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New born navel
Hi doctors
My baby was born at 34 weeks, today she is 26 days old.
Her cord fall off on 7 days, but the navel is still outward and has a small boil inside, attaching picture.
Have discharge from that little bit, no redness n swelling
My Dr said umbilical granuloma, but no medicine , said only to observe.
Do help
Answers (8)
A newborn/young infant with tissue at the umbilicus that looks like an umbilical granuloma, typical features are:
* Small pink/red, moist, fleshy tissue after the cord has separated
* Usually painless
* May have a small amount of clear/yellowish discharge
* No surrounding redness or swelling in uncomplicated granuloma
Management
For a typical small umbilical granuloma, silver nitrate cauterization is a commonly used treatment. It should be applied carefully to the granuloma while protecting the surrounding normal skin, usually by a healthcare professional.
Do not use turmeric, ash, ghee, powders, or other home remedies.
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Hello.
The description is suggestive of an umbilical granuloma, especially with a small fleshy tissue at the umbilicus and mild discharge after the cord has separated. In a 34-week preterm infant, delayed healing can occur. If there is no surrounding redness, swelling, fever, or significant tenderness, it is usually not an emergency.
Small granulomas may sometimes resolve with simple local care, but persistent granuloma can be treated with common salt. The baby should be examined to confirm the diagnosis and exclude other causes of umbilical discharge.
Next Steps
Keep the umbilicus clean and dry.
Gently clean any discharge with sterile gauze/cotton and allow it to dry.
Arrange a pediatric examination, particularly because the baby is preterm.
Health Tips
Do not apply turmeric, powder, oil, antiseptic solutions, or home remedies, and don't try to remove the tissue yourself.
Seek prompt medical attention if there is spreading redness, swelling, foul-smelling/pus-like discharge, bleeding, fever, poor feeding, lethargy, or increasing abdominal/umbilical swelling.
Also, if the discharge is clear and continuous (especially urine-like) or feculent, the baby needs assessment for a less common congenital umbilical abnormality rather than assuming it is a granuloma.
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I need to ask few more questions before answering your query.
Early consultations can prevent complications.
Kindly contact me on whatsapp chat
(84960595 six five)
Dr Faisal Zoheb
MBBS , MD PAEDIATRICS , PGPN (BOSTON), FELLOWSHIP IN NEONATOLOGY ( Newborn and vaccination specialist )
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Hello
This is umbilical granuloma. As you have already mentioned that there is mild discharge wipe out the discharge with sterile cotton gauze/cloth and keep it dry. If there is persistent discharge, redness, baby developing fever, not feeding well kindly consult your paediatrician. It will subside on it’s own in few babies and if it is persistent applying salt over it can be done but with doctors advice.
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Greetings
small, pinkish tissue nodule inside the baby's navel resembles an umbilical granuloma, which is a common, benign overgrowth. Other potential medical conditions to consider include a persistent vitello-intestinal duct, an umbilical polyp, or an anatomical urachal remnant. General management guidelines include keeping the area clean, dry, and exposed to air by rolling back the diaper. U can safely use home application of table salt
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Dr. Venkatesh Badugu
Pediatrician
9 yrs exp
Hyderabad
Yes it is umbilical granuloma only
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Dr. Tangade Vishal Bhanudas
Pediatrician
4 yrs exp
Pune
Umbilical granuloma.
Next Steps
visit physically to nearby pediatrician for examination.
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Dr. Ankita Gahlot
Obstetrician
12 yrs exp
Bangalore
This does look consistent with an umbilical granuloma, which your doctor has already flagged, and it's a common, usually harmless finding once the cord falls off. No redness or swelling around it is reassuring.
Next Steps
Keep the area clean and dry, and let it air out when you can rather than keeping it covered tightly under the diaper or clothing.
Health Tips
See your paediatrician again if you notice redness spreading, fever, or the area becoming more swollen or foul smelling.
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