Presentation
An alternative diagnosis should be considered if failure to thrive is present. [patient.info]
H. pylori stool antigen was present in 31 (62%) of cases in contrast to 10 (20%) of controls (P [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
- Crying
CONCLUSION: LGG in infants treated in tandem with behavioral support and a cow's milk elimination diet did not provide additional treatment effect for diary-verified colic crying although parental report of crying suggested the probiotic intervention [ncbi.nlm.nih.gov]
Differential Diagnosis Normal crying in infants without colic Overall, Infants cry 2.2 hours/day on average Crying duration peaks at 6 weeks and then decreases Assess for other etiology of excessive crying See Inconsolable Crying in Infants See Red Flags [fpnotebook.com]
- Fatigue
many of the above interventions only briefly console infants and the crying returns as soon as the stimulation or activity stops, leaving infants even more fatigued. [msdmanuals.com]
Crying, frustration, and fatigue can inflict enormous emotional strain on new parents, leading to anxiety, stress, marital discord, and low self-esteem as a parent. 13 When we combine these social effects with the increased risks to affected infants and [naturalmedicinejournal.com]
- Irritable Infant
Rabbitt, Irritable Infant, Nelson Pediatric Symptom-Based Diagnosis, 10.1016/B978-0-323-39956-2.00026-1, (411-420.e2), (2018). [dx.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. [aafp.org]
Gastrointestinal
- Abdominal Pain
In colicky infants, dysbiosis may affect gut motor function and gas production resulting in abdominal pain/colic. [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]
- Abdominal Distension
Aerophagia caused by crying may lead to flatulence and abdominal distension. infantile colic Colic occurring in infants, principally during the first few months of life. [medical-dictionary.thefreedictionary.com]
Abdominal distension may suggest the need for abdominal radiography or ultrasonography, while positive fecal occult blood testing may support suspected cow's milk allergy. [statpearls.com]
Other signs frequently associated to inconsolable crying are flushing, abdominal distension and leg contracture. [ijponline.biomedcentral.com]
Abdominal distension and increased passage of flatus are often noted. However, the term colic implies a mechanism responsible for the distress displayed by these infants. Such a mechanism has never been demonstrated. [journals.lww.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]
Rhinoconjunctivitis Bronchial asthma T cell-mediated (with or without involvement of IgE) Delayed type reaction > 24 hours after food ingestion In infants and adults Baker’s asthma in adults Gastrointestinal tract Colitis Diarrhea Gastroenteritis Anorexia Nausea [ncbi.nlm.nih.gov]
- 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]
Liver, Gall & Pancreas
- Jaundice
[…] testing Diarrhea, intermittent, explosive Hirschsprung disease Bilious emesis, chronic constipation, fever, no meconium passed in first 24 hours of life, poor feeding; may coexist with trisomy 21; more common in boys Abdominal distention or tenderness, jaundice [aafp.org]
Premature rupture of membranes (>24 hours), perinatal maternal fever/infection, neonatal jaundice.. .. .. 4. Maternal drug use.. .. .. 5. Poor feeding, poor weight gain.. .. .. 6. [hawaii.edu]
- Biliary Colic
Biliary colic: This is pain caused by a gallstone obstructing the cystic duct as the gallbladder contracts. Horse colic: This is a symptom of a number of diseases in horses. Painter’s colic: This can be caused by lead poisoning. [medicalnewstoday.com]
Cardiovascular
- Cyanosis
The symptoms include cyanosis, pallor or bradycardia and snoring in case of obstructive apnea. [orpha.net]
These include:[2] Apnea, a temporary pause in breathing during sleep, or struggling to breath Cyanosis, a bluish colour in the skin or mucus membranes that indicates low oxygen levels in the blood Fever Good to know: If a baby exhibits any of these three [ada.com]
A history of apnea, cyanosis, or struggling to breathe may suggest previously undiagnosed pulmonary or cardiac conditions. [web.archive.org]
Tachypnea, retractions, nasal flaring, cyanosis.. .. .. 12. Abnormal extremity movement (hip, etc.).. .. .. 13. Abdominal tenderness/mass.. .. .. 14. Bloody stool (not just external streaks).. .. .. 15. Bilious or projectile vomiting.. .. .. 16. [hawaii.edu]
Skin
- Eczema
Incidence of eczema, infections, and GP visits in the first year were similar in AB+ and AB-. CONCLUSION: Antibiotic treatment in the first week of life is associated with an increased risk of wheezing and infantile colics. [ncbi.nlm.nih.gov]
[…] milk protein is as allergenic as cow milk protein usually a manifestation of delayed (non-IgE mediated) reactions suspect if there is vomiting, blood or mucus in diarrhoea, poor weight gain, family history in first degree relative or signs of atopy (eczema [rch.org.au]
Your GP can check for possible causes of your baby's crying, such as eczema or gastro-oesophageal reflux disease (GORD). GORD is a condition where stomach acid moves back out of the stomach and into the gullet (oesophagus). [nidirect.gov.uk]
[…] absence of a family history of allergy does not exclude the possibility of an infant becoming allergic) - In infants where symptoms are persistent and affecting different organ systems - In infants who have been treated for moderate to severe atopic eczema [nursinginpractice.com]
Psychiatrical
- Hunger
Features of colic may include the following: Intense crying that may seem more like screaming or an expression of pain Crying for no apparent reason, unlike crying to express hunger or the need for a diaper change Extreme fussiness even after crying has [mayoclinic.org]
[…] big or small, loose, or hard) The doctor will likely do an exam to check if your baby is fussy for other reasons, such as: Food allergies or sensitivities to something in your diet, if you breastfeed Discomfort, such as if she is too hot or too cold Hunger [webmd.com]
Typically, colicky infants eat and gain weight well, although vigorous nonnutritive sucking may suggest excessive hunger. Colic probably has no relation to development of an insistent, impatient personality. [msdmanuals.com]
Neurologic
- Seizure
The seizures were controlled with anticonvulsants. Repeat EEG's in both patients revealed epileptiform discharges. Anticonvulsant therapy was continued with complete resolution of the apnea and no further seizures. [nature.com]
[…] feeding vomits green fluid has blood in their poo has a fever of 38C or above (if they're less than three months old) or 39C or above (if they're three to six months old) has a bulging fontanelle (the soft spot at the top of a baby's head) has a fit (seizure [nidirect.gov.uk]
Anticholinergic medications are not recommended due to the risk of serious adverse events (apnoeas, seizures). [rch.org.au]
However, because of serious, although rare, adverse effects (eg, apnea, breathing difficulty, seizures, syncope), its use cannot be recommended. Wessel and colleagues suggested an association between family and infantile tension. [emedicine.medscape.com]
- Confusion
A best evidence guideline for the United States would eliminate confusion and uncertainty about which colic therapies are safe and effective for parents and professionals. Copyright © 2013 National Association of Pediatric Nurse Practitioners. [ncbi.nlm.nih.gov]
Just maybe, I thought in my confused late-night mind, all those researchers were wrong. My better judgment did return, but only after my son's colic got better. Dr. [web.archive.org]
The parents are often distressed, exhausted, and confused, having received conflicting advice from various health professionals and lay sources. [rch.org.au]
This only serves to muddy the waters further and cause confusion both professionally and in the public. Only the most rigorous studies, with proper control groups and statistical rigor, address the criticisms of acupuncture and acupuncture research. [sciencebasedmedicine.org]
- Agitation
Abstract We performed a prospective, randomized, double-blind, placebo-controlled clinical trial of dicyclomine hydrochloride using specific diagnostic criteria for infantile colic: spells of unexplained irritability, agitation, fussiness or crying lasting [ncbi.nlm.nih.gov]
Paroxysms of irritability, agitation or crying for more than three hours per day on three days per week at least three weeks called infantile colic. This problem usually resolves spontaneously by the age of three months. [scopemed.org]
Results showed that the number of infants presenting a reduction in daily crying duration higher than 25% in the first 15 days of study did not differ between groups, but irritability and agitation without crying decreased more with the probiotic than [omicsonline.org]
- Insomnia
(Study) Auricular Acupuncture Effective for Insomnia All Research Posts Where Do I Go Next? All Conditions Indigestion Infertility TCM Patterns Acu Protocols Tam Protocols TCM Formulas Formula Store TCM Theory Recent Questions From Our Forum... [theory.yinyanghouse.com]
Acupuncture increases nocturnal melatonin secretion and reduces insomnia and anxiety: a preliminary report. J Neuropsychiatry Clin Neurosci. 2004;16:19-28. [naturalmedicinejournal.com]
- Somnolence
</li><li>Un des premiers signes de maladie chez les bébés est un changement de comportement — par ex., somnolence ou irritabilité. [aboutkidshealth.ca]
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.medscape.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
RELEVANCE TO CLINICAL PRACTICE: Colic treatment models used in this study can be used by nurses in neonatal and primary healthcare settings as an aid to families for the treatment of infantile colic. [ncbi.nlm.nih.gov]
Neither concomitant treatments nor side effects were reported. [n.neurology.org]
Although some studies have shown that Lactobacillus reuteri may be effective as a treatment strategy for crying in exclusively breast-fed infants with colic, the evidence supporting probiotic use for the treatment of infant colic or crying in formula-fed [patient.info]
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
Etiology Unknown cause Two fold risk associated with maternal smokers Thoroughly studied with inconclusive results Hyperperistalsis Cow's Milk Allergy (may account for 10-15% of colic) Lactose Intolerance Parent or Infant relationship disturbance Neurophysiologic [fpnotebook.com]
The etiology of infantile colic has yet to be definitively elucidated, but there is increasing research to support its relationship to migraine. [ncbi.nlm.nih.gov]
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
Pathophysiology has been described in various ways in different studies and yet not conclusive. [banglajol.info]
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]
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
We aimed to evaluate evidence on the effectiveness of probiotics for treating and 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]