Does not crying after an airplane hug mean intestinal colic?

Written by Zeng Hai Jiang
Pediatrics
Updated on September 15, 2024
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Infant colic, commonly occurring in about 20% of babies, is defined as a condition in healthy infants under three months old who cry for at least three hours per day, at least three days per week. The symptoms of infant colic usually start between two to four weeks of age and improve by three to six months. To alleviate the symptoms, one can gently rub the baby's belly clockwise and use a holding position known as the "airplane hold." This involves holding the baby in a prone position, lying face down on the parent's hand, resembling the posture of flying in an airplane. The "airplane hold" mainly helps to relieve gastrointestinal gas and colic in babies, and it generally lasts for about 30 minutes.

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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 Huang Kun Mei
Pediatrics
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How to deal with colic in a 40-day-old baby?

It is very common for babies to experience intestinal colic, especially because the gastrointestinal system of a 40-day-old baby is not yet fully developed. In such cases, you can perform a clockwise massage on the child's abdomen, centered around the navel, for ten minutes each time. You can also do some gas relief exercises for the child, which are beneficial in alleviating intestinal colic. Additionally, you can hold the child in an airplane hold, or use a warm towel to apply heat to the baby's abdomen to relieve intestinal spasms and colic. If the baby's intestinal colic remains particularly severe, it may be necessary to administer some medications that adjust the intestinal flora. Also, it is advisable to engage the child in more outdoor activities to prevent crying due to calcium deficiency.

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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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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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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.