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 Wang Lin Zhong

Pediatrics

1min 4sec

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How long does infant colic last?

The duration of colic in each baby varies. It is brief, lasting only a few seconds in mild cases, and can extend to several minutes or even longer in severe instances. Symptoms of colic include paroxysmal crying, decreased appetite, and restless sleep at night. Colic generally occurs in babies around six months old. At this stage, a baby's gastrointestinal function is not yet fully developed, and the introduction of solid foods can make digestion difficult, leading to gas and bloating. If a baby experiences intestinal gas, this can lead to colic. To help relieve this, you can perform gas relief exercises with your baby, such as clockwise abdominal massage, which helps release the gas inside the intestines and alleviate colic. Additionally, administering probiotics to the baby can help regulate intestinal flora. If the gas is prominent, simethicone can be orally administered to absorb excess gas in the intestines and relieve pain. (Use of medications should be under the guidance of a physician.)

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Written by Tong Peng

Pediatrics

1min 7sec

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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 Tong Peng

Pediatrics

1min 9sec

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Does infantile colic cause bowel sounds?

Infantile colic can present with bowel sounds. First, it is important to understand that colic is associated with indigestion, or that certain components in the consumed food are not fully digested and absorbed. This leads to abnormal intestinal peristalsis, or excessive intestinal gas production that stimulates the nerves in the intestinal wall, causing symptoms of colic. The affected child often exhibits crying, limbs curling, and accompanying abdominal distension. In such cases, there is often an increase in bowel sounds, which can be assessed through auscultation. When colic occurs, it is firstly advisable to adjust the diet, such as abdominal massage to promote intestinal gas expulsion, choosing light, liquid, and easily digestible food, eating small, frequent meals, and using probiotics to aid digestion and absorption, reducing the production of intestinal gas. Additionally, it is crucial to check if the baby has any digestive system diseases or intestinal developmental abnormalities, as these conditions can lead to recurrent symptoms of colic.

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Written by Wu Ben Rong

Pediatrics

42sec

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Will a baby's stomach make noises if they have colic?

When a child experiences intestinal colic, they often experience severe abdominal pain, and may exhibit behaviors like crying or discomfort. They might also kick around, but usually, there will not be noises of rumbling in the stomach. The rumbling sounds in a child's stomach are usually due to reasons like indigestion which cause the sounds of gastrointestinal motility. When a child eats too quickly and a large amount of air enters the stomach, it can lead to this phenomenon. If the child has started on solid foods, consuming foods that produce a lot of gas can also cause these symptoms. If the child does not show other symptoms such as diarrhea, special treatment is generally not necessary.

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Written by Yao Li Qin

Pediatrics

1min 3sec

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What are the symptoms of infantile colic?

Infant colic mostly occurs between 2-4 weeks after birth, generally reaching a peak around one and a half months after birth. The symptoms of infant colic primarily include four aspects: firstly, the child will suddenly start crying loudly and inconsolably, which is clearly different from usual. Second, the crying episodes can last particularly long, even up to about three hours, and may occur more than three times a week. Thirdly, these episodes generally occur in the evening or late at night, hence the colloquial term "twilight crying." Fourthly, with colicky infants, conventional soothing methods are ineffective; for example, holding or comforting the baby does not help, and the child continues crying until completely exhausted before falling asleep. This is a typical symptom of infant colic.