Hernias in Children
A hernia in children occurs when part of the intestine or abdominal tissue pushes through a weak spot in the muscles or tissues, creating a bulge under the skin. It’s a common and usually treatable condition in infants and young children.
Types of Hernias in Children
- Inguinal Hernia (Most Common)
- Occurs in the groin area
- More common in boys and premature infants
- Caused by a persistent processus vaginalis (a channel that should close after birth)
- Can occur on one or both sides of the groin
- Umbilical Hernia
- Occurs at the belly button (navel)
- Common in newborns
- Often painless and closes on its own by age 3–4
Symptoms
- Inguinal Hernia
- Bulge or swelling in the groin or scrotum
- Appears when the baby cries, coughs, or strains
- Disappears when the child is calm or lying down
- May cause discomfort or fussiness
- Umbilical Hernia
- Soft bulge at the belly button
- More noticeable when baby cries or strains
- Usually painless
Signs of a Complication (Strangulated Hernia)
These are emergencies — seek immediate medical attention if your child has:
- A painful, red, or firm bulge that doesn't go away
- Vomiting
- Refusal to eat
- Fever
- Abdominal distension
Diagnosis
- Based on physical exam
- Rarely requires imaging unless the diagnosis is unclear
Key Facts
- Hernias are common – in infants, they can get complicated early, so early surgical correction is often advised.
- Inguinal hernias don’t go away on their own — in older children, surgery is usually necessary.
- Umbilical hernias often resolve without treatment — but may need surgery if painful, irreducible, or persistent in older children.
- Watch for signs of strangulation, which require emergency care.
Hernias, though benign, may complicate in younger babies and do not resolve without surgery. Consult a Pediatric Surgeon for timely evaluation and treatment.