Symptoms - Swelling at the umbilicus for some time. Painful at times. Does not fully go back in even on lying down. Diagnosis - could be umbilical hernia You should see your doctor who will likely order an Ultrasonogram of the abdomen and if it is confirmed you will need to see a surgeon who might request a CT scan of your abdomen and proceed to hernia repair surgery which can be done either laparoscopically or by open surgery. Umbilical hernia seen at Laparoscopy