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

Written by Wu Ben Rong
Pediatrics
Updated on January 28, 2025
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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 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 Huang Kun Mei
Pediatrics
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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.

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Written by Huang Gang
Gastroenterology
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Can drinking milk relieve intestinal colic?

If symptoms of intestinal colic occur, it is primarily important to avoid consuming milk temporarily. Symptoms can be alleviated by using a hot water bottle or by massage to relieve smooth muscle spasms and intestinal colic. It is also important to keep warm, avoid cold exposure, and drink plenty of warm water. Care should be taken not to consume raw or cold fruits, or chilled beverages, as these may exacerbate the symptoms of intestinal colic in babies. For adults, appropriate medications, including pain relievers, can also alleviate intestinal colic. However, by paying attention to certain details in everyday life, medication can often be avoided. Therefore, diet is crucially important.

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Written by Huang Kun Mei
Pediatrics
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How to deal with colic in a 40-day-old baby?

It is very common for babies to experience intestinal colic, especially because the gastrointestinal system of a 40-day-old baby is not yet fully developed. In such cases, you can perform a clockwise massage on the child's abdomen, centered around the navel, for ten minutes each time. You can also do some gas relief exercises for the child, which are beneficial in alleviating intestinal colic. Additionally, you can hold the child in an airplane hold, or use a warm towel to apply heat to the baby's abdomen to relieve intestinal spasms and colic. If the baby's intestinal colic remains particularly severe, it may be necessary to administer some medications that adjust the intestinal flora. Also, it is advisable to engage the child in more outdoor activities to prevent crying due to calcium deficiency.

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Written by Huang Kun Mei
Pediatrics
50sec home-news-image

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.