Colic in Infants: Causes, Remedies, and Support

Intestinal colic?

Hello, Doctor.
Our baby is currently 6 weeks old.
Recently, every night around 12:00 to 1:00 AM, he starts crying intensely and intermittently for 1 to 3 hours, appearing to be in pain.
We have tried changing his diaper and feeding him, but nothing seems to help, and he does not have a fever.
Even when we hold him, he continues to cry.
This situation does not occur at other times.
After researching online, we suspect it may be colic.
Here are the baby's details: he drinks S-26 Gold infant formula, was 51 cm and 2950 grams at birth, and is now 57 cm and 4750 grams.
He has a bowel movement once a day, and the color and consistency are normal.
I have a few questions:
1.
A pharmacist at Ding Ding Pharmacy recommended switching to an acidic formula (like Cow & Gate) and adding rennet.
Is this necessary?
2.
Is it true, as commonly stated online, that colic will improve after 3 months? If we wait until then, will it have any impact on the baby's physical and mental well-being?
3.
Can you provide some strategies to help the baby through this difficult time?
I would greatly appreciate any answers.
I hope I haven't taken up too much of your time.
Thank you!

who, 30~39 year old female. Ask Date: 2003/03/10

Dr. Yu Meiling reply Pediatrics

1.
This condition is due to the immaturity of the central nervous system, gastrointestinal hypersensitivity, lactose intolerance, and excessive air swallowing.
Therefore, for formula feeding, hypoallergenic formula (hydrolyzed protein) or lactose-free options should be used.
2.
It typically resolves on its own by 9 to 12 weeks of age, with a minority persisting until 1 year old.
The prognosis is favorable.
3.
Local applications of carminative oil, warm compresses, or changing the infant's position can help facilitate the expulsion of air from the abdomen.

Reply Date: 2003/03/10

More Info

Understanding colic in infants can be quite challenging for new parents, especially when faced with the distressing sight of their baby crying inconsolably. Colic is generally defined as excessive crying in an otherwise healthy infant, typically occurring in the late afternoon or evening. It usually starts around two to three weeks of age and can last until the baby is about three to four months old.

Causes of Colic
The exact cause of colic remains unclear, but several factors may contribute to it:
1. Digestive System Maturity: Infants have immature digestive systems that may lead to discomfort, especially after feeding. Gas buildup or difficulty in digesting certain formulas can cause pain.

2. Overstimulation: Babies can become overwhelmed by their environment, leading to crying spells. This is particularly true if they are exposed to loud noises or bright lights.

3. Parental Stress: Babies can pick up on their parents' stress levels. If parents are anxious or stressed, it may affect the baby’s mood and behavior.

4. Dietary Factors: Some babies may react to certain proteins in formula or breast milk, leading to discomfort.

Remedies and Support
1. Feeding Adjustments: If you suspect that your baby’s formula might be contributing to the issue, consider consulting with your pediatrician about trying a different formula. Acidic formulas or those with added enzymes may help some infants, but it’s essential to make such changes under medical guidance.

2. Comforting Techniques:
- Swaddling: Wrapping your baby snugly in a blanket can provide comfort.

- Gentle Rocking: Holding your baby and gently rocking them can soothe them.

- White Noise: Sounds that mimic the womb, such as white noise machines or soft music, can be calming.

- Warm Bath: A warm bath can help relax your baby and ease discomfort.

3. Tummy Time: Allowing your baby to spend time on their tummy while awake can help relieve gas and strengthen their muscles.

4. Consulting a Pediatrician: If the crying persists or worsens, it’s crucial to consult your pediatrician. They can rule out any underlying medical conditions and provide tailored advice.

Timeline for Improvement
Many parents find that colic symptoms begin to improve around three months of age. This is due to the maturation of the infant's digestive system and their ability to self-soothe. While it can be distressing to wait for this phase to pass, most infants outgrow colic by the time they reach four months.

Impact on Baby’s Well-being
While colic can be exhausting for both the baby and the parents, it typically does not lead to long-term physical or psychological issues for the infant. However, the stress of dealing with a colicky baby can affect parental mental health. It’s essential for parents to seek support from family, friends, or professionals to help cope with the stress.

Conclusion
In summary, colic is a common phase in infancy that can be distressing but is usually temporary. By understanding the potential causes and employing soothing techniques, parents can help their babies through this challenging time. If you have concerns about your baby’s health or well-being, always consult with your pediatrician for personalized advice and support. Remember, you are not alone in this experience, and many parents face similar challenges.

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