Infantile colic

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Written by Tong Peng
Pediatrics
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Does infantile colic cause bowel sounds?

Infantile colic can present with bowel sounds. First, it is important to understand that colic is associated with indigestion, or that certain components in the consumed food are not fully digested and absorbed. This leads to abnormal intestinal peristalsis, or excessive intestinal gas production that stimulates the nerves in the intestinal wall, causing symptoms of colic. The affected child often exhibits crying, limbs curling, and accompanying abdominal distension. In such cases, there is often an increase in bowel sounds, which can be assessed through auscultation. When colic occurs, it is firstly advisable to adjust the diet, such as abdominal massage to promote intestinal gas expulsion, choosing light, liquid, and easily digestible food, eating small, frequent meals, and using probiotics to aid digestion and absorption, reducing the production of intestinal gas. Additionally, it is crucial to check if the baby has any digestive system diseases or intestinal developmental abnormalities, as these conditions can lead to recurrent symptoms of colic.

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Written by Huang Kun Mei
Pediatrics
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How many days does infantile colic last?

Intestinal colic is a very common symptom in children, with most experiencing it at some point. Generally, it begins two weeks after birth and peaks around one month of age, although some babies may only gradually improve between four to six months. For the prevention of intestinal colic, it's important to burp the child for ten minutes after each feeding. Between feedings, massaging the abdomen clockwise helps prevent bloating. If a child experiences intestinal colic, timely abdominal massage or using the "airplane hold" can alleviate the symptoms.

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Written by Huang Kun Mei
Pediatrics
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Infantile colic generally occurs at what time?

Infantile colic generally occurs in children within the first few days to three months after birth and is more commonly observed at night. When a child experiences colic, you can apply a warm compress to their abdomen, focusing around the navel, and massage clockwise for ten minutes at a time, three times a day. Additionally, you can also try massaging the child or using the "airplane hold". If the child cries intensely and the abdominal massage is not effective, it is crucial to bring the child to the hospital promptly for an abdominal X-ray. For prevention, ensure to burp the child ten minutes after feeding and regularly massage the abdomen between feeds.

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Written by Wang Lin Zhong
Pediatrics
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What should I do if my baby has indigestion and intestinal colic?

Intestinal colic generally occurs in babies around six months old, when their gastrointestinal functions are not yet fully developed, and they begin to consume supplementary foods. Some foods may be hard to digest, leading to bloating and intestinal spasms. If a baby experiences bloating, they might show signs of intermittent crying and irritability. To help, you can perform gas-relief exercises and massage the abdomen in a clockwise direction to facilitate the expulsion of gas from the intestines. Additionally, taking probiotics orally can help regulate the intestinal flora. If the bloating is prominent, simethicone can be administered orally to absorb excess gas in the intestines and alleviate the pain of intestinal colic. Another method to ease discomfort is holding the baby in an “airplane” position. It's important in daily life to feed reasonably, opt for smaller, more frequent meals, and gradually increase the amount of supplementary foods. Also, ensure the baby’s abdomen is kept warm to prevent it from getting cold.

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Written by Huang Kun Mei
Pediatrics
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How long does infant colic last?

Intestinal colic is a very common disease and symptom in children, generally affecting 10%-20% of them. It usually occurs two to four weeks after birth, peaks between four to six weeks, and generally improves by four to six months. Once intestinal colic occurs, children will repeatedly cry, so prevention is essential. After each feeding, make sure to burp the child for ten minutes and massage the abdomen clockwise between feedings to prevent gas buildup and alleviate the symptoms of intestinal colic. If a child does suffer from intestinal colic, it is crucial to apply a warm compress to their stomach and massage the abdomen clockwise to relieve the condition.

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Written by Tong Peng
Pediatrics
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Does infantile colic occur every day?

Episodes of infantile colic are unpredictable, yet if digestive system abnormalities occur frequently over a short period, they can lead to daily colic episodes with a variety of causes. For instance, babies tend to cry or swallow large amounts of air due to rapid feeding, leading to intestinal gas and stimulating the intestinal mucosal nerves, resulting in colic. Additionally, certain substances in breast milk or formula, such as excessive sugars or fats, can cause indigestion and excessive intestinal gas production, further stimulating colic. When such symptoms appear, parents should first rule out surgical issues like intestinal intussusception or obstruction. Colic episodes can be alleviated through abdominal massage and dietary adjustments.

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Written by Tong Peng
Pediatrics
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What should I do if a baby with colic won't sleep?

If an infant suffers from colic and has difficulty sleeping, treatment of the underlying condition should be conducted. It is essential to first understand the causes of colic, which are primarily due to the immature digestive system of the baby. If poor digestion leads to excessive intestinal gas and subsequently causes rapid intestinal movements, it may result in discomfort in the abdominal nerves, thus causing colic. The main treatments for colic should involve both diet and medication. In terms of diet, it is advisable to choose light, liquid-based, and easily digestible foods. It is also important to avoid overeating, opting instead for smaller, more frequent meals. Moreover, the use of probiotics and certain traditional Chinese medicinal formulations can help regulate the function of the spleen and stomach, aiding digestion and absorption. Additionally, abdominal massages can stimulate intestinal movements, facilitating the expulsion of gas and easing bowel movements, thereby potentially reducing the incidence of colic.

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Written by Huang Kun Mei
Pediatrics
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Symptoms timing of infantile colic

Infant colic is generally more common at night. Most children are prone to this condition at around one to two months or two to three months of age. Sometimes, they suddenly cry out loud while sleeping at night. In such cases, feeding the child often does not help. Some babies may exhibit severe bloating and a very red face, continuing to cry inconsolably. When colic occurs, parents can use warm compresses to relieve the child's discomfort. You can apply a warm towel to the child's abdomen, hold the baby in an "airplane" hold, or massage the child around the navel, clockwise for ten minutes at a time, to provide relief. If the child still experiences intestinal pain and cries excessively without passing gas, it is necessary to seek medical attention promptly.

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Written by Tong Peng
Pediatrics
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What to do about infantile colic?

If a baby experiences colic, it can often be alleviated through the following methods. First, abdominal massage can be used; parents can hold the baby and massage around the navel with both hands to improve gastrointestinal function and reduce rapid intestinal movements. Additionally, applying heat to the abdomen, using a hot water bottle or a warm towel, can also be effective. If the baby has bloating, using a soap stick or enema to help the baby expel gas can also relieve symptoms of abdominal pain. If these measures do not alleviate the baby's pain and discomfort, then it is necessary to visit the hospital for a pediatrician to perform a physical examination and assist with related imaging studies for differential diagnosis.

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Written by Wu Ben Rong
Pediatrics
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How to determine if a baby has colic or is just gassy

It is very easy to distinguish whether a child has intestinal colic or bloating, although both are gastrointestinal diseases. With intestinal colic, children usually experience high levels of abdominal pain, while bloating generally does not involve pain, with children typically only showing signs of abdominal distension. Additionally, children with bloating often burp, and these burps can have a sour smell; they may also experience decreased appetite, and possibly symptoms like nausea and vomiting, making it easy to differentiate the two conditions. When a child has intestinal colic, it can be alleviated by applying heat to the abdomen or gently massaging the child's stomach. For bloating, relief can be found through taking medication that promotes digestion.