Infantile colic is characterized by paroxysms of uncontrollable crying in an otherwise healthy and well-fed infant aged <5 months. The duration of crying is >3 hours per day, and >3 days per week, for at least 3 weeks.
The crying typically starts in the first weeks of life and ends by 4 to 5 months of age.
Food allergy may play a role in the pathogenesis.
The condition can be very stressful for the family.
Managed by supportive counseling, reassurance, and dietary modifications (if indicated).
Infantile colic is defined as paroxysms of uncontrollable crying or fussing in an otherwise healthy and well-fed infant aged <5 months. The duration of crying is >3 hours per day, and >3 days per week, for at least 3 weeks. The crying typically starts in the first weeks of life and ends by 4 to 5 months of age.
History and exam
Key diagnostic factors
- generally well and thriving
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
- infants <5 months of age
- food sensitivity
- exposure to cigarette smoke
- lack of breastfeeding
- parental psychosocial factors
- increased parental age
- high level of parental intelligence and education
1st investigations to order
- clinical evaluation
Investigations to consider
- urine culture
- plain radiograph of a suspected fractured area
- abdominal radiograph
persistent colic despite behavioral and dietary modifications
- Urinary tract infection
- Otitis media
- Infantile colic: is there a role for dietary interventions?
- Concerns for the use of soy-based formulas in infant nutrition
Colic in babies
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