What follow-up is recommended for patients with a diagnosed umbilical hernia who are not undergoing surgery?

Guideline-aligned answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP.

Posted: 22 August 2025 Guideline-Aligned (High Confidence) Clinically Reviewed
Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX

Follow-up for patients with a diagnosed umbilical hernia who are not undergoing surgery typically involves clinical monitoring for symptoms or complications such as pain, incarceration, or strangulation. In the absence of surgery, routine imaging or specialist follow-up is generally not required unless the patient develops new or worsening symptoms. Patients should be advised to seek prompt medical attention if they experience acute pain, signs of bowel obstruction, or changes in the hernia size or consistency.

There are no specific UK NICE guidelines detailing routine follow-up protocols for non-operated umbilical hernias in adults, indicating that conservative management primarily relies on patient education and symptom-driven review in primary care.

Educational content only. Always verify information and use clinical judgement.