| Colic
- Diagnosis & Treatment
The
diagnosis is usually made simply on your baby’s signs and
symptoms. This is done after a physical examination to exclude other
possible causes of pain such as infections, intestinal obstruction,
heart problems and other injuries. For the most part, physicians
are reluctant to perform laboratory or X-ray studies in babies.
Treatment
There is no specific treatment that will help or eliminate colic.
Home treatment is usually all that is required. Remember, colic
will eventually go away on its own no matter how severe it is or
how it is treated. General preventive measures include the following:
- Try preventing
episodes of colic by minimizing stressful situations that can
lead to crying. It’s much easier to prevent the crying than
to stop it once it has already started.
- Limit bright
lights and loud noises. These can overstimulate your baby and
lead to crying.
- Check and
change diapers before it bothers your baby.
- Eliminate
cow’s milk and other dairy products. While not proven to
cause colic, some studies suggest that it might lead to colic.
- Carry your
baby in a backpack or front carrier so that he/she is with you,
can feel your body and is in constant motion.
- Reduce family
stress and tension. Your baby is sensitive to the moods of persons
around him/her and responds accordingly.
- Avoid smoking.
Nicotine in breast milk may cause abdominal problems. Second hand
smoke can lead to respiratory problems, allergies, asthma and
ear infections.
- Feed your
baby more often but with smaller portions to avoid overfeeding
and hunger
Once colic
has started and your baby is crying, the following measures might
help comfort your baby:
- Respond
to the crying quickly to avoid allowing the baby to get so upset
he/she cannot be consoled.
- Offer food.
Sometimes the baby is just hungry.
- Offer a
pacifier. Sucking is normal, healthy, and soothing activity for
your baby.
- Hold and
cuddle your baby wrapped up snuggly in a warm blanket. Be careful
not to overheat your baby.
- Play some
noise noise. A low, steady noise such as the vacuum cleaner or
a hair dryer will sooth some babies. A CD of environmental sounds
such as wind, rain or the ocean can be very comforting.
- Apply warmth
to the abdomen with a water bottle wrapped in a cloth or a warm
bath.
- Gentle massaging
of the abdomen.
- Try burping
your baby if you suspect abdominal gas.
- Reduce activities
such as bright light and loud noise.
If all else
fails, allow your baby to cry his/her self to sleep. Wrap your baby
up and place him/her in the crib. Darken the room and eliminate
all loud noises. Play some classical music. If after 15 minutes
your baby is still crying pick him/her up and once more attempt
to console.
DO
NOT
- Let your
baby remain in the crib until exhausted from crying.
- Other measures
that you should not do is give your baby aspirin or alcohol.
- Never shake
or spank your baby for crying.
- And do not
provide any medications unless prescribed by your babies doctor.
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This
article was last reviewed July 21, 2003 by James Krider, MD.
© 2003, James Krider, MD. All rights reserved.
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