Gastroenterology: Infantile Colic

Question 1

What is infantile colic?

Answer 1

A self limiting condition which is defined as repeated episodes of excessive and inconsolable crying in an infant.
Crying for more than 3 hours a day, 3 days a week for at least 1 week

Question 2

When does it occur?

Answer 2

During the first few months of life

Question 3

The crying is often accompanied by…

Answer 3

Drawing up of the knees and passage of excessive flatus

Question 4

Is there evidence that the cause is gastrointestinal?

Answer 4

No but this is often suspected

Question 5

It occurs in up to….of babies

Answer 5

40%

Question 6

When does it usually resolve?

Answer 6

Gradually from 3-12 months

Question 7

Is it benign?

Answer 7

Yes but frustrating and worrying for parents

Question 8

What could it precipitate in infants already at risk?

Answer 8

Non accidental injury

Question 9

What is often recommended (but no proven benefit)?

Answer 9

Gripe water

Question 10

If severe and persistent, what may it be due to?

Answer 10

Cows milk protein allergy - consider a trial of a protein hydrolysate formula (if symptoms improve, continue with this)

Question 11

What other signs are there of colic (other than crying)?

Answer 11

Hard to soothe/ settle baby
Clench fists
Red in face 
Knees up to tummy or arch back 
Tummy rumbles or very windy

Question 12

Should parents keep feeding the baby as normal?

Answer 12

Yes

Question 13

What advice can be given?

Answer 13

Hold baby when they cry a lot
Upright during feeding to stop swallowing air
Wind baby after feeds
Warm bath