Umbilical Pain and Discharge: When to Seek Further Medical Help

There is a small amount of pus (with an odor) coming from the navel, and pressing on the area above and below the navel causes pain?

In the past week, I have experienced pain when pressing above and below my navel (the pain also occurs during movement).
Additionally, in the last two days, I have noticed a small amount of yellow discharge coming from my navel, which has a very foul odor.
I am unsure what the issue might be.
Today, after visiting a urologist, I was prescribed antibiotics but did not undergo an ultrasound examination.
I suspect that I might have an incomplete closure of the omphalomesenteric duct or urachus, or that a cyst or diverticulum may have formed.
Given my current condition, should I complete the week-long course of antibiotics first, or should I go back to the hospital for further examination? I have heard that such symptoms may require surgical intervention.
I would appreciate your guidance on this matter.
Thank you!

Wu, 20~29 year old female. Ask Date: 2015/01/09

Dr. Yang Yaokun reply Surgery

Hello^^ In this situation, it is indeed necessary to suspect incomplete closure of the urachus.
At this time, it is essential to first control the infection before considering surgery, as otherwise, it may lead to postoperative wound infections.
As for what type of surgery to perform, please consult with a general surgeon for a more detailed explanation.
Thank you!

Reply Date: 2015/01/09

More Info

Umbilical pain accompanied by discharge can be concerning, and it’s important to understand the potential causes and when to seek further medical help. Based on your description, the pain around your umbilicus (belly button) and the presence of yellow, foul-smelling discharge could indicate an infection or other underlying issues that require attention.

The umbilicus is a complex area that can be affected by various conditions, including infections, hernias, or remnants of embryonic structures such as the urachus or the omphalomesenteric duct. The foul-smelling discharge, in particular, raises the suspicion of an infection, possibly an umbilical infection (omphalitis) or a more serious condition like a fistula or abscess.

Given that you have already seen a urologist and were prescribed antibiotics without further imaging studies, it’s essential to monitor your symptoms closely. Here are some considerations:
1. Follow-Up on Antibiotics: If your doctor prescribed antibiotics, it is crucial to complete the full course as directed, even if your symptoms do not improve immediately. Antibiotics can help clear up infections, but they may take time to show effects.

2. Monitor Symptoms: Keep track of any changes in your symptoms. If you notice an increase in pain, swelling, or the discharge worsens or changes in color or odor, it is important to seek medical attention promptly.

3. When to Seek Further Help: If your symptoms do not improve within a few days of starting antibiotics, or if they worsen, you should return to your healthcare provider. Additionally, if you develop fever, chills, or any signs of systemic infection (such as increased heart rate or difficulty breathing), seek emergency medical care.

4. Imaging Studies: If your symptoms persist despite antibiotic treatment, or if there is a suspicion of a more complex issue like a cyst, abscess, or a remnant of embryonic structures, imaging studies such as an ultrasound or CT scan may be warranted. These studies can help visualize any abnormalities in the area and guide further management.

5. Surgical Consultation: If imaging reveals significant findings, or if there is a suspicion of a surgical condition (like a hernia or abscess), a referral to a surgeon may be necessary. Surgical intervention may be required to address the underlying issue, especially if there is a risk of complications.

In summary, while it is essential to complete your antibiotic course, do not hesitate to seek further medical evaluation if your symptoms do not improve or worsen. Your health is paramount, and timely intervention can prevent complications. Always trust your instincts; if something feels off, it’s better to err on the side of caution and consult a healthcare professional.

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