Presentation
Many parents have often tried simple things like feeding, playing and sleeping by the time they present to their GP. But are many other tips and tricks to try and sooth a colicky baby. [pakmag.com.au]
The aims of this review are to present recent research investigating the connection between infantile colic and migraine. [ncbi.nlm.nih.gov]
Infants presenting with these symptoms should be assessed by a qualified medical practitioner to rule out other diagnoses.4 In some cases, excessive crying may mean an infant is presenting in pain, needing urgent investigation (see “warning signals” in [nursinginpractice.com]
Entire Body System
- Irritable Infant
Rabbitt, Irritable Infant, Nelson Pediatric Symptom-Based Diagnosis, 10.1016/B978-0-323-39956-2.00026-1, (411-420.e2), (2018). [doi.org]
Fever (>38 degrees C, 100.4 degrees F, rectal) in an infant less than twelve weeks of age.. .. .. 2. Paradoxical irritability (infant doesn't want to be held).. .. .. 3. [hawaii.edu]
Double-blind placebo-controlled trial of omeprazole in irritable infants with gastroesophageal reflux. J Pediatr. 2003;143(2):219–223. 27. Iacovou M, Ralston RA, Muir J, et al. Dietary management of infantile colic: a systematic review. [web.archive.org]
- Edema of the Finger
[…] of toes, fingers, or penis; hair found curled up near infant Hair wrapped around finger, toe, or penis None Inadequate bottle feeding Aggressive feeding Clinical dehydration, loss of fat from cheeks, weight loss or poor weight gain Weight increase with [web.archive.org]
Gastrointestinal
- Abdominal Pain
The population studied was matched with healthy control without history of recurrent abdominal pain, enrolled among pediatricians practicing primary health care. [ncbi.nlm.nih.gov]
Symptoms: Paroxysms (sudden attacks) of crying Apparent abdominal pain Irritability Suggestions: Some doctors believe that colic exists in order to change deeply ingrained relationship habits. Colic demands attention. [himalayawellness.com]
[…] in·fan·tile col·ic episodes of abdominal pain due to abnormal muscular contraction of the intestine in infants. infantile colic Etymology: L, infans, unable to speak; Gk, kolikos, pain in the colon a descriptive term for a suggested intestinal cause of [medical-dictionary.thefreedictionary.com]
- Nausea
[…] abdominal tenderness R10.825 Periumbilic rebound abdominal tenderness R10.826 Epigastric rebound abdominal tenderness R10.827 Generalized rebound abdominal tenderness R10.83 Colic R10.84 Generalized abdominal pain R10.9 Unspecified abdominal pain R11 Nausea [icd10data.com]
Fang Ruida more than once stressed that his ideas, theories and doctrines from all over the world, rather than his personal nausea. [flickr.com]
- Abdominal Colic
Convert to ICD-10-CM : 789.7 converts directly to: 2015/16 ICD-10-CM R10.83 Colic Approximate Synonyms Abdominal colic Abdominal colic child = < 12 months old Abdominal colic in child less than or equal to 12 months Colic, infantile Infantile colic Clinical [icd9data.com]
colic child = < 12 months old Abdominal colic in adult or child greather than 12 months Abdominal colic in child less than or equal to 12 months Abdominal colic, adult or child > 12 months old Colic, infantile Infantile colic Clinical Information A clinical [icd10data.com]
Neurologic
- Neglect
Both fathers and mothers suffered with their babies, felt powerless and overwhelmed by strong feelings and neglected their other needs. To get through this period, parents used various strategies to ease their baby's pain. [ncbi.nlm.nih.gov]
Child Abuse and Neglect, 30, 7–16. PubMed CrossRef Google Scholar 13. American Academy of Pediatrics Committee on Child Abuse and Neglect. (2001). Shaken Baby Syndrome: Rotational cranial injuries—Technical report. Pediatrics, 108 (1), 206–210. [dx.doi.org]
While some cases of infantile colic have been attributed to excessive intestinal gas, the time and attention taken by the parent to burp the baby may also have a therapeutic effect, especially if the infant is often neglected. [healthhype.com]
Infant colic can lead to increased familial stress, and sometimes serious consequences such as shaken baby syndrome, child abuse or neglect. [nuemblog.com]
- Hyperalgesia
[…] the available data fail to provide insight into the exact triggers of infantile colic, these do allow for the hypothesis that certain infants are predisposed to dietary protein intolerance and disturbed gut motility, such as visceral hypersensitivity/ hyperalgesia [ncbi.nlm.nih.gov]
Alternatively, strategies to improve gut microflora and reduce hyperperistalsis and hyperalgesia may be more appropriate. These will be considered in turn below. [jfhc.co.uk]
Neonatal gastric suctioning results in chronic visceral and somatic hyperalgesia: role of corticotropin releasing factor. Neurogastroenterol Motil. 2007;19(8):692-699. PubMed Google Scholar Crossref 16. Lin HC. [doi.org]
Electro-acupuncture relieves chronic visceral hyperalgesia in rats. Neurosci. Lett. 376, 20–23 (2005). 258. Liao, J. M. et al. Electroacupuncture at Hoku elicits dual effect on autonomic nervous system in anesthetized rats. Neurosci. [nature.com]
Workup
[…] may be worthwhile; positive results may indicate an underlying GI problem Stool may be tested for occult blood to rule out cow’s milk allergy Irritability and crying may be associated with GERD because of the pain associated with esophagitis See Workup [emedicine.com]
However, the presence of fever may necessitate a workup for sepsis and involve blood and urine cultures, imaging and even lumbar puncture. [statpearls.com]
Treatment
Primary end-points were crying time at mid-treatment, at the end of treatment and at a 1-month follow-up. A 30-min mean difference (MD) in crying time between acupuncture and control was predefined as a clinically important difference. [ncbi.nlm.nih.gov]
Neither concomitant treatments nor side effects were reported. [doi.org]
Prognosis
Prognosis The prognosis is excellent. Most infants with colic recover spontaneously by 3-4 months of age. [patient.info]
This app have lot of information of symptoms, Diagnosis, Prognosis, Treatment & etc. Note: All information about the application is for educational purposes only. For specific advice, diagnoses, and medical care, consult your doctor. [play.google.com]
Causes Unknown[1] Diagnostic method Based on symptoms after ruling out other possible causes[1] Differential diagnosis Corneal abrasion, hair tourniquet, hernia, testicular torsion[2] Treatment Conservative treatment, extra support for the parents[1][3] Prognosis [en.wikipedia.org]
Prognosis Infantile colic is a benign and self-limiting condition that typically resolves spontaneously by three months of age. [statpearls.com]
Etiology
The etiology is unknown although many hypotheses have been proposed. Colic can be very frustrating for parents to deal with, thus it is important to provide reassurance and resources. [ncbi.nlm.nih.gov]
The etiology of infantile colic remains unclear. Many risk factors assessed but no one is certain. We invastigate ethiology, risk factors and treatment methods of infantile colic. Key words: Infantile colic, ethiology, treatment [scopemed.org]
Etiologies are likely multifactorial, and treatment recommendations vary based on those potential etiologies. [statpearls.com]
Results: At present, infantile colic is an area of clinical research both in terms of etiology and treatment. Various etiological theories have been proposed but none of them are strong enough to completely describe the condition. [indianpediatrics.net]
Epidemiology
REVIEW ARTICLE Corresponding Author E-mail address: [email protected] Clinical Enteric Neuroscience Translational and Epidemiological Research (C.E.N.T.E.R.), Division of Gastroenterology and Hepatology, Department of Medicine, Mayo Clinic College [doi.org]
[…] disease and non-celiac gluten sensitivity Clinical Review State of the Art Review BMJ 2015 ; 351 doi: https://doi.org/10.1136/bmj.h4347 (Published 05 October 2015) Cite this as: BMJ 2015;351:h4347 Benjamin Lebwohl, assistant professor of medicine and epidemiology [dx.doi.org]
At that time little evidence regarding epidemiology, pathophysiology, diagnostic work-up, treatment strategies and follow-up was available. Consequently the criteria for the clinical entities were more experience than evidence based. [ncbi.nlm.nih.gov]
Epidemiology Baby colic is very common, occurring in round 10-30% of infants. [ 1 ] It affects males and females equally. Breast-fed and formula-fed infants are equally affected. [patient.info]
Pathophysiology
However, the pathophysiological clues indicate that infantile colic is a shared pathology between the mother and the baby, especially in the case of breastfeeding mothers. [ncbi.nlm.nih.gov]
Pathophysiology has been described in various ways in different studies and yet not conclusive. [banglajol.info]
The pathophysiology of this clinical phenotype is poorly understood, but it is a cause of increasing interest in gluten-free diets in the general population. [dx.doi.org]
Laboratory of Experimental Pathophysiology IRCCS Bari Italy [link.springer.com]
Prevention
Meanwhile, L. reuteri DSM 17938 has been suggested, for the first time, to be possibly effective in preventing infantile colic. [ncbi.nlm.nih.gov]
Objective To examine whether probiotics are effective in the prevention/management of crying (“colic”) in infants 3 months or younger. [doi.org]
Of those using L reuteri, 1 prevention and 6 treatment trials showed consistent benefit in breast-fed babies. [emedicine.medscape.com]