safe for the kidneys in healthy individuals. However, if there is pre-existing kidney disease or if the antibiotic is taken inappropriately, there may be a risk of nephrotoxicity (kidney damage). Symptoms such as joint pain and back pain, which you are experiencing, could be related to several factors, including the antibiotic itself, the underlying infection, or even dehydration, which can sometimes occur with antibiotic use.

It is essential to monitor your symptoms closely. If the joint and back pain persists or worsens, or if you notice any signs of kidney issues such as changes in urination (frequency, color, or volume), swelling in the legs or ankles, or unusual fatigue, you should seek medical attention promptly.
Regarding your treatment plan, it is crucial to adhere to the prescribed course of antibiotics to ensure the infection is fully resolved. Stopping antibiotics prematurely can lead to antibiotic resistance and may allow the infection to return. If you have concerns about the duration of treatment or the specific antibiotic being used, it is advisable to discuss these with your healthcare provider. They can provide guidance based on your medical history and current health status.

In addition to antibiotic therapy, maintaining proper hygiene around the umbilical area is vital. Keep the area clean and dry, and avoid any irritants that could exacerbate the inflammation. If the discharge continues or if you develop fever or increased pain, further evaluation may be necessary to rule out more serious complications.

In summary, while Cephalexin is generally safe, it is essential to monitor for any adverse effects, especially concerning kidney function. Continue your treatment as prescribed, maintain good hygiene, and consult your healthcare provider if you have any concerns or if your symptoms change. Your health and well-being are paramount, and open communication with your medical team is key to effective management of your condition.

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