How to determine if a baby has colic or is just gassy

Written by Wu Ben Rong
Pediatrics
Updated on January 28, 2025
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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.

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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 Liu Li
Pediatrics
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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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Written by Tong Peng
Pediatrics
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Can infantile colic cause vomiting milk?

Intestinal colic can cause vomiting. There are many reasons for intestinal colic, mainly due to the incorrect nursing posture of the mother and the baby swallowing a large amount of air when crying, leading to intestinal bloating, which then causes intestinal irritation. Additionally, it could be due to the high protein and sugar content in breast milk or formula, which increases the load on the baby's digestive system, leading to intestinal bloating and stimulating bleeding from intestinal colic. Any painful stimulus can lead to intestinal colic in babies. During pain, some of the body's emergency responses, such as gastrointestinal spasms and stomach contractions, can lead to vomiting. Therefore, it is crucial to control the diet for babies experiencing abdominal pain, especially those diagnosed with intestinal colic. It is important to monitor whether the baby has symptoms like abdominal bloating or abnormal stools. In daily life, adopting a diet of frequent small meals can help reduce acute intestinal occurrences and minimize irritation to the intestinal walls.

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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 Wu Ben Rong
Pediatrics
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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.