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8 Causes Of Periumbilical Pain
You may experience abdominal pain around or behind your belly button due to some health conditions, including gastroenteritis and appendicitis. Some cases may require emergency treatment.
Periumbilical pain is a type of abdominal pain that is localized in the region around or behind your belly button. This part of your abdomen is referred to as the umbilical region.
It contains parts of your stomach, small and large intestine, and your pancreas.
There are many conditions that can cause periumbilical pain. Some of them are quite common, while others are rarer.
Read on to learn the possible causes of periumbilical pain and when you should seek medical attention.
Gastroenteritis is an inflammation of your digestive tract. You may also have heard it referred to as the "stomach flu." It can be caused by a viral, bacterial, or parasitic infection. Viral gastroenteritis is also called the stomach flu.
In addition to abdominal cramps, you may experience the following symptoms:
Gastroenteritis usually doesn't require medical treatment. Symptoms should resolve within a few days. However, dehydration can be a complication with gastroenteritis due to water loss through diarrhea and vomiting.
Dehydration can be serious and require treatment, especially in children, older adults, and people with a weakened immune system.
Periumbilical pain can be an early sign that you have appendicitis. Appendicitis is inflammation of your appendix.
If you have appendicitis, you may feel sharp pain around your navel that eventually shifts to the lower right side of your abdomen. Additional symptoms can include:
Appendicitis is a medical emergency. If it's not treated quickly, your appendix can rupture. A ruptured appendix can cause potentially life threatening complications.
Learn more about the emergency signs and symptoms of appendicitis. Treatment for appendicitis is surgical removal of your appendix.
A peptic ulcer is a type of sore that can form in your stomach or upper small intestine (duodenum).
Peptic ulcers can be caused by a variety of things, such as infection with Helicobacter pylori bacteria or long-term use of drugs like ibuprofen (Advil, Motrin) or aspirin.
If you have a peptic ulcer, you may feel a burning pain around your belly button or even up to your breastbone. Further symptoms include:
Your doctor will work with you to determine the right treatment for your peptic ulcers. Medications may include:
Pancreatitis can cause periumbilical pain in some cases. Pancreatitis is an inflammation of your pancreas.
Acute pancreatitis can come on suddenly. It can be caused by various things, including alcohol, infection, medications, and gallstones.
In addition to slowly worsening abdominal pain, symptoms of pancreatitis can include:
A mild case of pancreatitis can be treated with bowel rest, intravenous (IV) fluids, and pain medication.
More severe cases typically require hospitalization.
If the pancreatitis is due to gallstones, surgery may be required to remove the gallstones or the gallbladder itself.
An umbilical hernia is when abdominal tissue bulges out through an opening in the abdominal muscles around your belly button.
Umbilical hernias most often occur in infants, but they can also occur in adults.
An umbilical hernia can cause a feeling of pain or pressure at the site of the hernia. You may see a bulge or bump. If an umbilical hernia becomes severely painful, tender, or red, go to the emergency room. This could indicate an obstruction or lack of blood supply to the tissues caught in the hernia.
In infants, most umbilical hernias will close up by the age of 2. In adults with an umbilical hernia, surgery is typically recommended in order to avoid complications such as intestinal obstruction.
Small bowel obstruction is a partial or complete block of your small intestine. This blockage can prevent the contents of your small intestine from passing further into your digestive tract. Left untreated, it can become a serious condition.
Several things can cause small bowel obstruction, including:
In addition to abdominal pain or cramps, you may experience:
If you have a small bowl obstruction, you will need to be hospitalized.
While at the hospital, your doctor will give you IV fluids and medications to relieve your nausea and vomiting. Bowel decompression may also be performed. Bowel decompression is a procedure that helps reduce pressure within your intestine.
Surgery may be needed in order to repair the obstruction, especially if it's caused by a previous abdominal surgery.
An aortic aneurysm is a serious condition caused by the weakening or bulging of the walls of your aorta. Life threatening problems can occur if the aortic aneurysm ruptures. That can allow blood from the aorta to leak into your body.
As an abdominal aortic aneurysm gets larger, you may feel a steady, pulsing pain in your abdomen.
If an abdominal aortic aneurysm ruptures, you'll feel sudden and stabbing pain. The pain may radiate to other parts of your body.
Additional symptoms include:
Treatment for abdominal aortic aneurysm may include lifestyle changes such as controlling your blood pressure and quitting smoking. Surgery or placement of a stent may also be recommended.
A ruptured abdominal aortic aneurysm is a medical emergency and requires immediate surgical intervention.
Mesenteric ischemia is when blood flow to your intestines is interrupted. It's typically caused by a blood clot or embolism.
If you have mesenteric ischemia, you may initially feel severe abdominal pain or tenderness. As the condition progresses, you may also experience:
If you suspect mesenteric ischemia, seek immediate medical attention. Treatments can include surgery and anticoagulation therapy.
How is periumbilical pain diagnosed?To determine the cause of your pain, your doctor will first take your medical history and perform a physical examination.
Depending on your medical history, symptoms, and physical examination, your doctor may perform additional tests to help reach a diagnosis. These may include blood, stool, and urine tests, as well as imaging tests or an endoscopy.
What causes pain around the belly button?Belly button pain, also known as periumbilical pain, can have causes such as appendicitis, a hernia, and many other conditions. In addition, during pregnancy, you can feel pain around the belly button, known as round ligament pain.
How do I get rid of periumbilical pain?The treatment for periumbilical pain depends on the underlying cause. There are many possible causes of periumbilical pain. Some of them, such as gastroenteritis, are common and typically go away in a few days. Others, such as mesenteric ischemia, are medical emergencies and need to be addressed right away.
When should I go to the ER for belly button pain?If you're experiencing periumbilical pain that lasts more than a few days, you should make an appointment with your doctor to discuss your symptoms.
Seek immediate medical attention if you are experiencing the following symptoms in addition to periumbilical pain:
Periumbilical pain refers to discomfort in the area surrounding or behind your belly button. This section of your abdomen is known as the umbilical region, and it contains various organs such as the stomach, small and large intestines, and pancreas.
If you've experienced periumbilical pain for several days or have concerns about your periumbilical pain, make an appointment with your doctor to discuss your symptoms and treatment options.
Upper Extremity Vs. Lower Extremity DVT
Deep vein thrombosis (DVT) is a blood clot that forms in a blood vessel inside your body, far away from your skin, that carries blood toward your heart. This mainly happens in your legs and pelvis. That's called lower extremity DVT. It can also happen in your arms, though not nearly as often. That's upper extremity DVT.
DVT in both the upper and lower body can happen to almost anyone at any age and for many reasons. For example, your vein could have been damaged by an injury or operation. Half of blood clots happen after surgery or being in the hospital.
Blood can pool and is more likely to clot when you have to stay in bed or sit still for a long time, like on a plane or car trip. This mostly causes lower extremity DVT.
Some things only cause DVT in your upper body. The most common is having a device in your arm or chest like a catheter (sometimes called a central line), pacemaker, or defibrillator.
Cancer raises your chance of upper extremity DVT, too. Some cancer medicines also go in through a central line.
Upper extremity DVT can happen in people who have a condition called Paget-Schroetter syndrome (PSS). Typically, young athletes get PSS in the arm they use most for sports like baseball, swimming, or tennis. When you do the same motion over and over, the veins in your neck and shoulder get squeezed. This can trigger a clot.
You're much more likely to get a blood clot in your leg than your arm. Still, upper extremity DVT is happening more often. That may be because more people are getting central lines and pacemakers.
Your chance of getting a clot is higher when you:
They're usually the same, regardless of where DVT is in your body. But symptoms happen only about half the time.
It's important to catch and treat DVT before it causes more problems. The biggest danger is much more likely to happen with lower extremity DVT. The clot could break away from the wall of the vein and travel through your blood to your lungs. Then it's called a pulmonary embolism (PE).
A small clot may damage your lungs. A large clot can be deadly.
You can have PE without any symptoms of DVT. Get medical help right away if:
Other health problems can look a lot like DVT. A torn muscle, a skin infection, or a clot in a vein right under your skin (thrombophlebitis) could cause the same symptoms. Your doctor may do tests to find out what's going on.
Duplex ultrasound is the main way to check for upper and lower extremity DVT. It lets your doctor see inside your body without X-rays. Instead, it uses sound waves to create images. The images can show places where your blood flow slows or stops. Ultrasound gives fast results and doesn't hurt or have side effects.
To get a better view of an upper extremity clot or rule out other problems, your doctor might use CT and MRI imaging tests.
D-dimer is a blood test that looks for a protein left over when your body breaks down clots. A negative test usually means you don't have DVT.
Small clots sometimes dissolve on their own, especially ones below your knee. Big clots that don't move or go away are more serious.
The most common treatment for both upper and lower extremity DVT is a blood thinner medicine. These drugs are also called anticoagulants.
A blood thinner doesn't really thin your blood. But it can keep a clot you have from growing and can stop new clots from forming. You'll probably take it for at least 3 months, though that can vary.
If you have a very large clot that hurts a lot and is causing swelling, your doctor may suggest a medicine to break it up. Clot busters aren't used that often because they can cause more serious side effects than blood thinners.
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