Swelling of the navel
Why the navel in an adult
The reasons for this condition can be:
• Development of omphalitis - inflammation of the skin and subcutaneous tissue in the navel region
• Availability fistula near the umbilical ring (urahausa).
To find out the exact cause, it is necessary to examine the surgeon with the obligatory bucket-sifting and the revision of the umbilical ring.
The tactics of treatment will depend on what was the cause.
If it is omphalitis, the treatment is conservative. If the fistula, then you can get rid of only surgically.
Development of omphalitis can be caused by various causes, most often an infection (bacterial or fungal).
The disease is manifested by reddening and swelling of the skin in the navel and the appearance in the umbilical fossa of purulent-bloody discharge.
Often the inflammatory process spreads to the umbilical vessels, then it can go to the wall of the artery and surrounding tissues, which leads to arteritis or phlebitis of the umbilical vessels.
With a simple form(duckling navel) the general condition of the patient does not suffer, in the navel area there is moknutie with serous or serous-purulent discharge, which forms crusts.
Prolonged wetness leads to the formation of excessive granulations at the bottom of the umbilical wound (fungus of the navel), which make it difficult to epithelize.
Perhaps a dense mushroom-shaped growth of pink color is a mushroom-shaped tumor.
Phlegmonous form characterized by the spread of the inflammatory process to surrounding tissue. In the circumference of the navel, redness is noted, infiltration of soft tissues is determined, palpation is painful.
The umbilical fossa is an ulcer surrounded by a thickened, thickened cutaneous ridge. When pressure is applied to the peri-ocular region, pus is released from the umbilical wound.
The general condition gradually begins to worsen,there is a slight increase in temperature. In some cases, the phlegmon of the anterior abdominal wall develops. With the beginning phlegmon of the anterior abdominal wall, the temperature rises to 39 ° C and above.
Necrotic form omphalitis is usually a consequence of phlegmonousform. The process extends not only to the sides, as with the phlegmon of the anterior abdominal wall, but also deeper. There comes a necrosis (necrosis) of the skin and subcutaneous tissue and detachment from the underlying tissues. Infection can spread to the umbilical vessels, which leads to the development of umbilical sepsis. Therefore, it is very important to stop the process as quickly as possible before the development of the periarteritis of the umbilical vessels.
Treatment of omphalitis
In the vast majority of cases, there is no difficulty.
When plain form of omphalitis treatment is a dailyprocessing of the umbilical region and umbilical ring (solutions of antiseptics with the imposition of antiseptic ointments, if necessary with mandatory drainage, and mandatory use of physiotherapy.
For this it is necessary to contact the surgeon as soon as possible.
When phlegmonous and necrotic forms are used complex treatment in a hospital, for which it is necessary to contact the nearest duty hospital.
Most often congenital pathology. They develop as a result of non-spreading of the yolk-intestinal or urinary duct.
When the yolk-intestinal duct is not infectedthe navel region forms an entero-umbilical fistula with intestinal or mucous discharge. Sometimes, through the fistulous course, the intestinal mucosa falls, and more rarely the omentum.
When the urinary duct (urachus) is not enlarged, a vesicoureteral fistula is formed, and then the urine is separated, as a rule.
Acquired umbilical fistulas are observed after a prolonged inflammatory process of the anterior abdominal wall, when purulent abscess is opened through the navel.
In both cases surgical treatment - produce excision fistulas and suturing defects in the wall of the bladder or bowel. Conservative management is possible in the absence of a discharge from the fistula.
It must be remembered that self-medication often leads to an aggravation of the process. and at best only temporary relief.
Only after examining the surgeon and standard diagnostic studies can you put the right diagnosis and choose the optimal treatment tactics.
An entry to Dr. Maximov for advice and treatment