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Newborn and Infant Care

What's the next step?

05/27/1998

Question:

I was wondering what the next step would be with an umbilical granuloma when the sulfur nitrate doesnt seem to work?And is it normal for the belly button to bleed during the healing process?

Answer:

The silver nitrate should always be applied by the health care provider. I personally know of no cases in which the silver nitrate has not worked. However, if this were the case, the site would be cauterized with heat (this is basically what the silver nitrate does). Some bleeding is not unusual when the umbilicus is healing, since all areas of the cord may not dry up at exactly the same time. Slower healing areas may bleed slightly when the umbilical cord falls off. Any excessive bleeding, redness, swelling, foul odor, or discharge from the site should be assessed by the health care provider promptly.

Answered by Judy Wright Lott, RNC,NNP,DSN

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Response by:

Tina   Weitkamp, RNC, MSN Tina Weitkamp, RNC, MSN
Associate Professor of Clinical Nursing
College of Nursing
University of Cincinnati