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Belly Bulges

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A protruding belly button is commoner in boys and may run in families   Everyone would love an eight pack abdomen, but for some it may remain just a dream. Their abdominal wall has unsightly bulges and protuberances, which may be a well rounded paunch or even hernia.

Some children have a protruding navel or belly button, which is noticed soon after the remnant of the umbilical cord falls off. When the baby cries or strains, the tummy bulges at the umbilicus. The swelling is called an umbilical hernia. It is commoner in boys. It may run in families and be associated with other diseases like thyroid deficiency or inborn errors of metabolism.

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The foetus receives its nutrition through umbilical blood vessels that are attached to the navel. The abdominal muscles also fuse at that point. There is an area of weakness there which can cause a defect in the abdominal wall muscles. The intestines may protrude through this. Usually, the intestines can be pushed back when the child is quiet and lying down.

By the age of three or four years, the abdominal musculature develops and the hernia disappears on its own. It usually does not cause any symptoms till that time. If the skin over the hernia changes colour, or if the child starts to cry incessantly, consult a doctor. It may mean the intestine has got trapped in the hernia and its blood supply is being compromised, strangling the bowel.

Strapping the bulging belly button with plaster, tying it with a bandage or fixing a coin over it won’t help. On the contrary, it may be harmful as a piece of intestine may get caught in the bandage and stop the blood supply. This then becomes a medical emergency. If the hernia persists after the age of three, it needs to be surgically repaired.

Hernias can also suddenly appear near the umbilicus in adults. This “paraumbilical hernia” is situated just above the navel and occurs through a weakness in the abdominal wall muscles. It may be due to pregnancy, obesity or poor abdominal muscle tone. It may also appear if fluid accumulates in the abdomen as a result of kidney or liver disease. The hernia may contain fat or intestines.

Paraumbilical hernias that appear during pregnancy may disappear on their own. In others, they need to be surgically corrected, even if they are painless. Bits of bowel or other intestinal content can suddenly become trapped in them, precipitating an emergency. There is a band of fibrous tissue connecting and holding together the musculature of the two halves of the abdomen. If this is weak and separates out, it may cause a condition called “divarication of the rectus abdominus”. It is common in obesity. The affected area is usually long and stretches over the abdomen from the umbilicus to the rib cage. As the defect is large, the intestine does not become trapped inside. If there is no umbilical hernia, it can be left alone. Surgical repair is a variation of a “tummy tuck” and is done purely for cosmetic reasons.

If there is a small defect in the linea alba (fibrous structure running down the midline of the abdomen), a ping-pong ball sized bulge can occur at the spot. This is called an “epigastric hernia”. It needs to corrected.

About 75 per cent of hernias occur lower down in the groin area and are called “inguinal hernias”. They are commoner in men. They can extend from the lower part of the abdomen to the scrotum in men and to the labia in women. They are caused by a congenital defect in the abdominal wall. Some men push the contents of the hernia back into the abdomen and then use a “surgical truss” to hold it there.

The surgical treatment of hernias has changed over the years. Traditional techniques involved opening the abdomen and suturing the muscle layers. Hospital stays were prolonged and recovery slow. Now, laparoscopic repairs can be done, reducing the hospital stay to two or three days. Fine sterile surgical mesh can be used to cover the defect. The hernia is then less likely to recur as there is no tension on the layers of the abdominal muscles.

Some hernias can’t be prevented. Congenital abdominal wall defects are less likely to manifest as hernias if

• The BMI (body weight divided by height in metre squared) is 23

• Core strengthening exercises (oblique sit ups, plank position) are done daily

• Lifting heavy weights is avoided

• Weight-lifting exercises are done after proper training and conditioning.

Source: The Telegraph (Kolkata, India)

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Positive thinking

Digging Deep for Healing

Rooting Down
For many people, apprehension manifests itself in the physical self as a potent feeling of heaviness or nausea situated in the depths of the lower abdomen. And it is there, at the seat of the second or sacral chakra, that we must lovingly and deliberately confront the anxiety. By rooting down into the deepest physical reaches of ourselves, we can cleanse ourselves of unease and replenish the space it has left behind with tranquil awareness. Much of what we encounter in our daily lives has the potential to awaken feelings of nervousness within us or make us question whether we are truly in control of our lives. When you establish a den of peace within your core, you empower yourself to act rather than react in distressing situations. Your balanced second chakra helps you respond productively to the turmoil around you while your inwardly directed attention steadies you.

There are many ways to restore your strength and clear negative energy from your core. To ground yourself and regain your emotional equilibrium, concentrate on the second chakra, picturing it as a funnel of vivid orange light. Reach down toward that light with your awareness and channel your breath into the space it occupies. As you balance the chakra, you will become more adaptive and thus better able to stand strong when faced with rapidly changing conditions. You can channel healing energy into your core by visualizing the area below your belly button as an open space into which you channel white, loving light. Like light and air, sound can be a wonderful tool that helps you find your center. Your voice, when drawn from your core in the form of a deep roar or loud shout, can be the vehicle upon which your anxiety is conveyed into the ether. Take a low stance, much like a football player, root your feet into the earth, and then roar like a lion. Really feel it in your bell! y. It may sound silly, but chances are you will feel much less anxious and much more grounded into your body.

A situation that seems hopeless when viewed from a perspective colored by fear may become easily manageable when approached with a serene heart and mind. As you root down into your core, you’ll discover that the trepidation and helplessness you feel within you is not invincible. Rather, it will respond readily to your efforts to eradicate it, leaving you feeling peaceful and capable of calmly handling any challenging circumstances that arise.

Source: Oaily Om

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Exercise

Stretch Back Over a Roller to Boost Your abs

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This move is a great way to increase your range of motion and intensify your abdominal training. Simply place a foam roller under your shoulder blades to allow your chest to fully open during the downward phase. Remember to use a smooth fluid motion to avoid moving the roller out of position.

1. Sit on a padded surface or a mat, with the roller positioned behind your mid-back (it should end up just below your shoulder blades). Put your feet flat on the floor; place your hands behind your head with your elbows pointed to the sides.
2. Keeping your head supported with your hands, slowly lower your head, neck and shoulders to the floor while slightly arching your back over the roller. On an exhale, contract your abdominal muscles and curl your upper body forward. Focus on compressing your navel in toward your spine. Pause for two seconds, holding the peak of the curl. Do 12 to 16 reps, rest for 20 seconds and repeat.

Source: Los Angeles Times

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Categories
Ailmemts & Remedies

Umbilical Hernia

Definition :
An umbilical hernia is an outward bulging (protrusion) of the abdominal lining or part of the abdominal organ(s) through the area around the belly button

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An umbilical hernia is a protrusion of the peritoneum and fluid, omentum, or a portion of abdominal organ(s) through the umbilical ring. The umbilical ring is the fibrous and muscle tissue around the navel (belly-button). Small hernias usually close spontaneously without treatment by age 1 or 2. Umbilical hernias are usually painless and are common in infants.

UMBILICAL Hernias, and nearby hernias called “Paraumbilical Hernias” develop in and around the area of the umbilicus (belly button or navel). A Congenital (present since birth) weakness in the naval area exists. This was the area at which the vessels of the fetal and infant umbilical cord exited through the muscle of the abdominal wall. After birth, although the umbilical cord disappears (leaving just the dimpled belly-button scar), the weakness underneath may persist. Hernias can occur in this area of weakness at any time from birth through late adulthood. The signs and symptoms include pain at or near the navel area as well as the development of an associated bulge or navel deformity. This bulge pushes out upon the skin beneath or around the navel, distorting the normal contour and architecture in or around the navel (creating an ‘OUTIE’ instead of a normal ‘INNIE‘).
Although often appearing at or just after birth, these hernias can also occur at any time during later life. In INFANTS, these hernias may gradually close by age 3 or 4 and surgery can often be delayed until then, unless the hernias are causing problems or enlarging. This decision should be made after examination by a Pediatrician or skilled Surgeon. In ADULTS however, umbilical hernias cannot “heal”, and do gradually increase in size and often become problematic. Incarceration or Strangulation may occur….CLICK & SEE

Umbilical hernia is a congenital malformation, especially common in infants of African descent, and more frequent in boys. An Acquired umbilical hernia directly results from increased intra-abdominal pressure and are most commonly seen in obese individuals.

Causes:

Children:
Umbilical hernias are fairly common. Such a hernia is obvious at birth, as it pushes the belly button outward. This is more obvious when the infant cries, becauses increased pressure results in more noticable bulging.

In infants, the defect is not usually treated surgically. In most cases, by age 3 the umbilical hernia shrinks and closes without treatment.

Umbilical hernia repair may be necessary for children for the following reasons:

*The herniated tissue is stuck in the protruding position, or if blood supply is affected
*The defect has not closed by age 3 or 4
*The defect is very large or unacceptable to parents for cosmetic reasons
*An umbilical hernia in an infant occurs when the muscle through which blood vessels pass to feed the developing fetus doesn’t close completely.

Adults:
Umbilical or para-umbilical hernias are relatively common in adults. They are more common in overweight people and in women, especially after pregnancy. Most surgeons recommend they be surgically repaired, as they tend to get bigger ov

Without surgery, there is a risk that some abdominal contents, typically a bit of fat or intestine, will get stuck (incarcerated) in the hernia defect and become impossible to push back in, which is typically painful. If the blood supply is compromised (strangulation), urgent surgery is needed.

Incarcerated abdominal tissue may cause nausea, vomiting, and abdominal distension.

Any patient with a hernia that cannot be reduced, or pushed back in, while lying down and relaxed should seek urgent medical attention.

Symptoms
A hernia can vary in width from less than 1 centimeter to more than 5 centimeters.

There is a soft swelling over the belly button that often bulges when the baby sits up, cries, or strains. The bulge may be flat when the infant lies on the back and is quiet.

Risks Factors:
Risks for any anesthesia include the following:
*Strangulation of bowel tissue is rare but serious, and needs immediate surgery.
*Reactions to medications
*Breathing problems, pneumonia
*Heart problems

Risks for any surgery include the following:
*Bleeding
*Infection
*Risks specific to umbilical hernia surgery include injury to bowel, which is rare.

Diagnosis:
The doctor can find the hernia during a physical exam.

Treatment
Usually, no treatment is needed unless the hernia continues past age 3 or 4. In very rare cases, bowel or other tissue can bulge out and lose its blood supply (become strangulated). This is an emergency needing surgery.

Most umbilical hernia repairs are done on an outpatient basis, but some may require a short hospital stay if the hernia is very large. After surgery, the patient’s vital signs are monitored and he or she will remain in the recovery area until stable. Medication is supplied for pain as necessary. Patients, or parents if the patient is a child, are taught to care for the incision at home. Full activity can be resumed in 2-4 weeks.

Prognosis:

Most umbilical hernias get better without treatment by the time the child is 3 – 4 years old. Those that do not close may need surgery. Umbilical hernias are usually painless.

Expect successful repair of the hernia. The long-term prognosis is excellent. Very rarely the hernia will recur. Recurrence is more common if a larger hernia (more than 3 cm) is repaired without a mesh.

Recovery
Most umbilical hernia repairs are done on an outpatient basis, but some may require a short hospital stay if the hernia is very large.

After surgery, the health care team will monitor the patient’s vital signs. The patient will stay in the recovery area until stable. Pain medication is prescribed as needed.

Patients, or parents if the patient is a child, are taught to care for the surgical cut at home. Full activity can be resumed in 2-4 weeks.

Disclaimer: This information is not meant to be a substitute for professional medical advise or help. It is always best to consult with a Physician about serious health concerns. This information is in no way intended to diagnose or prescribe remedies.This is purely for educational purpose.

Resources:
http://hernia.tripod.com/types.html
http://www.nlm.nih.gov/medlineplus/ency/article/000987.htm
http://www.nlm.nih.gov/medlineplus/ency/article/002935.htm
http://en.wikipedia.org/wiki/Umbilical_hernia

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