Colic in Infants: Symptoms, Management, and Relief Tips

Q: Colic in Infants: Symptoms, Management, and Relief Tips

Hello： 1. <br>Infant colic： It typically begins between 2 to 4 weeks of age, with the baby crying for one or several episodes a day, each lasting for a few hours. <br>This crying is often difficult to soothe and is related to the immature state of the infant's gastrointestinal ne

What is intestinal colic? How should it be managed?

The baby seems to start crying intensely every night when it gets quiet, and no matter how we try to soothe her, she continues to cry uncontrollably.
When we consulted a doctor, they mentioned that her symptoms were consistent with colic and suggested using acidified milk.
However, the medication prescribed by the doctor caused the baby to have soft, mushy stools, and the acidified milk was only effective at the beginning.
Additionally, she cries when passing gas or having a bowel movement, but once she finishes, she starts to smile.
Is this also a symptom of colic? What exactly are the symptoms of colic? How long does it typically last (she is almost five months old now)? What can I do to alleviate her discomfort?

Xinpan, 30~39 year old female. Ask Date: 2005/03/30

Dr. Zhang Peixin reply Pediatrics

Hello: 1.
Infant colic: It typically begins between 2 to 4 weeks of age, with the baby crying for one or several episodes a day, each lasting for a few hours.
This crying is often difficult to soothe and is related to the immature state of the infant's gastrointestinal nervous system.
Generally, it resolves on its own by 3 to 4 months of age.
2.
Strategies for managing colic: a.
Choose lactose-free formula (anti-colic formula).
b.
Add fiber to the formula.
c.
Switch to hydrolyzed protein formula (hypoallergenic formula).
3.
If there is no significant improvement after trying the above methods, it is recommended to consult a pediatric gastroenterologist for further evaluation.
Dr.
Pei Ren-Sheng, Pediatrician, responds.

Reply Date: 2005/03/30

More Info

Colic in infants is a common condition characterized by excessive crying and fussiness, particularly in the late afternoon or evening. It typically affects babies under three months of age, and while the exact cause is not fully understood, it is believed to be related to gastrointestinal discomfort, immature digestive systems, or even overstimulation.

Symptoms of Colic
The primary symptom of colic is prolonged crying, often described as intense and inconsolable. Other signs may include:
- Crying that occurs at the same time each day, often in the evening.

- The baby may clench their fists, arch their back, or pull their legs toward their belly.

- The crying may last for at least three hours a day, three days a week, for three weeks or longer.

- The baby may appear to be in pain, especially when passing gas or having a bowel movement, which you mentioned in your case.

Management and Relief Tips
1. Feeding Adjustments: If your doctor recommended acidified milk, it might help some infants with colic, but not all. If you notice that your baby has soft stools or discomfort after feeding, it may be worth discussing alternative formulas or feeding methods with your pediatrician. Sometimes, a hypoallergenic formula can be beneficial if a milk protein allergy is suspected.

2. Burping Techniques: Ensure that you are burping your baby frequently during and after feedings. This can help relieve gas buildup, which may contribute to discomfort.

3. Comforting Techniques: Swaddling, gentle rocking, or using a pacifier can provide comfort. Some parents find that white noise or soft music can soothe their baby.

4. Tummy Time: Supervised tummy time can help relieve gas and strengthen your baby's muscles. This should be done when the baby is awake and alert.

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

6. Consulting a Pediatrician: Since you mentioned that your baby seems to feel better after passing gas or having a bowel movement, it’s essential to discuss this with your pediatrician. They may want to rule out other gastrointestinal issues, such as reflux or constipation.

Duration of Colic
Colic typically resolves on its own by the time the baby is three to four months old, but it can last longer in some cases. By five months, many babies show significant improvement, and the crying episodes become less frequent. However, every baby is different, and some may take longer to outgrow colic.

When to Seek Help
If your baby’s crying is accompanied by other concerning symptoms, such as fever, vomiting, diarrhea, or if you notice any signs of dehydration (like fewer wet diapers), it’s crucial to seek medical attention. Additionally, if you feel overwhelmed or if the crying is affecting your well-being, don’t hesitate to reach out for support from healthcare professionals or parenting groups.

In conclusion, while colic can be distressing for both the baby and the parents, it is usually a temporary condition. With patience, support, and the right strategies, many families find relief as their baby grows and develops. Always keep an open line of communication with your pediatrician to ensure that your baby’s needs are being met and to explore any additional options for relief.

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