Infantile colic
Резюме
Определение
病史和体格检查
关键诊断因素
- generally well and thriving
其他诊断因素
- normal urine
- absence of recurrent vomiting
- absence of diarrhea
- normal temperature
- absence of abdominal distention
- normal tympanic membrane
- absence of signs of physical trauma
危险因素
- 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
诊断性检查
首要检查
- clinical evaluation
需考虑的检查
- urinalysis
- urine culture
- plain radiograph of a suspected fractured area
- abdominal radiograph
治疗流程
breastfed
formula-fed
persistent colic despite behavioral and dietary modifications
撰稿人
作者
Alexander K.C. Leung, MB BS, FRCPC, FRCP, FRCPCH, FAAP
Clinical Professor of Pediatrics
The University of Calgary
Calgary
Alberta
Canada
利益声明
AKCL is an author of a number of references cited in this topic.
鸣谢
Dr Alexander K.C. Leung would like to gratefully acknowledge Dr Jean-François Lemay, a previous contributor to this topic.
利益声明
JFL is the author of a reference cited in this topic.
同行评议者
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
利益声明
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
利益声明
EH declares that he has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
参考文献
关键文献
Leung AK, Lemay JF. Infantile colic: a review. J R Soc Promot Health. 2004 Jul;124(4):162-6. 摘要
Johnson JD, Cocker K, Chang E. Infantile colic: recognition and treatment. Am Fam Physician. 2015 Oct 1;92(7):577-82.全文 摘要
Critch J. Infantile colic: is there a role for dietary interventions? Paediatr Child Health. 2011 Jan;16(1):47-9.全文 摘要
参考文献
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
鉴别诊断
- Urinary tract infection
- Otitis media
- GERD
更多 鉴别诊断Guidelines
- Nutrition for healthy term infants: recommendations from birth to six months
- Infantile colic: is there a role for dietary interventions?
更多 GuidelinesPatient information
Colic in babies
Postpartum depression
More Patient information
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