Treatment of umbilical granulomatosis in infants

This is an automatically translated article.

The article is professionally consulted by Master, Doctor Nguyen Minh Tuan - Pediatrician - Department of Pediatrics - Neonatology - Vinmec Danang International General Hospital.
If left untreated, infant umbilical cord granuloma can cause inflammation and infection. So how to treat umbilical granuloma in infants and how to take care of children with umbilical granuloma?

1. Treatment of umbilical granulomatosis in newborns by silver nitrate method

This is the most common method of treating umbilical granulomatosis in newborns today, is done by using a cotton swab soaked in silver nitrate solution (AgNO3 75%) to apply it to the granuloma 1-2 times a week. in about 4 weeks. Before dotting, you can apply Vaseline around the navel to avoid burning the skin of the baby's abdomen.
If treatment with silver nitrate has failed or the infant umbilical cord granuloma is large and has a stalk, it can be replaced by electrocautery to shrink the granuloma, the granuloma does not cause exudation, and gradually collapses. .

2. Treatment of neonatal umbilical granulomatosis with clobetasol propionate

Some studies have shown that clobetasol propionate is effective when applied topically to umbilical cord granulomas in infants, but it can also cause skin atrophy and hypopigmentation as a side effect. In some cases, this treatment method is not effective and there is a risk of systemic absorption. Therefore, this method is not routinely recommended until further safety and efficacy studies are available.

3. Treatment of umbilical granulomatosis in newborns by umbilical cord ligation

When silver nitrate is not effective, umbilical cord granulomatomy can be performed. This method does not cause discomfort to the child. The ligation of the granuloma stalk causes the granuloma not to be nourished, it will gradually shrink and fall off. Before tying, the baby should carefully examine the umbilicus so that other causes of umbilical cord abnormalities can be ruled out, such as umbilical polyps.
If treatment fails with both silver nitrate and umbilical cord ligation, umbilical granulomatosis may be suspected, and not the usual neonatal umbilical cord granuloma.

4. Notes in the treatment of umbilical granulomatosis in infants

In the treatment of umbilical granulomas in infants, parents should note that they should not self-treat because in some cases the umbilicus also discharges, but it is not due to umbilical granuloma, but may be due to the existence of the urachal or umbilical cord. intestinal umbilicus. In these cases, the treatment will be different. The treating doctor will examine the child and perform some more clinical tests to make a differential diagnosis.
When seeing an infant showing signs of discharge in the umbilicus for many days, parents should pay attention and take the child to the doctor to determine the exact cause, thereby having an appropriate treatment method, and should not overdo it. worry because neonatal umbilical granuloma is just one of the common umbilical diseases.
As a key area of ​​Vinmec Health system, Pediatrics Department always brings satisfaction to customers and is highly appreciated by industry experts with:
Gathering a team of top doctors and nurses in Pediatrics : consists of leading experts with high professional qualifications (professors, associate professors, doctorates, masters), experienced, worked at major hospitals such as Bach Mai, 108.. Doctors All doctors are well-trained, professional, conscientious, knowledgeable about young psychology. In addition to domestic pediatric specialists, the Department of Pediatrics also has the participation of foreign experts (Japan, Singapore, Australia, USA) who are always pioneers in applying the latest and most effective treatment regimens. . Comprehensive services: In the field of Pediatrics, Vinmec provides a series of continuous medical examination and treatment services from Newborn to Pediatric and Vaccine,... according to international standards to help parents take care of their baby's health from birth to childhood. from birth to adulthood Specialized techniques: Vinmec has successfully deployed many specialized techniques to make the treatment of difficult diseases in Pediatrics more effective: neurosurgery - skull surgery, stem cell transplantation. blood in cancer treatment. Professional care: In addition to understanding children's psychology, Vinmec also pays special attention to the children's play space, helping them to have fun and get used to the hospital's environment, cooperate in treatment, improve the efficiency of medical treatment. Master. Doctor. Nguyen Minh Tuan has over 27 years of experience in the field of Pediatrics. Doctor was former Deputy Department of Pediatrics - Da Nang Obstetrics and Gynecology Hospital before working as a Pediatrician at the Department of Pediatrics - Neonatology - Vinmec Danang International General Hospital as it is today.
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