If you have sharp pain around the umbilicus (pre-umbilical), Read more.
What causes sharp and pulling-like pain around the belly button?
The clinical manifestations of Inflammation of the appendix, or so-called appendicitis by doctors, can begin with sharp pain around the belly button.
Sharp pain and pulling pain around the belly button in appendicitis will gradually shift over time to the lower right side of the abdomen.
Doctors believe that the shift of sharp pain from around the belly button to the lower right of the abdomen is a characteristic of appendicitis, but appendicitis is not the only cause of sharp pain around the belly button.
Pre-umbilical pain or pain around the belly button is generally perceived in the back or around the belly button.
Doctors have termed the umbilical region into an area of the abdomen that includes structures such as the stomach, small intestine, and large intestine and pancreas.
According to the above explanation, it can be known that the problems of each of these organs may be associated with peri-umbilical pain that actually originates from the umbilical region.
Causes of sharp pains around the belly button
- Gastroenteritis or Inflammation of the stomach (gastritis) and intestinal inflammation (enteritis)
Inflammation of the stomach and intestines, and inflammation of the gastrointestinal tract in general, may have caused acute umbilical cord pain.
For example, viral infections of the stomach and intestines or bacterial inflammation of these gastrointestinal organs generally in gastroenteritis, in addition to abdominal pain and pain around the navel, also have the following symptoms:
- Dehydration of the body
Viral gastroenteritis usually does not require special treatment and you will recover spontaneously within a few days by hydrating yourself, resting your digestive system and not eating foods that you are intolerant to.
If you have severe diarrhea or vomiting that has led to lethargy and severe dehydration, you will need treatment and intravenous fluids.
Dehydration can be very dangerous in infants, toddlers and young children and the elderly, as well as in immunocompromised individuals.
- Inflammation of the appendix or appendicitis
Doctors consider sharp pain around the umbilicus to be the first sign of appendicitis. This pain will gradually shift down and to the right side of the abdomen, which is very unique to appendicitis.
Other demonstrations include:
- loss of appetite
- Nausea or vomiting
- Abdominal pain that is exacerbated by coughing, sneezing, and changing body position.
Inflammation of the appendix or appendicitis is a surgical emergency and you should not wait for it to heal on its own.
Delay in going to the emergency room causes an inflamed appendix to rupture, and then there will be more dangerous conditions that are very life threatening.
The only treatment for appendicitis is removal during surgery. Doctors call this surgery an appendectomy.
- Acute inflammation of the pancreas or acute pancreatitis
Some people develop acute pre-umbilical pain following acute pancreatitis.
The onset of symptoms in acute pancreatitis is sudden and usually triggers with some cases.
- Drinking alcohol
- Some drugs
Other symptoms and manifestations of acute pancreatitis
- Heart palpitation
- And very severe abdominal pain that gets worse by the minute.
In cases of mild pancreatitis, doctors usually try the following measures to quench the inflammation.
- Intravenous fluid injection and hydration:
NPOing the patient means stopping the oral intake and, in other words, stopping any intestinal nutrition, this means resting the digestive system.
During this period, the patient must be hospitalized.
In severe cases of acute pancreatitis or mild cases of failure to respond to the above supportive treatments, surgery is required. In many cases, treatment of gallstones with cholecystectomy will also be necessary.
- Peptic ulcers:
Gastrointestinal ulcers on the stomach wall and at the beginning of the small intestine or duodenum are collectively called peptic ulcers.
- Infection with H. pylori (Helicobacter pylori)
- Mucosal damage following chronic use of drugs such as aspirin, ibuprofen, naproxen, indomethacin or NSAIDs in general.
- Especially in alcoholics and smokers
will be one of the causes of peptic ulcers.
An important complication of peptic ulcers are as follows:
- Occurrence of bleeding
Clinical signs in the presence of Peptic ulcers, in addition to acute pre-umbilical pain, will be as follows.
- Feeling full and premature satiety
- Decreased appetite
- the pain
- Umbilical hernia:
It is common for infants to develop umbilical hernias, but adults, especially obese or pregnant women, may also develop umbilical hernias.
Umbilical hernias in infants often resolve by age two, but umbilical hernias in adults will generally require surgery.
- Pain around the navel or behind the navel
- Feeling of heaviness or pressure around the navel
- Existence of a bulge in the umbilicus
are the clinical signs and manifestations of umbilical hernia.
In adults, there is a high risk of intestinal obstruction following umbilical hernias, so surgery is often necessary in adults.
The lumen of the small intestine may become completely or partially occluded. Under the created conditions, gas and fecal matter cannot move in the path towards the anus and accumulate behind the obstruction site.
- Gradually, the abdomen expands.
- Severe abdominal pain occurs.
- There is sharp pain behind or around the belly button.
- Dehydration of the affected person
- Lack of appetite
In partial obstructions, there is very severe constipation and in complete obstructions, there is no excretion of gas and feces. If the ruptured intestine is not treated in time, it will be accompanied by life-threatening events.
- Types of hernias
will be one of the underlying causes of intestinal obstruction.
Also, the presence of a previous history of abdominal surgery and the presence of adhesions as a result of previous abdominal surgery, which are called adhesion band, are also among the causes of intestinal obstruction.
Intestinal obstructions are a medical emergency. Most In most cases, surgery is needed to repair and remove the bowel obstruction.
- Abdominal aortic aneurysm:
When the inner wall of the descending aorta weakens in the abdomen, it leads to bulging of the weakened wall.
Aortic aneurysm is a severely life-threatening condition. Death often occurs if the aneurysm ruptures.
When part of the aortic wall is rising, the pulse of an artery can be detected beyond the skin of the abdomen in lean people. When the abdominal aortic aneurysm ruptures, a very sharp pain is suddenly felt in the abdomen, which can spread to other parts of the body.
- Shortness of breath
- Progressive hypotension
- Heart palpitation reaction
- Sudden weakness
are manifestations of rupture of the aortic aneurysm.
Rupture of the aortic aneurysm is a medical emergency and requires immediate surgical intervention.
- Intestinal artery disease and mesenteric ischemia:
As the coronary arteries of the heart suffer from narrowing of the lumen and wall stiffness and deposition of inflammatory compounds in the wall (atherosclerosis), they disrupt blood flow and nutrition to the heart and lead to heart pain during a heart attack and stroke.
If atherosclerosis also occurs in the arteries that feed the intestines, the activity of the intestines will increase when a person eats, so their need to receive blood also increases, but this increased need cannot be met and supplied by atherosclerotic vessels, nourishing the intestine. So, like the pain of an attack and a heart attack, there is severe pain in the abdomen.
- Severe abdominal pain
- Sensitivity to the touch of the abdomen
- If the condition worsens, the pain will increase and
- Heart palpitations and blood in the stool are usually accompanied by other symptoms.
But in people with mesenteric ischemia, a blood clot blocks the blood vessels in the intestines. For example, a blood clot is trapped in the small intestinal artery following an embolus. In these cases, immediate initiation of anticoagulants and in some cases, surgery is required.
In the following cases, you should go to the emergency room if you experience Sharp pre-umbilical cord pain:
- Very severe abdominal pain that gets worse by the minute, sudden and severe pain that is unbearable.
- The presence of blood in the stool
- Existence of fever
- Prolonged nausea or vomiting
- Lack of appetite
- Unexplained weight loss
Diagnostic help to find out the cause of sharp umbilical cord pain
In addition to taking a history and clinical examination, the following diagnostic aid modalities are used to determine the cause of acute umbilical cord pain according to the patient’s condition:
- To rule out urinary tract infections:
- Urine analysis and culture are requested.
- Blood samples are taken and blood cell counts and electrolyte counts are checked.
- Stool sample analysis and stool culture are requested.
- Endoscopy is used to evaluate and sometimes treat peptic ulcer.
- Plain X-ray of the abdomen to assess the possibility of volvulus and intestinal obstruction.
- CT scan of the abdomen
We emphasize that you take the persistence of umbilical cord pain seriously and see a doctor to evaluate its causes.