Brief Answer: You need a surgical intervention to repair the abdominal wall defect and to reset the normal passage of the feces through the intestine . Detailed Answer: Hello, Thank you for using HCM. You need a surgical intervention to repair the abdominal wall defect and to reset the normal passage of the feces through the intestine . You have developed an umbilical hernia (the intestine or other tissues bulge through this weak spot around the belly button, umbilicus), which has become bigger over time, and infected. The infection has perforated the walls of the intestine, making possible the feces and pus, to come out from the navel. In these conditions the surgical reparation is inevitable. The open procedure and under general anesthesia is the most adequate in your case , eventhough you should see a surgeon to decide about the type of surgery, preoperatory preparatios, and folow up plan. You should understand that is really indispensable that you undergo the surgery, because the infection may affect all your general health and it may also develop even a more serious condition called strangulation. Strangulation occurs when the blood flow to certain parts of the body is suddenly cut off. Symptoms of strangulation include nausea, vomiting, and severe pain. The area around the umbilical hernia might look blue, as if you have a bruise. Hope this is helpful. Let me know if you need more clarifications. Otherwise please close and rate the answer. Kind Regards, Dr. Juarda