Summary
Definition
History and exam
Key diagnostic factors
- presença de fatores de risco
- em geral, bom estado de saúde e crescimento pôndero-estatural
Other diagnostic factors
- urina normal
- ausência de vômitos recorrentes
- ausência de diarreia
- temperatura normal
- ausência de distensão abdominal
- membrana timpânica normal
- ausência de sinais de trauma físico
Risk factors
- lactentes <5 meses de idade
- sensibilidade alimentar
- exposição à fumaça de cigarro
- ausência de amamentação
- fatores psicossociais parentais
- pais mais velhos
- alto nível educacional dos pais
Diagnostic investigations
1st investigations to order
- avaliação clínica
Investigations to consider
- urinálise
- urocultura
- radiografia simples da área com suspeita de fratura
- radiografia abdominal
Treatment algorithm
aleitamento materno
alimentação com fórmula
cólica persistente apesar das modificações comportamentais e alimentares
Contributors
Authors
Alexander K.C. Leung, MB BS, FRCPC, FRCP, FRCPCH, FAAP
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.
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.
References
Key articles
Leung AK, Lemay JF. Infantile colic: a review. J R Soc Promot Health. 2004 Jul;124(4):162-6. Abstract
Johnson JD, Cocker K, Chang E. Infantile colic: recognition and treatment. Am Fam Physician. 2015 Oct 1;92(7):577-82.Full text Abstract
Critch J. Infantile colic: is there a role for dietary interventions? Paediatr Child Health. 2011 Jan;16(1):47-9.Full text Abstract
Reference articles
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Differentials
- Infecção do trato urinário
- Otite média
- Doença do refluxo gastroesofágico (DRGE)
More DifferentialsGuidelines
- Postnatal care
- Unsettled or crying babies
More GuidelinesPatient information
Depressão pós-parto
Cólica em bebês
More Patient information
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