Childhood Conditions: Colic

Question 1

What is Childhood colic

Answer 1

• Excessive high pitched screaming
• Usually same time of day
• Starts in infancy and resolves in 4 to 6 months

Question 2

What is the rule of 3 in Childhood colic

Answer 2

at least 3 hours daily

at least 3 days a week

at least 3 weeks

Question 3

Symptoms of Colic

Answer 3

• Difficult to comfort
• Red in the face (grimacing)
• Clenched fists
• Knees draw to stomach
• Excessive gas/trouble passing stool

Question 4

Colic referral

Answer 4

• Inconsolable crying
• Failure to put on weight with age

Question 5

Trial treatment for Childhood colic

Answer 5

• Lactase Enzyme (Colief)
• Simethicone (Infacol)

Question 6

Lactase Enzyme (Colief) mode of action

Answer 6

Breaks down sugar lactulose found in breasts and formula milk

Question 7

Simethicone (Infacol) mode of action

Answer 7

Eliminates trapped gas through belching/flatus

Question 8

Colic counselling

Answer 8

• reassure parent it isn’t their fault, child will grow out of it
• Massage the tummy in circular motion

Question 9

Colic and milk

Answer 9

If infant is breast-fed…
- exclude cow’s milk and dairy from mother’s diet

If infant in Bottle-fed…
- try hypoallergenic formula

Question 10

Other Colic tips

Answer 10

• Hold baby during crying episode
• Rock them over the shoulder
• Warm baths
• Burp them after feeds
• Hold them upright during feeding