What should I do if a baby with colic won't sleep?

Written by Tong Peng
Pediatrics
Updated on February 22, 2025
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If an infant suffers from colic and has difficulty sleeping, treatment of the underlying condition should be conducted. It is essential to first understand the causes of colic, which are primarily due to the immature digestive system of the baby. If poor digestion leads to excessive intestinal gas and subsequently causes rapid intestinal movements, it may result in discomfort in the abdominal nerves, thus causing colic. The main treatments for colic should involve both diet and medication. In terms of diet, it is advisable to choose light, liquid-based, and easily digestible foods. It is also important to avoid overeating, opting instead for smaller, more frequent meals. Moreover, the use of probiotics and certain traditional Chinese medicinal formulations can help regulate the function of the spleen and stomach, aiding digestion and absorption. Additionally, abdominal massages can stimulate intestinal movements, facilitating the expulsion of gas and easing bowel movements, thereby potentially reducing the incidence of colic.

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Written by Yan Xin Liang
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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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Is pediatric tuina massage effective for intestinal colic?

When infants experience intestinal colic, it is generally due to excessive gas accumulation in the intestinal cavity, where the gas cannot be normally expelled from the body, leading to abdominal pain. Appropriate use of pediatric massage techniques can be employed to treat this condition, which can effectively alleviate the symptoms. Especially, clockwise massaging the abdomen of the affected child has a very clear clinical effect in promoting intestinal peristalsis and gas expulsion. In addition, assisting children with some lower limb exercises can also promote gastrointestinal motility and gas expulsion. If there is abnormal stool, combining oral probiotics to regulate and maintain the intestinal flora can be beneficial. If necessary, medications that promote gastrointestinal motility can also be taken orally to help with gas expulsion.

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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 Zeng Hai Jiang
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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.

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Symptoms of infantile colic

The symptoms of infant colic mainly occur at night as paroxysmal crying, commonly seen in babies from two weeks to three months old. A warm compress can be applied to the baby's belly centered around the navel, and clockwise abdominal massage can be performed for ten minutes, three times a day. If the baby is under six months old, the mother needs to pay attention to a light and easily digestible diet. If the baby is over six months old, their complementary foods should be given in small, frequent meals, and avoid overfeeding to prevent binge eating. It is important to focus on prevention usually, and after each feeding, make sure to pat the baby gently for about ten minutes and perform clockwise abdominal massages between feedings to prevent issues.