Colic: Difference between revisions
(Created page with ">3h crying/day for >3x/week for >3wks; usually < 3months old Category:Peds") |
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==Background== | |||
*Seldom lasts beyond 3-4 months of age | |||
*Diagnosis of exclusion | |||
==Clinical Features== | |||
*Crying for ≥3hr/day for ≥3 days/week per week over a 3-week period | |||
==Differential Diagnosis== | |||
{{Crying infant DDX}} | |||
{{Pediatric abdominal pain DDX}} | |||
[[Category: | ==Management== | ||
*Changes in caretaking styles | |||
**Increased soothing activities (utilize the 5 S's: swaddle, sway, side lying, suck, shush), feeding more frequently, use of pacifier | |||
*Changes in environment | |||
**Background music, car/stroller ride | |||
*Changes in feeding for refractory cases | |||
**Removal of cow's milk, discuss with pediatrician prior to doing so | |||
==See Also== | |||
[[Crying Infant]] | |||
==References== | |||
<references/> | |||
[[Category:Pediatrics]] | |||
Latest revision as of 02:53, 30 April 2022
Background
- Seldom lasts beyond 3-4 months of age
- Diagnosis of exclusion
Clinical Features
- Crying for ≥3hr/day for ≥3 days/week per week over a 3-week period
Differential Diagnosis
Crying Infant
- Occult infection
- GI
- Intussusception
- GERD
- Incarcerated hernia
- Milk protein intolerance
- Anal fissure
- Ophtho
- Occult trauma
- Hair tourniquet (on extremities, penis)
- Non-accidental trauma
- Diaper pin
- Insect bites
- Burns in mouth
- Misc
- Colic
- Scorpion envenomation
- SVT
- Testicular torsion
- Drug exposure/overdose (commonly methamphetamine or cocaine)
- Neonatal abstinence syndrome, drug withdrawal
Pediatric Abdominal Pain
0–3 Months Old
- Emergent
- Nonemergent
3 mo–3 y old
- Emergent
- Nonemergent
3 y old–adolescence
- Emergent
- Nonemergent
Management
- Changes in caretaking styles
- Increased soothing activities (utilize the 5 S's: swaddle, sway, side lying, suck, shush), feeding more frequently, use of pacifier
- Changes in environment
- Background music, car/stroller ride
- Changes in feeding for refractory cases
- Removal of cow's milk, discuss with pediatrician prior to doing so