What to do about infantile colic?

Written by Tong Peng
Pediatrics
Updated on February 16, 2025
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If a baby experiences colic, it can often be alleviated through the following methods. First, abdominal massage can be used; parents can hold the baby and massage around the navel with both hands to improve gastrointestinal function and reduce rapid intestinal movements. Additionally, applying heat to the abdomen, using a hot water bottle or a warm towel, can also be effective. If the baby has bloating, using a soap stick or enema to help the baby expel gas can also relieve symptoms of abdominal pain. If these measures do not alleviate the baby's pain and discomfort, then it is necessary to visit the hospital for a pediatrician to perform a physical examination and assist with related imaging studies for differential diagnosis.

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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 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 Wu Ben Rong
Pediatrics
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Will the baby still have intestinal colic if they fart a lot?

Children who fart frequently may also experience intestinal colic, which usually results from indigestion caused by various reasons. Some children may swallow a lot of air while feeding, which can also lead to colic. However, if a child farts a lot, it can indicate that the air in the abdomen has been expelled, and the likelihood of colic occurring under these circumstances is relatively small. But there are also some pathological factors that could lead to colic, so excessive farting does not necessarily mean that colic will not occur. It is suggested that when a child suffers from colic, parents can use heat application as a local treatment, which is very helpful in relieving the child's pain symptoms.

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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 Tong Peng
Pediatrics
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Do babies with colic always want to breastfeed?

If a baby has colic, they will not continuously want to nurse. This is because colic often occurs due to intestinal gas or unexpelled intestinal secretions, causing irritable spasms of the stomach and intestines. In this case, nursing might actually worsen the symptoms of abdominal pain. Therefore, the baby often exhibits inexplicable crying and appears to be in severe pain, with symptoms including curled legs, occasional abdominal distension, and abdominal tympany upon percussion. At this time, the baby may refuse to eat. Therefore, when colic occurs, we can alleviate it through abdominal massage and by performing gas-relieving exercises. Since colic is a clinical manifestation of digestive dysfunction, it is advisable in daily life to supplement with probiotics, and to provide abdominal massages and dietary adjustments, including eating light, liquid, and easily digestible foods, to help relieve colic.