Paediatrics OTC - Colic

Question 1

What are the main features of colic? (3)

Answer 1

Baby cries for > 3 hrs/day, > 3 days a week for > 3 weeks.

Question 2

What are the causes of Colic? (3)

Answer 2

Immature GI tract
Milk/lactose intolerance
Excessive gas swallowing on feed (breast/bottle)

Question 3

What are the treatment options of colic? (1)

Answer 3

Dimethicone (Surface active agent):
- Reduces surface tension allowing gas bubbles to join.
- Large bubbles easier to pass.
- Infacol (from birth with or immediately after feeds)

Lactase enzyme (Colief Infant Drops):
-Effective if lactose intolerant.