Colic

Background

• Seldom lasts beyond 3-4 months of age
• Diagnosis of exclusion

Diagnosis

• >Crying for ≥3hr/day for ≥3 days/week per week over a 3-week period

DDX

1. Sepsis
2. Meningitis
3. Intussusception
4. GERD
5. Milk protein intolerance
6. Corneal Abrasion
7. Hair tourniquets
8. Incarcerated hernia
9. Torsion
10. Nonaccidental trauma

Treatment

• Changes in caretaking styles
  • Increased soothing activities, 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

See Also

Crying Infant

Source

Tintinalli