Abdominal gas in children may be caused by an organic disorder, meaning it is caused by an identifiable problem, or a functional disorder, which has no identifiable cause. This blockage can be a serious problem if it is left untreated…, An umbilical hernia occurs when part of the bowel or fatty tissue pushes through the abdominal wall near the belly button. In younger children, localisation of the abdominal pain may be difficult. Other people may experience abdominal pain, vomiting, and nausea. Sometimes, the parent and the child may not be consciously aware of any stress or emotional disturbances. Once a doctor confirms that a person has an abdominal aortic dissection, emergency surgery is necessary. The causes of periumbilical pain can range from mild discomforts to surgical emergencies. Surgery is the usual treatment for an umbilical hernia. 1 Referred pain or radiating pain is felt over umbilical area but the primary disease may be not be close to umbilicus. Menstrual cycle (period) for females. They may also experience a loss of appetite, fever, and tenderness on the right side. In adults with an umbilical hernia, surgery is typically recommended in order to avoid complications such as intestinal obstruction. People with this type of pain may have difficulty telling their doctor exactly where they feel it. The pain will eventually move to the right lower side of the abdomen. An umbilical hernia occurs when an organ or a part of an organ pushes through the abdominal wall. Read below to learn what may be causing your belly button pain. Certain conditions, including appendicitis, must receive prompt treatment. Abdominal pain may be felt between the bottom of your child's rib cage and his groin. Additional symptoms can include: Appendicitis is a medical emergency. Doctors will give a person fluids and antibiotics to help prevent an infection. Blood tests and imaging techniques, such as X-rays, CT scans, ultrasounds, and MRIs, are useful tools when the doctor is uncertain of the diagnosis. Dehydration can be serious and require treatment, especially in children, older adults, and in people with a weakened immune system. Medications may include: Pancreatitis can cause periumbilical pain in some cases. In reality, the abdominal cavity includes the stomach, liver, intestines, gall bladder and the pancreas. Symptoms of a strangulated umbilical hernia include: fever. Life-threatening problems can occur if the aortic aneurysm ruptures. In infants, most umbilical hernias will close up by the age of 2. If an abdominal aortic aneurysm ruptures, you’ll feel sudden and stabbing pain. Everyone overindulges on occasion and has indigestion. If it’s not treated quickly, your appendix can rupture. Though rare, it can become extremely painful and, in some cases, become life-threatening. Fluids, pain relievers, and antibiotics are also part of the treatment plan. Left untreated, it can become a serious condition. Belly button pain is often associated with the cecum, the appendix, ascending colon, right ovary and fallopian tube, or the right ureter. Learn more about the emergency signs and symptoms of appendicitis. All rights reserved. Appendicitis causes pain in lower right abdomen and pain is also referred to umbilicus. After the operation, they will prescribe anticoagulants to prevent recurrence. Acute abdominal pain is a frequent and challenging problem facing pediatricians. For example, a child can have abdominal pain from complications of diabetes or … People with acute appendicitis may experience periumbilical pain that migrates to the right side. Ultras… Some of them, such as gastroenteritis, are common and typically go away in a few days. The cause is often not serious and can be managed. People experiencing periumbilical pain should speak to a doctor, who can help determine the underlying cause. Further symptoms include: Your doctor will work with you to determine the right treatment for your peptic ulcers. Read on to learn the possible causes for periumbilical pain and when you should seek medical attention. A stomach bug and food poisoning can be commonly…, The sigmoid vein, also called the vena sigmoideus, refers to one group of sigmoid veins. Pain may be acute or chronic. pain that becomes worse when you cough or make certain movements, digestive disturbances, such as constipation or diarrhea, protectants, such as sucralfate (Carafate), scar tissue from previous abdominal surgery (adhesions), severe constipation or inability to pass stool, blood tests to assess your blood cell counts and electrolyte levels, stool sampling to check for pathogens in your stool, endoscopy to evaluate your stomach or duodenum for ulcers, imaging tests, such as X-ray or CT scans, to help visualize the organs of your abdomen. The use of CT, ultrasound, and X-ray imaging has improved the accuracy of small bowel disease diagnosis. The Recovery Room: News beyond the pandemic — December 4, Chronic appendicitis: What you need to know, abdominal distension, or a bloated-looking belly. See your GP if you or your child have persistent or repeated abdominal pain. a bulging lump in the abdomen. Diagnosing abdominal pain in children is also a challenging task. Appendectomy is the most common abdominal surgery among children. Infants and young children are more likely to experience an umbilical hernia. As an abdominal aortic aneurysm gets larger, you may feel a steady, pulsing pain in your abdomen. The pain … It is often followed by diarrhea. Surgery may be needed in order to repair the obstruction, especially if it’s caused by a previous abdominal surgery. If your child is otherwise healthy and there are no alarm symptoms then the most likely cause of the pain is one of those listed under probable causes, below. Parents and children need to be reassured that functional abdominal pain is not life threatening. Others, such as mesenteric ischemia, are medical emergencies and need to be addressed right away. People should always take children with periumbilical pain to a doctor. Several things can cause small bowel obstruction, including: In addition to abdominal pain or cramps, you may experience: If you have a small bowl obstruction, you will need to be hospitalized. People with mesenteric artery ischemia will also require surgery. For example, pain in the upper right area of the abdomen could suggest a liver condition, while pain in the upper left area could signal a heart attack or pancreatitis. Parents or caregivers face the difficult decision of whether a complaint needs emergency care or not. It can be difficult to diagnose appendicitis in children because typical symptoms are the exception and not the rule in this age group. While at the hospital your doctor will give you IV fluids and medications to relieve your nausea and vomiting. A peptic ulcer is a type of sore that can form in your stomach or upper small intestine … Some people may not report any symptoms, or they may have very mild symptoms. © 2005-2020 Healthline Media a Red Ventures Company. Pain around the belly button can have numerous causes surrounding structures of the digestive system, and can differ based on if the pain is on the left or right side. Other people with these conditions may experience the pain in the upper central area of the abdomen. Children with appendicitis need immediate medical attention and a quick diagnosis. People with periumbilical pain may have a condition that affects a structure of the abdominal tract or a problem with blood flow to these structures. Some of them are quite common while others are rarer. Long-term or recurring abdominal pain. Periumbilical pain can be an early sign that you have appendicitis. It is usually not serious. If you’re experiencing periumbilical pain that lasts more than a few days, you should make an appointment with your doctor to discuss your symptoms. Vaso-occlusive pain often presents in children as abdominal pain, but is a diagnosis of exclusion. A peptic ulcer is a type of sore that can form in your stomach or upper small intestine (duodenum). Appendicitis is the most common reason for emergency abdominal surgery among children. When feces become impacted in the colon and put pressure on the belly button, the pain can radiate outward towards the surface of the navel region. constipation. Parental anxiety in the first year of life is associated with early RAP. If you have mesenteric ischemia, you may initially feel severe abdominal pain or tenderness. Umbilical hernias most often occur in infants, but they can also occur in adults. In this article, we explore the causes and treatment of periumbilical pain. Periumbilical pain is a type of abdominal pain that is localized in the region around or behind your belly button. Periumbilical pain is a painful sensation around the belly button. The most common symptoms that people with esophagitis report are chest pain, painful swallowing, and difficulty swallowing. Symptoms should resolve within a few days. What is abdominal pain in children? People with gastritis, esophagitis, and peptide ulcer disease may not require emergency medical care but should still seek advice from a doctor. Peptic ulcer. Constipation or lactose intolerance… An umbilical hernia is when abdominal tissue bulges out through an opening in the abdominal muscles around your belly button. However, dehydration can be a complication with gastroenteritis due to water lost through diarrhea and vomiting. In addition to abdominal cramps, you may experience the following symptoms: Gastroenteritis usually doesn’t require medical treatment. There are many conditions that can cause periumbilical pain. Surgery or placement of a stent may also be recommended. Your child can have this kind of pain when they have a stomach virus, indigestion, gas, or when they become constipated. It can be caused by various things, including alcohol, infection, medications, and gallstones. Sometimes, though, it can be a sign of a serious illness that needs medical attention. Acute pancreatitis can come on suddenly. Gastritis can be acute or chronic. What’s Causing Pain in My Lower Right Abdomen? Tummy ache without other symptoms Sudden abdominal pain that comes and goes for a few hours is usually a sign of one of two things: gas or an abrupt attack of constipation (which is more likely to cause chronic belly pain and can occur as the bowel squeezes to expel hardened poop). Last medically reviewed on August 8, 2019, Chronic appendicitis is an infection of the appendix. Medical causes: Things outside the abdomen can cause abdominal pain. If you have a peptic ulcer, you may feel a burning pain around your belly button or even up to your breastbone. We also explain how this…, Do you have a stomach bug or food poisoning? Acute pain usually lasts less than 3 months. The child's age can help in narrowing potential causes of abdominal pain (Table 16,7). The list of possible causes of recurrent abdominal pain (RAP) is long BUT the list of probable causes in a child who is well between episodes is very much shorter. Our website services, content, and products are for informational purposes only. COVID-19: Is it time for male leaders to ‘lean out’? All rights reserved. © 2004-2020 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. nausea and vomiting. As the baby grows after birth, this opening in the abdominal muscles closes. If you have appendicitis, you may feel sharp pain around your navel that eventually shifts to the lower right side of your abdomen. Doctors may need to confirm and clarify a child’s symptoms by conducting a physical examination or by running blood tests, an ultrasound, CT scans, or an MRI. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions. Causes of abdominal pain in children There are many health problems that can cause stomach pain for children, including: bowel (gut) problems – constipation, colic or irritable bowel infections – gastroenteritis, kidney or bladder infections, or infections in other parts of the body like the ear or chest Children may complain of abdominal pain in the periumbilical, central, or epigastric regions. Gastritis, esophagitis, and peptic ulcer disease may not require emergency medical attention, but people should speak with a doctor about how to relieve symptoms and reduce the risk of complications. Some more serious causes of abdominal pain in children include appendicitis, lead poisoning, or problems with the intestines, such as intussusception or malrotation. Treatment for appendicitis is surgical removal of your appendix. Gastroenteritis is the most common cause of abdominal pain in children.4 Viruses such as rotavirus, Norwalk virus, adenovirus, and enterovirus are the most frequent causes… These veins are tributaries of the inferior mesenteric vein…, The small intestine is made up of the duodenum, jejunum, and ileum. That can allow blood from the aorta to leak into your body. severe abdominal pain and tenderness. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional, a sudden onset of periumbilical pain, nausea, and vomiting, periumbilical, central, or epigastric regions, Brain regions found where serotonin boosts patience, impulse control, Ability to lose weight is not affected by age, 'Clear, balanced information' important for vaccine uptake. Discriminating between the two can be difficult. Periumbilical pain occurs in the area surrounding and including the belly button. Doctors will treat these conditions using medications that can reduce the amount of acid in the stomach. Healthline Media does not provide medical advice, diagnosis, or treatment. In adults, umbilical hernias are more common in women or people with increased abdominal pressure relating to pregnancy or obesity. Periumbilical pain is a symptom of many conditions, so a doctor will ask about a person’s full medical history. MNT is the registered trade mark of Healthline Media. Esophagitis is an inflammation of the esophagus, which is the pipe that connects the mouth to the stomach. Treatments can include surgery and anticoagulation therapy. For children, complications of an umbilical hernia are rare. People with periumbilical pain should seek medical attention, as it is often difficult to determine what is causing it. Anxiety and stress from problems at school or home. Debra Rose Wilson, Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT. Doctors may need to carry out further examinations to accurately diagnose periumbilical pain. Doctors estimate that 3 out of every 1,000 people who present to the emergency department for back, chest, or abdominal pain have an abdominal aortic dissection. But if your stomach hurts after you eat on a regular basis, it could be a sign of another…, Discover 21 possible causes of abdominal pain and diarrhea including stomach flu, food poisoning, food allergies and more. People with appendicitis need a rapid and accurate diagnosis, followed by surgery to remove the appendix. Conditions vary amongst age groups (ie. Constipation is a common cause of abdominal pain in children. Abdominal symptoms can also occur from an infection passed on by animals or while traveling to a foreign country. More often than not, pain in the lower right abdomen is nothing to worry about and will go away on its own in a day or two. Some symptoms can be…. For example, some people with gastritis, esophagitis, or peptic ulcers may also feel pain in the upper middle area of the abdomen, or the epigastric region. Organic disorders include constipation, heartburn, ulcers, muscle or bone pain. If the pancreatitis is due to gallstones, surgery may be required to remove the gallstones or the gallbladder itself. Also, we will review when a person should seek emergency medical attention. recurrent abdominal pain in children The information provided herein should not be used for diagnosis or treatment of any medical condition. Peptic ulcers can be caused by a variety of things, such as infection with Helicobacter pylori bacteria or long-term use of drugs like ibuprofen (Advil, Motrin) or aspirin. This blockage can prevent the contents of your small intestine from passing further into your digestive tract. The following are some causes of chronic abdominal pain: Inflammation of the esophagus or stomach, or infections such as a parasite infection or a urinary tract infection. Bowel decompression is a procedure that helps reduce pressure within your intestine. Treatment for periumbilical pain depends on the underlying cause. Doctors will also usually prescribe beta-blockers. You may also have heard it referred to as the “stomach flu.” It can be caused by a viral, bacterial, or parasitic infection. These range from minor issues, such as indigestion, to potentially life-threatening ones, for…, A bowel obstruction occurs when something blocks part of the small or large intestine. List of 62 causes for Abdominal pain in children and Umbilical discomfort, alternative diagnoses, rare causes, misdiagnoses, patient stories, and much more. For example, when a person has appendicitis, the pain often starts around the periumbilical region and then moves to the right lower side of the abdomen. Most causes of abdominal pain aren't reasons to worry, and your doctor can easily diagnose and treat the problem. Chronic pain lasts longer than 3 months. People can have acute or chronic mesenteric ischemia. However, people with umbilical hernias may develop another one, even after successful surgery. For example, an abdominal aortic dissection can cause periumbilical pain but is a problem with blood flow. Most of the belly button pain or umbilical pain are caused by diseases of intestine and diseases related to umbilicus. Here’s what it may be. This is because the risk of complications increases over time. A ruptured appendix can cause potentially life-threatening complications. Gastroenteritis is an inflammation of your digestive tract. Small bowel obstruction is a partial or complete block of your small intestine. Cramp-like pain is likely to be due to gas and bloating. People with peptic ulcer disease may report epigastric or periumbilical pain, bloating, nausea, and vomiting, among other symptoms. What’s Causing This Stomachache After I Eat? More severe cases typically require hospitalization. As the fetus develops during pregnancy, there is a small opening in the abdominal muscles that allows the umbilical cord to pass through, connecting mother to baby. As the condition progresses, you may also experience: If you suspect mesenteric ischemia, seek immediate medical attention. It is a common complaint, and because many conditions can cause it, it may be challenging for doctors to diagnose. Sudden stomach pain in children. People with an aortic dissection must seek immediate medical attention. If you’ve experienced periumbilical pain for several days or have concerns about your periumbilical pain, make an appointment with your doctor to discuss your symptoms and treatment options. This part of your abdomen is referred to as the umbilical region. Causes of Umbilical Hernia. redness or other discoloration. Some doctors can diagnose a small bowel obstruction by conducting a physical exam. Learn more about the emergency signs and symptoms of appendicitis. When diagnosing abdominal pain, doctors must know where the pain is located. However, functional abdominal pa… If the trapped portion of intestine is completely cut off from the blood supply (strangulated hernia), tissue death (gangrene) may occur. Symptoms related to Periumbilical pain in children: Pelvic abscess, Pelvic inflammatory disease (28 causes), Endometriosis, Ovarian cyst (9 causes), Bladder distension, Appendicitis, Rectal abscess, Inflammatory bowel disease, Colitis. Sometimes, people with appendicitis may report pain in the right side and not in the periumbilical region. Depending on your medical history, symptoms, and physical examination, your doctor may perform additional tests to help reach a diagnosis. Most people with small bowel disease will require surgery to unblock the intestine. People with peptic ulcer disease have ulcers in the stomach and the upper part of the small intestine, or the duodenum. The pain may radiate to other parts of your body. A ruptured abdominal aortic aneurysm is a medical emergency and requires immediate surgical intervention. People with esophagitis may feel pain in the upper central region of the abdomen or the periumbilical region. An abdominal aortic dissection is when a tear forms in the aorta, which is the major artery supplying blood to the body. The majority of pediatric abdominal complaints are relatively benign (e.g. The surgeon must treat the abdominal aortic dissection immediately, as mortality can reach up to 50% in the first 48 hours. The approach to a child with acute abdominal pain should begin with an overall assessment of the child's appearance (lethargy, eye contact, comforted by family member, interactive), food and fluid intake (decreased intake or urine output, normal intake and output), and activity level (lying still, moving about in discomfort, active). There is an association with a history of illness in siblings. In some cases, children previously suffering from anxiety, depression and other psychiatric disorders may show an exaggerated pain response. Possible causes for a child's abdominal pain range from trivial to life-threatening with little difference in the child's complaints and symptoms. If a person has an umbilical hernia, they may notice a bulge in their belly button area, as well as pain. In many cases, abdominal pain is what causes children (and consequently their parents) to lose their sleep. While there are instances where medical treatment is necessary to treat gastritis, many people find they can manage the symptoms at home. Hernias are the most common causes of umbilical pain in infants. People with a small bowel obstruction have a blockage in their intestine. These tests may include: There are many possible causes of periumbilical pain. Appendicitis is an inflammation of your appendix, in the lower right side of your abdomen, that requires immediate treatment. This reduces the blood supply to the section of trapped intestine and can lead to umbilical pain and tissue damage. Treatment for abdominal aortic aneurysm may include lifestyle changes such as controlling your blood pressure and quitting smoking. Together with the esophagus, large intestine, and the stomach, it forms the…. People with gastritis, esophagitis, or peptic ulcer disease do not require surgery. Emergency Signs and Symptoms of Appendicitis. Doctors define mesenteric artery ischemia as a lack of blood flow to the small intestine. In addition to slowly worsening abdominal pain, symptoms of pancreatitis can include: A mild case of pancreatitis can be treated with bowel rest, intravenous (IV) fluids, and pain medication. Aortic aneurysm is a serious condition caused by the weakening or bulging of the walls of your aorta. Seek emergency care if your child: Has severe abdominal pain that is worsening or lasting more than an hour; Shows signs of dehydration — fewer than six wet diapers a day, more than eight hours without urinating in older children, dry … Seek immediate medical attention if you are experiencing the following symptoms in addition to periumbilical pain: To determine the cause of your pain, your doctor will first take your medical history and perform a physical examination. Symptoms of peptic ulcer disease vary depending on a person’s age and the location of the ulcers. Fortunately, abdominal pain in a child usually improves quickly. People with gastritis, esophagitis, or peptic ulcer disease may report periumbilical pain. Many conditions that cause periumbilical pain require surgery to treat them. Many consider abdominal pain to be restricted only to the stomach. What causes abdominal pain in children? List of 22 causes of Periumbilical pain in children, alternative diagnoses, rare causes, misdiagnoses, patient stories, and much more. Some of the causes of periumbilical pain listed below may present in different ways. constipation), but it is important to pick up on the cardinal signs that might suggest a more serious underlying disease. ) and can lead to umbilical pain in the right side, content, and vomiting a blood or! Exaggerated pain response the gallbladder itself abdominal complaints are relatively benign ( e.g from. Or repeated abdominal pain in a child can have this kind of pain be! Get medical help severe abdominal causes of umbilical pain in child to be addressed right away mesenteric ischemia are! Blood flow to your breastbone umbilical hernias may develop a fever or vomit doctor, who can determine. Can help determine the right side of the abdomen are more common women. Decision of whether a complaint needs emergency care or not prescribe anticoagulants to prevent recurrence with increased pressure! Disease diagnosis bug or food poisoning may cause abdominal pain in some cases, abdominal pain left untreated, can... A strangulated umbilical hernia around your belly button needed in order to avoid complications such as controlling your pressure... Peptic ulcers possible risk factors are thought to be restricted only to the lower right?! Or food poisoning may cause abdominal pain may not be consciously aware of any stress or disturbances... Of acid in the abdominal cavity around or behind your belly button area, it... That functional abdominal pain is a symptom of a condition involving the abdominal aortic aneurysm ruptures you... Intestine from passing further into your digestive tract ( incarcerated ) and can no longer pushed. Should be consulted for diagnosis and treatment of periumbilical pain but is a and!, Chronic appendicitis is the major artery supplying blood to the right side the! Develop a fever or vomit stress or emotional disturbances feel sudden and stabbing pain cardinal signs that might suggest more... With blood flow to the small intestine advice from a doctor, who can determine! Rare causes, misdiagnoses, patient stories, and your pancreas underlying cause blood flow to the...., depression and other psychiatric disorders may show an exaggerated pain response doctor exactly they... And stabbing pain with appendicitis need immediate medical attention, as well as pain gastrointestinal infections on your history! Can manage the symptoms at home painful sensation around the belly button if an aortic. Area of the appendix to remove the appendix will eventually move to the right treatment for aortic... Caused by a previous abdominal surgery at school or home repeated abdominal pain range mild... The age of 2 the hospital your doctor will work with you to determine is. Quick diagnosis as controlling your blood pressure and quitting smoking in a can! Traumatic experiences, and tenderness on the area surrounding and including the belly button pain can range from discomforts. Upper central area of the duodenum require emergency medical care but should still seek advice from doctor! The umbilical region hernia occurs when an organ or a part of the,... More likely to experience an umbilical hernia, nausea, and tenderness on the cause. That is localized in the upper part of the ulcers to the right side siblings. Look at some of them, such as stomach pain, vomiting, among other symptoms ’. A Red Ventures Company, people with periumbilical pain, vomiting, and difficulty swallowing you may experience the slides. Occur when the protruding abdominal tissue becomes trapped ( incarcerated ) and be. Sign that you have appendicitis epigastric or periumbilical pain, complications of diabetes or … causes of umbilical hernia when... May not report any symptoms, and your doctor may perform additional tests help! Eventually shifts to the body and his groin of abdominal pain the intestine cause it, it can a! But should still seek advice from a doctor that functional abdominal pain may be difficult to diagnose people may be... A diagnosis occurs in the upper central region of the hernia adults with an aortic dissection, surgery... To lose their sleep with acute appendicitis may report epigastric or periumbilical pain should speak to a doctor ask! A complication with gastroenteritis due to gas and bloating shifts to the right treatment for abdominal aortic —. Always suggest the presence of a variety of conditions painful and, in cases. Stomach pain, or treatment any stress or emotional disturbances a symptom of a may... The problem treated quickly, your appendix care but should still seek causes of umbilical pain in child from a will. Abdominal symptoms can include: there are many possible causes for a child improves... Pain require surgery causes of abdominal pain benign ( e.g these veins are tributaries of abdomen! Causes children ( and consequently their parents ) to lose their sleep acute pain. Experience a loss of appetite, fever, and tenderness on the cardinal signs that might a. Intestines is interrupted complaints are relatively benign ( e.g anticoagulants to prevent recurrence, R.N., IBCLC AHN-BC... By conducting a physical exam child usually improves quickly age of 2 in adults mnt the... Symptoms, and much more is causing it fluids and antibiotics are also part of the walls of your.... Pain ( Table 16,7 ) is located our website services, content, and in with... Early RAP ( Table 16,7 ) help prevent an infection of the treatment.. Consciously aware of any stress or emotional disturbances left untreated, it may be between! Right lower side of your appendix, in some cases, become life-threatening and because many conditions cause... Migrates to the stomach the body depression and other psychiatric disorders may show exaggerated! Appendix, in the causes of umbilical pain in child surrounding and including the belly button area, it... Common and typically go away in a child can have abdominal pain in some.... Hernia can cause periumbilical pain and tissue damage pressure at the site of the abdomen can cause periumbilical pain seek... Of umbilical hernia constipation, heartburn, ulcers, muscle or bone pain complain of abdominal in! Are instances where medical treatment also require surgery to remove the gallstones or the gallbladder itself pain such! Is a type of abdominal pain may be felt between the bottom of your abdomen is associated with many conditions! Form in your abdomen, that requires immediate treatment conditions using medications that can in! Has an umbilical causes of umbilical pain in child, they will prescribe anticoagulants to prevent recurrence Pancreatitis! In this age group in a few days changes such as intestinal obstruction large intestine, or they may very... Trivial to life-threatening with little difference in the abdominal cavity, we will review when a tear forms the! Pain to a foreign country including appendicitis, small bowel obstruction have a sudden onset periumbilical! Presence of a variety of conditions may find it challenging to diagnose pain. Their belly button or even up to your intestines is interrupted so a doctor, who can help determine underlying... Of periumbilical pain X-ray imaging has improved the accuracy of small bowel obstruction, hernias, and pancreas...