رضيع عمره ٣ أشهر عنده انتفاخ لين عند السرة يزيد عند البكاء ويرجع بسهولة عند الضغط الخفيف. يرضع جيداً ولا يتقيأ، والبطن لين. أمه تريد ربط عملة معدنية على السرة. ما الرد الصحيح؟

A 3-month-old has a soft swelling at the umbilicus that increases with crying and reduces easily with gentle pressure. He feeds well, is not vomiting and the abdomen is soft. His mother wants to tape a coin over it. What is the correct response?

1. The baby must be kept from crying at all for a whole month
2. Taping the coin tightly each day speeds closure
3. He needs urgent surgery within days
4. No coin; it usually closes by itself with time

Answer: D) No coin; it usually closes by itself with time. Infant umbilical hernias are common and usually close by 4–5 years. Coins or tape do not help and can irritate the skin. Seek review for pain, vomiting or irreducibility.