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

Written by Wu Ben Rong
Pediatrics
Updated on January 28, 2025
00:00
00:00

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.

Other Voices

doctor image
home-news-image
Written by Huang Kun Mei
Pediatrics
46sec home-news-image

What to do about baby colic?

When a baby experiences colic, it is important to massage their abdomen in a clockwise direction. Start by applying a warm compress to the baby's belly, followed by a clockwise abdominal massage for ten minutes each time, three times a day. You can also hold the child in an "airplane hold." Regularly ensure enhanced care to avoid the baby's abdomen getting cold. For babies under six months, the mother's diet should be light and easy to digest. Avoid overly greasy, spicy, or cold foods. Consume more fresh vegetables and fruits, such as broccoli, kiwi, and apples. If the baby is over six months old, it's essential to manage their diet with smaller, more frequent meals.

doctor image
home-news-image
Written by Liu Li
Pediatrics
41sec home-news-image

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.

doctor image
home-news-image
Written by Wang Lin Zhong
Pediatrics
1min 4sec home-news-image

How long does infant colic last?

The duration of colic in each baby varies. It is brief, lasting only a few seconds in mild cases, and can extend to several minutes or even longer in severe instances. Symptoms of colic include paroxysmal crying, decreased appetite, and restless sleep at night. Colic generally occurs in babies around six months old. At this stage, a baby's gastrointestinal function is not yet fully developed, and the introduction of solid foods can make digestion difficult, leading to gas and bloating. If a baby experiences intestinal gas, this can lead to colic. To help relieve this, you can perform gas relief exercises with your baby, such as clockwise abdominal massage, which helps release the gas inside the intestines and alleviate colic. Additionally, administering probiotics to the baby can help regulate intestinal flora. If the gas is prominent, simethicone can be orally administered to absorb excess gas in the intestines and relieve pain. (Use of medications should be under the guidance of a physician.)

doctor image
home-news-image
Written by Zeng Hai Jiang
Pediatrics
47sec home-news-image

Can infant colic cause intestinal colic?

Infant constipation does not cause colic. The so-called constipation refers to the condition where babies aged 1 to 3 months do not defecate for several days or even more than ten days. However, these babies do not exhibit vomiting, abdominal distension, abdominal pain, or diarrhea. Once they do defecate, the stool is not dry and appears normal in shape. Constipation occurs because the baby's gastrointestinal tract is gradually developing, and their ability to digest and absorb is progressively increasing. Consequently, there is less food residue formed, which does not stimulate the bowel movement reaction. It is a normal physiological phenomenon and does not cause colic.

doctor image
home-news-image
Written by Huang Kun Mei
Pediatrics
53sec home-news-image

Symptoms timing of infantile colic

Infant colic is generally more common at night. Most children are prone to this condition at around one to two months or two to three months of age. Sometimes, they suddenly cry out loud while sleeping at night. In such cases, feeding the child often does not help. Some babies may exhibit severe bloating and a very red face, continuing to cry inconsolably. When colic occurs, parents can use warm compresses to relieve the child's discomfort. You can apply a warm towel to the child's abdomen, hold the baby in an "airplane" hold, or massage the child around the navel, clockwise for ten minutes at a time, to provide relief. If the child still experiences intestinal pain and cries excessively without passing gas, it is necessary to seek medical attention promptly.