What are the symptoms of infantile colic?

Written by Yao Li Qin
Pediatrics
Updated on September 26, 2024
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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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Can you breastfeed during intestinal colic?

If an infant experiences colic, during an episode, the child will exhibit localized pain causing crying and irritability, generally making it difficult to feed. Firstly, it is necessary to alleviate the symptoms of colic. This can be done by choosing to massage the abdomen clockwise to promote intestinal gas expulsion. Additionally, it is appropriate to orally administer probiotics or simethicone to aid intestinal motility. Applying heat to the infant’s abdomen and ensuring it is kept warm are also beneficial. As colic episodes usually involve severe crying, using the "airplane hold" can help alleviate localized symptoms. Once the child's symptoms subside, feeding can then be resumed, ensuring the quality of feeding is not compromised by pain, which could otherwise lead to insufficient feeding and consequently cause the next hunger episode to occur sooner.

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Baby colic usually occurs at night or during the day?

Baby colic usually occurs in the evening or around dusk. Symptoms of colic almost always appear during a specific time period, although some babies also experience crying episodes during the day or at night. Colic mostly affects babies under three months old and is a common occurrence during the growth process of a baby. When a baby experiences a colic episode, parents should hold the baby upright with the baby's head resting on their shoulder, gently patting the baby's back. This can help to expel excess gas in the stomach. Additionally, gently massaging the baby's abdomen or placing a warm water bottle on it can help relieve intestinal spasms.

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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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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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How to relieve the symptoms of intestinal colic in infants

When infants experience colic, it is generally due to excessive gas accumulation in the intestines, as infants cannot expel gas on their own. Therefore, when colic occurs, you can let the child be in a prone position to facilitate gas expulsion. Parents can also assist the child in doing exercises like lying on their back, sitting up, or performing "bicycle kicks" in the air to promote intestinal peristalsis. Additionally, clockwise abdominal massages and appropriate application of heat can help in expelling gas. When there is a change in bowel habits, you can also advise the child to take probiotics to regulate intestinal flora, which aids in gas expulsion and bowel movement. (Medication should be taken under the guidance of a physician, according to the actual situation.)