Do people with umbilical hernia have a lot of pain?

Sometimes.: Pain from an umbilical hernia is dependent on the size of the hole and what, if anything, is "stuck" within the hole. It is not uncommon for fat to get stuck in these hernias. This can irritate nerves in that area, leading to a queasy feeling, especially when the lump is touched. Rarely, intestine can get stuck in this hernia, leading to a bowel obstruction, intense pain, and emergency surgery.

Not usually: Many babies will have an umbilical hernia at the time of delivery. Most of those will resolve with no treatment in a couple of years. Umbilical hernias in adult women can occur due to pregnancies, and as for men with heavy lifting, chronic straining or coughing, and being overweight. When an umbilical hernia is painful there is concern for trapped bowel and it needs to be evaluated emergently.