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i have a yellowish pus like discharge from my inner umbilicus, not all the time but re occuring over the last 2mths, slightly red and a little painful at times.How do i treat it? have been cleaning it with sterile water.

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replied May 29th, 2010
Appendix and Appendicitis Answer A12630
Hi, thanks for using the ehealth forum for your query.
You seem concerned by the yellowish pus like discharge from the inner umbilicus re occurring over the last 2 months.
There are several causes which can lead to discharge from umbilicus or belly button including
1. Debris entrapped inside the belly button which may cause irritation of the skin, eventually resulting in infection.
2. A cyst occurring in the persistent part of the urachus is known as urachal cyst. Urachal cyst is accompanied with pain in the abdomen and a rise in body temperature. The cyst bursts inside and oozes out fluid that comes out and results in smelly discharge from belly button.
3. Patent urachus- Urachus tube is a small tube that joins the foetal bladder to the umbilical cord. In some cases, the urachus tube fails to close after birth. A surgery, called patent urachus is performed to treat the defect in the urachus tube. If the surgery does not heal, it may result in smell or urine and mucus discharge from a cyst.
4. Another cause for smelly discharge from belly button is fungal infection. Fungal infection of the belly button is characterized by painful itching and burning.
Various treatments are directed to respective causes as the antibiotics may be prescribed by the doctor to curb the infection. In severe cases, surgery may also be performed.
In case of urachal cyst, clean the area with anti bacterial soap at least once in a day. Also, apply Benzalkonium chloride or hydrogen peroxide on the cyst 4-5 times a day.
If yeast infection is the reason behind your smelly discharge of belly button, then try out some over-the-counter anti fungal topical creams.
One of the most effective treatments for smelly discharge from belly button is to resist the urge of itching. Instead, place an ice-cube on the belly button to relieve itching.
Try not to keep the belly button area warm and moist as it will support microbial growth.
You must see your physician to find the exact cause of umbilical discharge and appropriate treatment as the diagnosis cannot be made online.
Hope this helps. Take care.
Note: This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

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