The difference between infant lactose intolerance and colic

Written by Quan Xiang Mei
Pediatrics
Updated on September 12, 2024
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Baby lactose intolerance is due to a lack of lactase, causing a range of symptoms, which we diagnose as lactose intolerance. These symptoms may include diarrhea and bloating, among which colic can also occur.

Colic is just one of the symptoms. In many cases, such as infant lactose intolerance, severe diarrhea, and bloating, colic may occur. Colic symptoms can also arise when a child’s abdomen is exposed to cold, or other causes of intestinal diseases, such as viral or bacterial infections resulting in enteritis, may also present colic symptoms in children.

Moreover, in common surgical diseases such as appendicitis, colic might also occur. Therefore, colic is merely one of the symptoms, and infant lactose intolerance is a general term for a disease.

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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.)

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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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Infantile colic generally occurs at what time?

Infantile colic usually occurs in infants within the first three months of birth, and typically manifests at night. Some children may experience brief episodes of colic, but for others, the episodes can be relatively prolonged, possibly lasting several hours. When colic occurs, the infant may exhibit symptoms such as facial flushing, pale lips, abdominal distension, clenched fists, cold feet, and crying. Colic may subside after the infant passes gas or has a bowel movement. During a colic episode, parents should hold the child upright, allowing the child to lie on the adult's shoulder. The parent's hand should be hollow, gently patting the baby's back to help expel excess air from the stomach.

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Will the baby still have intestinal colic if they fart a lot?

Children who fart frequently may also experience intestinal colic, which usually results from indigestion caused by various reasons. Some children may swallow a lot of air while feeding, which can also lead to colic. However, if a child farts a lot, it can indicate that the air in the abdomen has been expelled, and the likelihood of colic occurring under these circumstances is relatively small. But there are also some pathological factors that could lead to colic, so excessive farting does not necessarily mean that colic will not occur. It is suggested that when a child suffers from colic, parents can use heat application as a local treatment, which is very helpful in relieving the child's pain symptoms.

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Will a baby's stomach make noises if they have colic?

When a child experiences intestinal colic, they often experience severe abdominal pain, and may exhibit behaviors like crying or discomfort. They might also kick around, but usually, there will not be noises of rumbling in the stomach. The rumbling sounds in a child's stomach are usually due to reasons like indigestion which cause the sounds of gastrointestinal motility. When a child eats too quickly and a large amount of air enters the stomach, it can lead to this phenomenon. If the child has started on solid foods, consuming foods that produce a lot of gas can also cause these symptoms. If the child does not show other symptoms such as diarrhea, special treatment is generally not necessary.