Umbilical Granuloma - Mothering Forums

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Old 07-22-2010, 12:44 AM - Thread Starter
 
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My son is 2 weeks old and at our last pedi appointment she said that he had an ubilical granuloma, which was a relief since I thought he had an infected belly button because it was oozing so much fluid. She treated it with silver nitrite on Tuesday, and its still really oozing. It's kind of gray around the edges, but still a lot of goo.

Is this normal? The area doesn't seem to be red, or tender or show any signs of infection so I don't think that's a problem. It just doesn't seem like the granuloma is getting any better. Did anyone else have a similar experience with granuloma? When should it stop oozing?

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Old 07-22-2010, 01:07 AM
 
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Yes, DD had that and her dr. treated it with silver nitrate. Then we went back because it was still oozing and he actually got in there and dug around her belly button to get it out and then put more silver nitrate on it and it was fine.
Maybe you should give her a call tomorrow and just let her know.

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Old 07-22-2010, 01:44 AM
 
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My son had a large granuloma. The doctor painted with silver nitrate once, but it was still large and oozy. The next time she dug around a lot with the silver nitrate stick and we ended up admitted to the hospital at midnight for umbilical infection (despite no fever or sick affect) because it was so red and swollen and the swelling kept getting larger. Then they said they had to do an ultrasound of his belly and not to feed him from 2 am on. They said the ultrasound would be at 6 am, then 7, then they said they had to wait until the doctor came, which was 8:30 or so. So my 5 week old son went without nursing from 2 am to 9, and I was out of town without DH and alone in the hospital so no one to hold him who didn't reek of milk and a more justifiably miserable baby I've never held. It was torture. They gave me a pacifier and sugar water (occured to me later that I should have asked if I could dip it in expressed milk instead) and did NOT offer me a pump. He got several doses of two different intravenous antibiotics, including one really strong one.

The best part? He did not have an infection. The pediatric specialist said the doctor had been overzealous with the silver nitrate and my son was chemically burned. Even before we left the hospital, the irritated skin turned brown and by the next week was starting to flake off. He sent me home wiht a packet of silver nitrate and instructions on how to apply it myself twice a week until the granuloma shrunk significantly.

We had to go back to the original doctor for a follow up, and she insisted that it was an infection all along. After all, the intern (who had never seen an umbilical infection) had diagnosed it as an infection (based solely on the inflammation, sicne there was no fever and the blood and urine came back totally negative). The brown skin? Oh, post-inflammatory hyperpigmentation. Never mind that post-inflammatory hyperpigmentation lasts for months and does not flake off.

Needless to say, we never saw that doctor again.

And I still deeply resent the hospital's incompetence with regard to the ultrasound. At the very minimum, they shoudl have offered me a pump, but they should also have been more on top of things. If he needed to fast for 4 hours before an u/s, they shoudl have known when the doctor was coming in and not made him fast 7 hours. I still shudder remembering that night of endless rocking and screaming and no where to put him but right by my leaking breasts.
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Old 07-22-2010, 12:34 PM
 
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My two year old dd had an umbilical granuloma. That was long enough ago I don't remember every detail, like exactly how long it took to heal. I do remember it taking awhile though. There were even a few nights it kept me up all night, because it would sometimes bleed a bit as it was healing and I was totally paranoid my newborn would bleed and I wouldn't know it. That I remember clearly! At that point because of how it was healing it wasn't yet apparent it was a granuloma and it freaked me out. I believe I took her to the doctor's for her belly button twice and I'm not a big doctor person. We didn't use silver nitrate. Her doctor didn't even offer, but I would have refused if he had. I researched it and other options and vaguely remember research on using salt water? You may want to look into that. I didn't choose to do that either though. I used rubbing alcohol (which I wouldn't have used otherwise) and sponge bathed her to keep the area dry. There was never any infection and it did heal up nicely. It just took its good old time. I know its hard when they are tiny like this and something is going on. Hugs, mama. This to shall pass.

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Old 07-22-2010, 12:42 PM
 
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There's a very detailed post about treating UG's with salt in this thread http://www.mothering.com/discussions...granuloma+salt Post #19.

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Old 07-24-2010, 12:41 AM - Thread Starter
 
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Wow thanks! I wish I had seen that BEFORE I let the ped put silver nitrite on it! Now he has lots of brown staining all over his belly (and a spot on his foot from when he was thrashing about!) which is kind of annoying. It seems to be drying up, there's just a little "crusty stuff" around the area.

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