When Should I Worry About an Umbilical Hernia in Adults?

Jul 15, 2025

A weak region in the abdominal muscles at the belly button allows a portion of the intestine or fatty tissue to push through, resulting in an umbilical hernia. Adult umbilical hernias can occasionally result in major difficulties, despite being common in newborns and frequently going away on their own. Many people have minor, asymptomatic hernias and don’t have any problems for years. Nonetheless, some warning indicators show when medical help is required.

When is an Umbilical Hernia Dangerous

Immediately seek medical attention if you encounter any of the following symptoms:

Excruciating Pain or Sensitivity

While mild discomfort is common, abrupt, severe pain might be a sign of a strangulated hernia, which occurs when the blood supply to the trapped tissue is cut off. Surgery is necessary in this medical emergency to stop tissue death.

Discoloration that is Red, Purple, or Dark

When a hernia becomes black, purple, or red, it indicates that blood flow is impaired. This indicates strangulation or incarceration (trapped hernia), both of which need immediate medical attention.

Vomiting and Nausea

An intestinal obstruction may be the cause of your nausea or vomiting, in addition to your hernia discomfort. The inability to pass gas or have a bowel movement frequently goes hand in hand with this.

Fever and Chills

Fever and hernia discomfort might be signs of tissue death (gangrene) or infection. In order to heal the hernia and remove injured tissue, emergent surgery is necessary.

The Hernia Hardens or Is Unpushable

The bulge can be stuck if it doesn’t go away (return) when you lie down or apply little pressure. A firm, unyielding lump is a warning sign for strangulation.

Risk Factors for Complications

Some people are more susceptible to severe hernia, such as:

  • Obese (have elevated abdominal pressure)
  • Prolonged coughing (asthma, COPD, or smoking)
  • Pregnancy or multiple pregnancy
  • Prior abdominal operations
  • Excessive lifting or demanding exercise

When Should You Consider Surgery

The majority of adult umbilical hernias do not heal on their own and may progressively get worse. Usually, doctors advise surgery if:

  • The hernia is becoming bigger
  • It results in chronic pain

Types of Umbilical Hernia Repair

Here are the two treatment options for umbilical hernia repair:

  1. Open Hernia Operation: In an open hernia repair, the muscle is reinforced with sutures or mesh after the hernia is pushed back through a small incision.
  2. Laparoscopic Repair: For a quicker recovery, this minimally invasive procedure uses tiny incisions and a camera.

Summing Up!

If you have an umbilical hernia, you may notice a soft bulge near your navel that becomes more visible when coughing, straining, or standing. Most adult umbilical hernias are not life-threatening right away, but if strangulation happens, they can become so. Serious problems can be avoided with early treatment, so don’t ignore growing symptoms.

Nova Bariatrics & General Surgery is here to help you with your umbilical hernia. Call us now at (469) 639-0953 to schedule an appointment.

Dr. Mustafa H. Alibhai

Dr. Mustafa H. Alibhai

Dr. Alibhai, a board-certified general surgeon, passionately leads Nova Bariatrics and General Surgery. Formerly an Assistant Professor at McGovern Medical School, he’s a Fellow of the American College of Surgeons and the American Society of Metabolic and Bariatric Surgeons. His academic journey includes a Bachelor’s from Southern Methodist University, Medical School at UT Southwestern, and residencies at UT Southwestern. Specializing further, he completed Bariatric and Robotic Fellowships, advancing surgical techniques with a focus on patient well-being.

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