How to determine if a baby has colic

Written by Wang Lin Zhong
Pediatrics
Updated on January 21, 2025
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Intestinal colic is a very common symptom in babies. It can be caused by both physiological and pathological reasons. Physiological reasons generally include improper feeding, a cold stomach, or excessive hunger. Pathological reasons typically involve acute gastroenteritis, indigestion, and so on. Intestinal colic usually occurs in the evening or at night and has a sudden onset. Mild cases may present with loss of appetite, incessant crying, nausea, vomiting, and diarrhea. Severe cases can exhibit symptoms such as high fever, bloody stools, and even confusion. Therefore, when diagnosing intestinal colic, it is necessary to go to the hospital for relevant examinations to rule out surgical conditions. Intestinal colic is generally manageable and can be relieved with appropriate treatment. It is important to keep the baby's stomach warm, avoid overeating and binge eating, and maintain cleanliness and hygiene in their diet.

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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 Liu Li
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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.

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Written by Wu Ben Rong
Pediatrics
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Is the baby's rumbling stomach intestinal colic?

A child's stomach making gurgling noises doesn't necessarily mean they have intestinal colic; it could be due to indigestion. The main symptom of intestinal colic is severe abdominal pain, which usually isn't accompanied by gurgling sounds. If a child does have intestinal colic, they may exhibit symptoms such as incessant crying and abdominal spasms, whereas gurgling sounds are typically caused by the incomplete development of the digestive tract in children, leading to gas formation as food moves through the intestines. If the child does not display symptoms like abdominal distension, diarrhea, or abdominal pain, treatment may not be necessary. However, if such symptoms are present, it could be due to conditions like enteritis or dysentery, and it is advisable for parents to take their child to a reputable hospital for an examination.

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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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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.