Belly Button Pain During Pregnancy: Causes and Treatment

Belly button pain is a common issue during pregnancy and can occur for many reasons, such as a growing uterus, stretched skin, or even a hernia. Most cases are usually harmless, but some might need medical attention. Knowing the causes and using safe remedies can help you stay comfortable throughout your pregnancy.

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Belly button pain is an issue that many expectant parents notice at some point during their pregnancy. This often happens as your belly grows to make room for your baby, stretching the skin and muscles around your navel. You might feel mild soreness, a pulling sensation, or occasional sharp twinges.Another possible cause is an umbilical hernia, which affects about 2 per cent of individuals during or after pregnancy and typically appears after 18 to 20 weeks.

Most belly button pain is harmless and manageable, but it’s wise to pay attention to severe symptoms like persistent pain or swelling. In such cases, reach out to your healthcare professional.

Causes of Belly Button Pain During Pregnancy

Pain around the belly button is usually not a concern and often settles after childbirth. Still, it can be caused by a few specific conditions:
  • Uterine pressure: Your uterus expands significantly as your baby grows. By the second trimester, it moves out of the pelvis and sits between your navel and breasts. In the third trimester, it stretches from your pubic area to the bottom of your ribs. This expansion presses on your belly button, which may lead to pain, itchiness, or general discomfort.
  • Skin and muscle stretching: Pregnancy involves weight gain and shifting organs, which stretch the skin and muscles around your abdomen. This stretching can cause pain or itchiness near the belly button. In some cases, it may contribute to diastasis recti. This is a condition where your rectus abdominis muscles (the “abs”) separate. Diastasis recti doesn’t directly cause navel pain, but it reduces the tissue layer between your uterus and belly button, making the area more sensitive to pressure.
  • Popped belly button: As your belly grows, your belly button may “pop” outward. This can make the area more sensitive and increase discomfort or pain.
  • Umbilical hernia: Increased abdominal pressure can sometimes push part of your bowel into the umbilical cavity, causing an umbilical hernia. This condition may result in inflammation and pain around the belly button. Umbilical hernias are generally harmless during pregnancy, but they can occasionally lead to complications like incarceration or strangulation. In these cases, the bowel gets trapped and loses its blood supply, which can cause tissue damage.
  • Navel piercing: A belly button piercing increases the risk of tearing or infection as the tightened skin during pregnancy may pull on it. Piercings less than a year old may still be healing, making them particularly vulnerable.

Risk Factors of Belly Button Pain During Pregnancy

The main factors that might increase the risk of belly button pain are:
  • Individuals are born with muscle weakness.
  • Chronic cough, constipation, asthma, and obesity.
  • Carrying a large baby, twins, or excess amniotic fluid can stretch and weaken muscles. This stretching may cause muscles to tear due to pressure from the growing baby.
  • Heavy weight lifting.
  • Fluid buildup in the abdomen.
  • Tumours in the abdomen can also increase abdominal pressure.

Symptoms of Belly Button Pain During Pregnancy

Recognising the signs of belly button pain is important, especially if it’s due to an umbilical hernia. Some of the symptoms you might experience are:
  • Bulge or protrusion: A visible bulge near the belly button is the most common sign. This bulge may become more noticeable when coughing or stretching.
  • Pain or discomfort: You may feel a dull ache or tenderness around the navel, which worsens with activities like coughing, sneezing, or bending over.
  • Swelling: Soft swelling around the belly button may occur, sometimes with discolouration if the hernia is significant.
  • Digestive symptoms: If the hernia presses on the digestive system, you might experience nausea, vomiting, heartburn, or difficulty passing gas or stool.
  • Emergency signs: Sudden, severe pain, redness, fever, or vomiting could signal an incarcerated or strangulated hernia. These require immediate medical attention.

Home Remedies for Belly Button Pain Relief

You can manage mild belly button pain with simple, safe remedies that soothe the skin and reduce discomfort. Always consult your doctor before trying new treatments, especially if you suspect a hernia or infection.
  • Warm or cool compresses: Applying a warm or cool compress to your belly button can alleviate itchiness or soreness. Use a cloth-wrapped compress to avoid burns or excessive cold.
  • Medicated lotion or aloe vera gel: These products can soothe itchy or irritated skin around your navel. Apply a small amount and monitor for any adverse reactions. Have your doctor approve the lotion before applying it.
  • Pregnancy massage: Gentle massage may help relieve discomfort caused by stretching or pressure. Ensure the massage is performed by someone trained in pregnancy-safe techniques.
  • Remove navel piercings: If you have a piercing, consider removing it. Consult your doctor for guidance on safe removal and care to prevent infection.

Treatment Options for Umbilical Hernias

Managing belly button pain caused by an umbilical hernia during pregnancy focuses on relieving discomfort. The treatment approach depends on the severity of the hernia and the stage of pregnancy. Some of the treatment options are:
  • Monitoring: If the hernia is small and not causing significant pain, your doctor may recommend monitoring it throughout pregnancy. Many umbilical hernias resolve naturally after delivery as abdominal pressure decreases.
  • Maternity belts or bands: Wearing a supportive garment like a maternity belt can reduce pressure on the abdominal wall.
  • Avoiding strain: Avoid heavy lifting, excessive pushing during bowel movements, or vigorous physical activity to prevent worsening the hernia.
  • Changes in diet: Eating high-fibre foods and staying hydrated can prevent constipation, reducing strain on the abdominal muscles.
  • Rest: Getting adequate rest and avoiding activities that aggravate the hernia can help manage symptoms.

Surgical Intervention

  • Post-delivery surgery: Surgery is usually delayed until 12 months after delivery to allow your body to recover. The procedure involves repairing the hernia gap with a mesh to strengthen the abdominal wall.
  • During pregnancy: Surgery during pregnancy is rare and only considered if the hernia becomes incarcerated or strangulated. If the hernia is posing a risk to you or your baby, it’s preferably done in the second trimester to minimise risks.
  • During caesarean delivery: A cesarean section isn’t required solely for a hernia. However, if a caesarean section is planned, the hernia may be repaired simultaneously.

Prevention Tips for Belly Button Pain and Hernia

Not all hernias can be prevented, but you can take steps to reduce your risk and manage discomfort.
  • Before pregnancy, undergo a physical exam to check for existing hernias or muscle weaknesses that could worsen with pregnancy.
  • Refrain from lifting heavy objects.
  • Engage in yoga or muscle-strengthening exercises under professional guidance to support the abdominal muscles.
  • Avoid smoking, manage chronic conditions like cough or asthma, and maintain a healthy weight.

When to Seek Medical Attention

Most cases of belly button pain from an umbilical hernia can be managed easily. But some symptoms need immediate medical attention. Reach out to your healthcare professional if you experience:
  • A persistent or growing bulge that’s painful or tender.
  • Severe, sudden pain along with nausea, vomiting, or fever.
  • Skin discolouration (red or blue) around the hernia site.
  • Difficulty passing stool or gas.
Most causes of belly button pain during pregnancy are temporary and resolve after childbirth. Uterine pressure, skin stretching, and a popped belly button typically subside once your body returns to its pre-pregnancy state. However, umbilical hernias may require surgical correction. Always reach out to your healthcare professional if you’re concerned about severe symptoms.

FAQs on Belly Button Pain During Pregnancy: Causes and Treatment

  1. Is belly button pain normal during pregnancy?
    Yes, it’s quite common. It usually happens due to your expanding uterus and stretched abdominal skin.
  2. Is surgery safe for a hernia during pregnancy?
    Surgery is rare and only done if there are serious complications. If needed, it’s usually performed in the second trimester or during a caesarean section.
Disclaimer: Medically approved by Dr. Shailly Kapur, Senior Consultant - Obstetrics and Gynaecology, Narayana Hospital, Gurugram