The Efficacy of 0.5 Gram NaCl Capsule in the Treatment of Umbilical Granuloma in Neonates: A Case Report

Tubagus Ferdi Fadilah; Nafisa Salma Wulandari; Nia Nurul Aziza; Dita Setiati; Firda Fairuza; Nathalia Ningrum; Meiriani Sari

doi:10.14710/dmj.v14i2.47649

DOI: https://doi.org/10.14710/dmj.v14i2.47649

The Efficacy of 0.5 Gram NaCl Capsule in the Treatment of Umbilical Granuloma in Neonates: A Case Report

*Tubagus Ferdi Fadilah

- Department of Child Health, Faculty of Medicine, Universitas Trisakti, Jakarta, Indonesia, Indonesia

Nafisa Salma Wulandari - Undergraduate Program Faculty of Medicine, Universitas Trisakti, Indonesia, Indonesia

Nia Nurul Aziza - Department of Child Health, Faculty of Medicine, Universitas Trisakti, Jakarta, Indonesia, Indonesia

Dita Setiati

- Department of Child Health, Faculty of Medicine, Universitas Trisakti, Jakarta, Indonesia, Indonesia

Firda Fairuza - Department of Child Health, Faculty of Medicine, Universitas Trisakti, Jakarta, Indonesia, Indonesia

Nathalia Ningrum - Department of Child Health, Faculty of Medicine, Universitas Trisakti, Jakarta, Indonesia, Indonesia

Meiriani Sari

- Department of Child Health, Faculty of Medicine, Universitas Trisakti, Jakarta, Indonesia, Indonesia

BibTex Citation Data :

@article{dmj47649,
    author = {Tubagus Fadilah and Nafisa Wulandari and Nia Aziza and Dita Setiati and Firda Fairuza and Nathalia Ningrum and Meiriani Sari},
    title = {The Efficacy of 0.5 Gram NaCl Capsule in the Treatment of Umbilical Granuloma in Neonates: A Case Report},
    journal = {Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal)},
  volume = {14},
    number = {2},
    year = {2025},
    keywords = {Neonates, Sodium Chloride, Treatment, Umbilical Granuloma, Umbilical Cord},
    abstract = {  Background:  An umbilical granuloma is a common benign condition in neonates characterized by the overgrowth of granulation tissue at the base of the umbilicus following umbilical cord detachment. While the standard treatment involves the use of silver nitrate, with its associated risks and need for clinical visits, alternative treatments such as the application of sodium chloride (NaCl) capsules have gained attention for their efficacy, safety, and cost-effectiveness in home settings.  Case Presentation:  Herein, we present the case of a 3-week-old female infant diagnosed with an umbilical granuloma post umbilical cord detachment. The management involved the application of a 0.5 gram NaCl capsule directly to the granuloma, covered with sterile gauze, and repeated over several days. This approach resulted in a significant reduction in granuloma size and total resolution within two days, without the complications or irritation sometimes associated with silver nitrate. Parents reported ease of administration at home and high satisfaction levels due to the treatment's effectiveness and minimal need for healthcare visits.  Conclusion:  The use of a 0.5-gram NaCl capsule offers a valid and effective home-based treatment alternative for umbilical granuloma. It provides a practical option, especially where access to silver nitrate is limited, with the added benefits of ease of use and reduced medical costs. With proper parental education and adherence to the treatment protocol, NaCl can serve as a first-line or alternative therapy. Further large-scale studies are recommended to verify long-term effects and potential complications.    },
   issn = {2540-8844},   pages = {92--98}  doi = {10.14710/dmj.v14i2.47649},
    url = {https://ejournal3.undip.ac.id/index.php/medico/article/view/47649}
}

Citation Format:

Abstract

Background: An umbilical granuloma is a common benign condition in neonates characterized by the overgrowth of granulation tissue at the base of the umbilicus following umbilical cord detachment. While the standard treatment involves the use of silver nitrate, with its associated risks and need for clinical visits, alternative treatments such as the application of sodium chloride (NaCl) capsules have gained attention for their efficacy, safety, and cost-effectiveness in home settings. Case Presentation: Herein, we present the case of a 3-week-old female infant diagnosed with an umbilical granuloma post umbilical cord detachment. The management involved the application of a 0.5 gram NaCl capsule directly to the granuloma, covered with sterile gauze, and repeated over several days. This approach resulted in a significant reduction in granuloma size and total resolution within two days, without the complications or irritation sometimes associated with silver nitrate. Parents reported ease of administration at home and high satisfaction levels due to the treatment's effectiveness and minimal need for healthcare visits. Conclusion: The use of a 0.5-gram NaCl capsule offers a valid and effective home-based treatment alternative for umbilical granuloma. It provides a practical option, especially where access to silver nitrate is limited, with the added benefits of ease of use and reduced medical costs. With proper parental education and adherence to the treatment protocol, NaCl can serve as a first-line or alternative therapy. Further large-scale studies are recommended to verify long-term effects and potential complications.

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Keywords: Neonates, Sodium Chloride, Treatment, Umbilical Granuloma, Umbilical Cord

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Section: Case Report

Language : EN

In Vol 14, No 2 (2025): JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL)

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