/ Abdullah Saleh Al Saleh. Immediate, unlimited access to all AFP content. They can cause a lot of distress to parents, but they are not likely to cause significant harm to babies. O'Donnell KA, Include your complete address, e-mail address, and telephone number. What You Should Know About Exercise-Induced Bronchospasm. It is commonly noted by the parents owing to persistent drainage or moisture involving the umbilicus, … Gorman RL, Chamberlain JM, In minor cases (such as the one in the article1), regular eversion by the caregivers of the umbilical stump with cotton-tipped swabs (demonstrated in Figure 1 of the article1) allows cleansing with soap and water. Treatment options for this common entity are limited and have side effects such as chemical burns. This article1 states that the high concentration of sodium ion in the area draws water out of the cells and results in shrinkage and necrosis of the wet granulomatous tissue. Copyright © 2003 by the American Academy of Family Physicians. Curative effect of common salt on umbilical granuloma. Efrati Y. Derakhshan MR. Objective: To evaluate the therapeutic effect of common salt (table or cooking salt) on umbilical granuloma in infants. 1992;8:29–30. Young GM. However, contrary to Dr. Wooltorton's impression, we did not ignore the easily reversed root causes of these lesions; we mentioned them in the first two sentences of the abstract and the first part of the discussion of the article.2 Dr. Wooltorton also implies that our technique is only pertinent for small umbilical granulomas such as in the case we presented in our article.2 In reality, it is effective for large pedunculated granulomas and avoids a prolonged and usually unsuccessful trial of conservative treatment. Noninvasive Treatments for Umbilical Granulomas. 2002;65:2067–8. Get Permissions, Access the latest issue of American Family Physician. • Now clean the site using a clean gauze dressing soaked in warm water. Pediatr Emerg Care. Letters should be fewer than 400 words and limited to six references, one table or figure, and three authors. Salt treatment is safe, effective and basically free – and is worth promoting to your colleagues! 1. https://creativecommons.org/licenses/by-nc-sa/4.0/. 2016; 5 (5): 911-914. doi: 10.5455/ijmsph.2016.07012016312. Abstract Background: Umbilical granuloma is a common inflammatory reaction which occurs during falling of umbilicus. [email protected] for copyright questions and/or permission requests. To see the full article, log in or purchase access. The editors may edit letters to meet style and space requirements. Letters submitted for publication in AFP must not be submitted to any other publication. Efrati Y. Lotan G, Submission of a letter will be construed as granting the AAFP permission to publish the letter in any of its publications in any form. 4(February 15, 2003) Double-ligature: a treatment for pedunculated umbilical granulomas in children. Pediatr Clin North Am. I would add a resource1 to his armamentarium that praises the curative effect of common salt on umbilical granuloma. 1998;23:132–3.... 2. Caty MG. Lotan G, Possible conflicts of interest must be disclosed at time of submission. Contact In our experience of treating hundreds of umbilical granulomas in children, the conservative treatments described by Dr. Wooltorton are only effective in a limited group of patients. Abstract Background: Umbilical granuloma is an overgrowth of granulation tissue following the separation of umbilical cord. Iran J Med Sci. It is easily administered and can be performed by parents at home. Efrati Y. 67/No. It’s a small growth of tissue that forms in the belly button during the first few weeks after the umbilical cord is … Pediatric umbilical problems. This content is owned by the AAFP. • Cover the area with a gauze dressing ‘swab’ and hold it in place for 10-30 minutes. Granulomas usually form in reaction to a low-grade, superficial skin infection in periumbilical crevasses and flourish in the moist environment afforded by today's large “super-absorbent” diapers that often cover up the area. O'Donnell KA, Klin B, Klin B, Want to use this article elsewhere? “the principle of using this approach is thought to be. This series is coordinated by Kenny Lin, MD, MPH, Associate Deputy Editor for AFP Online. Gorman RL, This practice, combined with exposing the umbilical stump to the air (by rolling back or trimming the diaper top) will often stop low-grade infections and allow the granuloma to necrose in a matter of days. Therapeutic effect of common salt on umbilical granuloma in infants. Most parents will find it difficult and unpleasant to evert the umbilical stump with cotton-tipped swabs, expose the umbilical stump to the air, and then wait for the stump to necrose and drop out. 1998;45:791–9. 2003 Feb 15;67(4):698-700. to the editor: In the article, “Double-Ligature: A Treatment for Pedunculated Umbilical Granulomas in Children,”1 the authors describe a technique for extirpating umbilical granulomas; however, they seem to ignore the easily reversed root causes of these lesions. Dr. Wooltorton's other suggestion of applying topical antibiotic cream daily is a common practice in our clinic; based on the results of this conservative treatment we decide whether to use the silver nitrate3,4 or the double-ligature for the final treatment. Am Fam Physician. Copyright © 2020 American Academy of Family Physicians. Pediatric umbilical problems. IN REPLY: Thanks to Dr. Wooltorton for a nice and optimistic overview of noninvasive treatments for umbilical granulomas. Don't miss a single issue. Glick PL, How to do the salt treatment: • Apply a small pinch of table or cooking salt onto the umbilical granuloma. I would add a resource 1 to his armamentarium that praises the curative effect of common salt on umbilical granuloma.

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