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Infantile colic

Last reviewed: 23 Nov 2024
Last updated: 18 Jul 2024

Summary

Definition

History and exam

Key diagnostic factors

  • generally well and thriving
Full details

Other diagnostic factors

  • normal urine
  • absence of recurrent vomiting
  • absence of diarrhea
  • normal temperature
  • absence of abdominal distention
  • normal tympanic membrane
  • absence of signs of physical trauma
Full details

Risk factors

  • infants <5 months of age
  • food sensitivity
  • exposure to cigarette smoke
  • lack of breastfeeding
  • parental psychosocial factors
  • increased parental age
  • high level of parental education
Full details

Diagnostic tests

1st tests to order

  • clinical evaluation
Full details

Tests to consider

  • urinalysis
  • urine culture
  • plain radiograph of a suspected fractured area
  • abdominal radiograph
Full details

Treatment algorithm

ACUTE

breastfed

formula-fed

ONGOING

persistent colic despite behavioral and dietary modifications

Contributors

Authors

Alexander K.C. Leung, MB BS, FRCPC, FRCP, FRCPCH, FAAP
Alexander K.C. Leung

Clinical Professor of Pediatrics

The University of Calgary

Calgary

Alberta

Canada

Disclosures

AKCL is an author of a number of references cited in this topic.

Acknowledgements

Dr Alexander K.C. Leung would like to gratefully acknowledge Dr Jean-François Lemay, a previous contributor to this topic.

Disclosures

JFL is the author of a reference cited in this topic.

Peer reviewers

Deepak Kamat, MD, PhD

Professor of Pediatrics

Wayne State University

Vice Chair of Education

Director

Institute of Medical Education

The Carman and Ann Adams Department of Pediatrics

Children's Hospital of Michigan

Detroit

MI

Disclosures

DK declares that he has no competing interests.

Ellis Hon, MD, FAAP

Professor of Pediatrics

The Chinese University of Hong Kong

Sha Tin

New Territories

Hong Kong SAR

The People's Republic of China

Disclosures

EH declares that he has no competing interests.

  • Differentials

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  • Guidelines

    • Nutrition for healthy term infants: recommendations from birth to six months
    • Infantile colic: is there a role for dietary interventions?
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  • Patient information

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    More Patient information
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