How to treat infantile colic?

Written by Yao Li Qin
Pediatrics
Updated on September 16, 2024
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If an infant suffers from colic, it is mostly considered to be physiological colic caused by intestinal gas accumulation. The treatment methods include holding the child upright or in an airplane hold, which can alleviate the symptoms of colic to varying degrees. Regularly massaging the child's abdomen in a clockwise direction and performing gas-relief exercises can also help ease the colic. For more severe cases of colic, if the aforementioned methods do not have a noticeable effect, simethicone can be administered to the child, generally achieving satisfactory results. (Please use medication under the guidance of a doctor)

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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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How many months will it take for intestinal colic to get better?

Colic is one of the most common clinical complications in infants. The principle of its onset mainly lies in the incomplete development of intestinal function in infants within three or six months, which leads to the inability of gas to be expelled from the body normally, thus causing symptoms of localized abdominal pain due to the gas. Generally, as the child grows older and the gastrointestinal function repairs, the situation will gradually improve after three or five months. During this period, oral probiotics can be chosen to alleviate local symptoms, and parents can assist the child in performing clockwise abdominal massage to facilitate gas expulsion. Additionally, exercising by mimicking bicycle pedaling can also be helpful.

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What to do about infantile colic?

Infantile colic is generally spasm-induced pain in the intestines. During acute episodes, a hot water bottle can be applied to the abdomen to alleviate symptoms. Additionally, massaging the abdomen in a clockwise direction can promote intestinal peristalsis, thus facilitating the expulsion of gas and bowel movements, which helps relieve symptoms of intestinal colic. Furthermore, dietary considerations are crucial for infants experiencing colic. Consumption of foods high in animal proteins such as milk, eggs, and fish may trigger colic episodes. Therefore, it is advisable to consume more vegetables and fruits which are rich in rough fibers, as they promote bowel movements and can reduce the frequency of colic episodes.

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Pediatrics
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What are the symptoms of infantile colic?

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 drinking milk relieve baby's colic?

If the baby experiences colic, drinking milk not only fails to alleviate it, but can also easily increase the symptoms. It's best for the mother to give the baby an abdominal massage in a clockwise direction, and also choose some prone positions. It's best to opt for exclusive breastfeeding, as such situations are mostly caused by gastrointestinal overload. Therefore, administering probiotics to the baby can effectively provide relief and further observation can continue. When feeding the baby, it is important to choose a good feeding position and to burp the baby promptly after each feeding.