Infantile colic

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Written by Huang Kun Mei
Pediatrics
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Symptoms of infantile colic

The symptoms of infant colic mainly occur at night as paroxysmal crying, commonly seen in babies from two weeks to three months old. A warm compress can be applied to the baby's belly centered around the navel, and clockwise abdominal massage can be performed for ten minutes, three times a day. If the baby is under six months old, the mother needs to pay attention to a light and easily digestible diet. If the baby is over six months old, their complementary foods should be given in small, frequent meals, and avoid overfeeding to prevent binge eating. It is important to focus on prevention usually, and after each feeding, make sure to pat the baby gently for about ten minutes and perform clockwise abdominal massages between feedings to prevent issues.

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Written by Wu Ben Rong
Pediatrics
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Is the baby's rumbling stomach intestinal colic?

A child's stomach making gurgling noises doesn't necessarily mean they have intestinal colic; it could be due to indigestion. The main symptom of intestinal colic is severe abdominal pain, which usually isn't accompanied by gurgling sounds. If a child does have intestinal colic, they may exhibit symptoms such as incessant crying and abdominal spasms, whereas gurgling sounds are typically caused by the incomplete development of the digestive tract in children, leading to gas formation as food moves through the intestines. If the child does not display symptoms like abdominal distension, diarrhea, or abdominal pain, treatment may not be necessary. However, if such symptoms are present, it could be due to conditions like enteritis or dysentery, and it is advisable for parents to take their child to a reputable hospital for an examination.

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Written by Tong Peng
Pediatrics
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What should babies with colic not eat?

Infantile colic, and what not to eat, depends on the cause of the colic. First, it is necessary to understand that infant colic is due to the immature development of the gastrointestinal function in infants. If some foods are not fully digested and absorbed, it can lead to increased accumulation of gas in the gut, thereby stimulating the nerves of the intestinal mucosa and causing colic. For such infants, it is best to avoid spicy, stimulating, and indigestible foods in the diet, such as potatoes, sweet potatoes, corn, etc. These foods are not easily digested and tend to produce gas. Additionally, it is important to avoid overeating, which can overburden the stomach and intestines, leading to symptoms of indigestion. Therefore, for symptoms of colic, the main approach is to control the diet, eat smaller, more frequent meals, and avoid overeating, which can worsen the burden on the stomach and intestines and exacerbate the symptoms.

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Written by Tong Peng
Pediatrics
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What are the symptoms of infantile colic?

Infantile colic is more common and mostly occurs in infants under three months of age. It is characterized by paroxysmal crying, with the infant crying loudly for several hours. During an attack, the face often turns flush, the area around the mouth is pale, and the abdomen is bloated and tense. This is usually accompanied by tightly clenched hands, and symptoms may slightly relieve after passing gas or having a bowel movement. There are many causes of colic, often related to the infant's own constitution, especially food allergies which can exacerbate symptoms. Additionally, respiratory infections, abdominal chilling, overeating, or accumulation of intestinal gas can also trigger symptoms of colic.

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Written by Tong Peng
Pediatrics
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Can infants with colic drink probiotics?

Infants with colic can consume probiotics because colic is largely due to the immature digestive system of the infant. If the abdomen is exposed to temperature changes, overfeeding occurs, or certain nutrients in the food are improperly combined, it can lead to intestinal gas and indigestion, triggering symptoms of colic. Oral probiotics can alleviate these symptoms and reduce the incidence of colic. Additionally, it is important to strengthen abdominal care for the baby to prevent exposure to cold, and abdominal massages can also help. Massage around the navel in a clockwise direction for 5-10 minutes to promote intestinal gas expulsion, which can also help relieve colic. To gradually alleviate infant colic, the above methods should be used. As for the choice of probiotics, it is still necessary to first identify the cause and then provide targeted quality treatment.

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Written by Yao Li Qin
Pediatrics
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What are the symptoms of infantile colic?

Infant colic mostly occurs between 2-4 weeks after birth, generally reaching a peak around one and a half months after birth. The symptoms of infant colic primarily include four aspects: firstly, the child will suddenly start crying loudly and inconsolably, which is clearly different from usual. Second, the crying episodes can last particularly long, even up to about three hours, and may occur more than three times a week. Thirdly, these episodes generally occur in the evening or late at night, hence the colloquial term "twilight crying." Fourthly, with colicky infants, conventional soothing methods are ineffective; for example, holding or comforting the baby does not help, and the child continues crying until completely exhausted before falling asleep. This is a typical symptom of infant colic.

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Written by Huang Gang
Gastroenterology
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Can a pacifier be used for intestinal colic?

First, we need to understand the causes of colic. It commonly occurs in infants when breastfeeding or formula feeding, due to ingesting large amounts of air. The air bubbles move within the intestines and cause abdominal pain. Furthermore, overfeeding can lead to excessive stomach expansion, which can also cause discomfort. Therefore, when feeding, it is important to ensure that the child does not inhale a large amount of air. Additionally, using a pacifier can lead to the intake of more air, thereby exacerbating colic. Thus, prevention is more important than treatment. Mothers should be careful not to let the baby inhale air while breastfeeding, as this is the most common cause of the condition.

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Written by Liu Li
Pediatrics
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Intestinal colic, airplane embrace several times a day

Intestinal colic is generally caused by intestinal function or obstruction, causing extremely severe pain during attacks, and the timing of the pain is irregular, making it very tough for children. Children are usually very weak after an episode of intestinal colic, so it is recommended for parents to adopt comfortable holding methods for the baby. The airplane hold is a commonly used method, but the frequency of using the airplane hold should also be controlled. For children with intestinal colic, decisions should be made based on the frequency of the child's episodes, and adjustments can be made accordingly based on these episodes.

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Written by Tong Peng
Pediatrics
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Do babies with colic always want to breastfeed?

If a baby has colic, they will not continuously want to nurse. This is because colic often occurs due to intestinal gas or unexpelled intestinal secretions, causing irritable spasms of the stomach and intestines. In this case, nursing might actually worsen the symptoms of abdominal pain. Therefore, the baby often exhibits inexplicable crying and appears to be in severe pain, with symptoms including curled legs, occasional abdominal distension, and abdominal tympany upon percussion. At this time, the baby may refuse to eat. Therefore, when colic occurs, we can alleviate it through abdominal massage and by performing gas-relieving exercises. Since colic is a clinical manifestation of digestive dysfunction, it is advisable in daily life to supplement with probiotics, and to provide abdominal massages and dietary adjustments, including eating light, liquid, and easily digestible foods, to help relieve colic.

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Written by Chen Tian Jing
Colorectal Surgery
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How many months will it take for intestinal colic to get better?

Colic is one of the most common clinical complications in infants. The principle of its onset mainly lies in the incomplete development of intestinal function in infants within three or six months, which leads to the inability of gas to be expelled from the body normally, thus causing symptoms of localized abdominal pain due to the gas. Generally, as the child grows older and the gastrointestinal function repairs, the situation will gradually improve after three or five months. During this period, oral probiotics can be chosen to alleviate local symptoms, and parents can assist the child in performing clockwise abdominal massage to facilitate gas expulsion. Additionally, exercising by mimicking bicycle pedaling can also be helpful.