It’s appropriate that we should still call this condition by its medieval name "colic," since we know about as much about its causes today as we knew 800 years ago.
A colicky baby is one who cries a lot and can’t easily be pacified. Though there isn’t a full agreement on the definition of colic, a common one is that if an otherwise healthy baby cries for more than 3 hours a day, more than 3 days a week for at least 3 weeks, it’s colic. Colic affects boys and girls equally, and the incidence is also similar between breast and formula fed infants, as well as full term and preterm infants. It tends to run from the age of 3 weeks to the age of 3 to 4 months.
Colic is not due to a disease. Colicky babies are typically healthy and full of energy. There has been much research to find what it is that makes colicky babies cry, but the answer remains elusive. Even after extensive testing, no medical causes have been found. One theory is that an underdeveloped digestive tract is responsible. Others blame abdominal gas, food allergies, or noise and distractions interfering with sleep. By looking at the various remedies that have been found to help, research suggests that some crying is just a matter of temperament or nervous system maturation. True abdominal issues, including being gassy, or acid reflux probably account for under 5% of cases. The best we can now say is that some babies just cry a lot at this age.
Other factors that have been found in some cases to have an influence on babies include:
The crying of a colicky baby is often high-pitched, grating, and piercing, even compared to normal infant crying. Neither food nor attention can stop it. Your baby’s face may be red, the fists may be clenched, and the knees may be tucked up into the abdomen.
The crying goes on for at least an hour, and sometimes as long as 4 hours. It often starts at the same time each day, usually late afternoon or early evening (unfortunately, when the parents are most tired). Sometimes, the baby passes gas or a stool shortly before or after calming down.
Colic is generally at its worst around the age of 4 to 6 weeks. If your baby is still colicky after 3 months, or cries nonstop for more than 3 or 4 hours, some other condition may be causing real discomfort and you should take the baby to the doctor. You may want to take your baby to the doctor when colic first appears, just for a checkup to ensure you are not overlooking something that can be effectively treated, especially if this is your first baby.
Always see the doctor if your baby cries for more than 4 hours, cries without tears, has a fever, becomes lethargic, vomits more than normal, has difficulty breathing, has poor weight gain, or has bloody stools. These are not signs of colic.
You can’t assume that a crying baby has no real problems until you’ve checked all possibilities. Any number of infections or other conditions could be causing your baby’s pain. Diagnosing of colic requires eliminating these other possibilities. They include bowel obstruction; a scratched eye; a hernia; a hair or thread that has become tied around a finger or toe; or an infection of the bladder, brain, abdomen, or ear.
There’s no chemical or physical test for colic. If the baby is crying more than 3 hours a day, more than 3 times a week, and for more than 3 weeks and is not physically sick, then your doctor may diagnose your baby with colic. The difficult part is figuring out how to remain calm and not let the colic interfere with the pleasure of raising your baby until the colic resolves itself at around the age of 3 to 4 months.
If you talk to other parents, you will hear dozens of ideas on preventing a colicky baby from crying. Your doctor may suggest some of the same techniques. Most behavioural interventions have not been proven to work but parents can try them anyway. They are generally not harmful and they do give the parent a feeling of "doing something." Trying to calm your child has been shown to lessen the total time spent crying, even if it doesn’t seem like it. Keep a cry dairy including descriptions of things like how the cry sounds, time of day it occurs, length of crying episode and what you tried to make the baby more comfortable.
The following methods have been used for centuries to calm babies with colic:
Many people find that rhythmic noise, white noise, and vibration help. For example, some mothers carry their baby in a chest pouch while vacuuming or put their baby in an infant swing which has a vibration setting. Cars provide vibration and a white-noise background, which explains why many colicky babies calm down during car rides. Washing machines, dishwashers, air conditioners, or the noise from a fan all provide a white-noise calming effect on some babies.
If none of these simple solutions seem to help much, ask your doctor about devices that attach to the crib that both gently vibrate it and provide a white-noise background. These devices are expensive, but for frazzled parents with a very colicky baby, they can be worth the price.
No medication has ever been proven to help colic (including those that claim to reduce "gas"). Never give your baby medications without talking to your doctor or pharmacist first. Breast-feeding mothers can also check with their pharmacist to find out if any of the medications they are taking may be part of the problem.Remember, the crying is not yours or the baby’s fault! Never shake, grab, twist or hit the baby. Take a break, get help and stay calm.
Experts often recommend the following websites for help and further information:
All material copyright MediResource Inc. 1996 – 2020. Terms and conditions of use. The contents herein are for informational purposes only. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Source: www.medbroadcast.com/condition/getcondition/Colic