Although the term suggests colic that the symptoms from the gut goes out, the etiology is ultimately unclear.

Colic refers to frequent and longer periods during which an otherwise healthy baby cries for no apparent reason. Although the term suggests colic that the symptoms from the gut goes out, the etiology is ultimately unclear. Colic appears generally during the first month of life on, reaches its peak around the age of 6 weeks, and hear reliably and spontaneously by the age of 3 to 4 months on. The attacks by screaming and restlessness often occur at approximately the same time of day or night and take no apparent reason over several hours. Some infants cry almost incessantly. Strong screams causes aerophagia (air swallowing), which in turn leads to flatulence and a bloated abdomen. Typically drinks and thrives an infant with colic good, even if he gives the impression of lively sucking at everything available to be extremely hungry. It is unlikely that colic, as suggested earlier, are an indication of an intrusive impatient personality. Clarification The goal is to distinguish colic from other causes excessive (crying), particularly heavy and / or treatable medical illnesses such as ear infections UTI meningitis appendicitis food allergy Acid reflux constipation bowel obstruction Increased intracranial pressure hair collar corneal erosion glaucoma accident strangers Injury history The history of the present illness should detect onset and duration of crying and the answer to calming tests and determine whether the child’s cry behavior is inside or outside the normal (up to 3 hours per day in a 6-week-old infant). A review of organ systems should seek symptoms of causative disorders, including constipation, diarrhea and vomiting (gastrointestinal disease) and fever, cough, shortness of breath and nasal congestion (respiratory infection). Past medical history includes a thorough survey that may reveal circumstances that colic is not the primary reason for the doctor’s visit, but a symptom that serves parents to justify the presentation date, but to ultimately have a completely different problem talk – z. As the death of a former child or about their feelings of incompetence, the tasks with their new child to meet werden.Körperliche examination The physical examination begins with the review of vital signs and then a thorough examination for signs of trauma or medical illness. The study of children with colic detects no abnormalities in general, but soothes the Eltern.Warnhinweise The following findings are of particular importance: vomiting (especially if vomit is green or bloody or> 5 times occurs on the day) constipation or diarrhea , especially with blood or mucus fever shortness of breath lethargy Poor weight gain interpretation of the findings Often infants present with colic after days or weeks repeated daily weeping; an otherwise normal history and physical examination at this point is more reassuring than in children with acute (1 to 2 days) Weinen.Tests Special (laboratory) tests are not necessary, unless the history or examination result targeted indications. Treatment The parents can be reassured in that their child is healthy that the unrest of her child does not have anything to do with inadequate care and that the colic by itself and without sequelae end again. Doctors should also show understanding of how exhausting can be a child with colic for the parents. The following measures can help any: babies who cry for a short time, may react to seeing held to be tapped weighed or light. Säugline strong Saugdrang who get restless again soon after the meal, may wish to further eye (z. B. with a pacifier). If bottle feeding takes <15-20 min, an attempt should be made with a smaller suction hole; a pacifier may be able to soothe infants or both. Very unstable, restless infants speak occasionally on narrow winding on (spitting). called also an infant swing, music and. White Noise (z. B. from the vacuum cleaner, car engine, laundry or hair dryers) may help. Since fatigue often contributes to excessive crying, parents should also be instructed to place their infant routinely in the crib while the baby is awake, to promote independent calming and good sleep habits and to prevent the infant from parents, swings, is dependent on a pacifier, a specific sound or something else, to fall asleep. In addition, a short trial of a hypoallergenic formula can be made to find out whether an intolerance to cow's milk protein consists; However, it should be avoided to change the foods often. Sometimes the removal of cow's milk or other foods leads (especially stimulating foods [eg. As coffee, tea, cola, chocolate, food supplements]) from the mother's diet in children who are breastfed, a relief, as well as the discontinuation of drugs containing stimulants (for. example, nasal drops). Important Points Colic is excessive crying for no apparent reason in an otherwise healthy infant. Colic should end until the age of 3 or 4 months. Medical causes of weeping be excluded by history and physical examination; Tests are not necessary unless there are specific findings. Physical measures (. Eg rocking, swinging, diapers) can be tried, as well as changes in diet; the response to these measures varies and often sound colic from only with time.

Health Life Media Team

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