Initially, parents observe the protrusion of the umbilical ring, which is especially visualized when the child cries, screams or "stiffens," trying to go to the toilet.
Ekuqaleni, abazali ababukele protrusion esiyingini enkabeni, okuyinto elihunyushwe ikakhulukazi uma umntwana ekhala, ememeza, noma "zingaphazamisi," uzama ukuya ethoyilethi.