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.

Other Voices

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Written by Huang Gang
Gastroenterology
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Can a pacifier be used for intestinal colic?

First, we need to understand the causes of colic. It commonly occurs in infants when breastfeeding or formula feeding, due to ingesting large amounts of air. The air bubbles move within the intestines and cause abdominal pain. Furthermore, overfeeding can lead to excessive stomach expansion, which can also cause discomfort. Therefore, when feeding, it is important to ensure that the child does not inhale a large amount of air. Additionally, using a pacifier can lead to the intake of more air, thereby exacerbating colic. Thus, prevention is more important than treatment. Mothers should be careful not to let the baby inhale air while breastfeeding, as this is the most common cause of the condition.

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Written by Wu Ben Rong
Pediatrics
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How to determine if a baby has colic or is just gassy

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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Can infants with colic drink probiotics?

Infants with colic can consume probiotics because colic is largely due to the immature digestive system of the infant. If the abdomen is exposed to temperature changes, overfeeding occurs, or certain nutrients in the food are improperly combined, it can lead to intestinal gas and indigestion, triggering symptoms of colic. Oral probiotics can alleviate these symptoms and reduce the incidence of colic. Additionally, it is important to strengthen abdominal care for the baby to prevent exposure to cold, and abdominal massages can also help. Massage around the navel in a clockwise direction for 5-10 minutes to promote intestinal gas expulsion, which can also help relieve colic. To gradually alleviate infant colic, the above methods should be used. As for the choice of probiotics, it is still necessary to first identify the cause and then provide targeted quality treatment.

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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 Zeng Hai Jiang
Pediatrics
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Does not crying after an airplane hug mean intestinal colic?

Infant colic, commonly occurring in about 20% of babies, is defined as a condition in healthy infants under three months old who cry for at least three hours per day, at least three days per week. The symptoms of infant colic usually start between two to four weeks of age and improve by three to six months. To alleviate the symptoms, one can gently rub the baby's belly clockwise and use a holding position known as the "airplane hold." This involves holding the baby in a prone position, lying face down on the parent's hand, resembling the posture of flying in an airplane. The "airplane hold" mainly helps to relieve gastrointestinal gas and colic in babies, and it generally lasts for about 30 minutes.