Children - Infant colic Flashcards

1
Q

Infant colic

A
  • Excessive, frequent crying ina baby who appears to be otherwise healthy.
  • Common (affects up to one in five babies).
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2
Q

When does infant colic usually start?

A
  • Usually starts when the baby is 2-4 weeks old
  • Normally stops by 4 months, or 6 months latest
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3
Q

Symptoms

A
  • Intense periods of crying – sometimes lasting up to several hours
  • Cryingin the late afternoon or eveningthat lasts several hours
  • baby’s face being red and flushed when they cry
  • baby clenching their fists,drawing their knees up to their tummy, or arching their back while crying
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4
Q

Red flag symptoms

A
  • A weak, high-pitched, or continuous cry for several hours
  • Breathing problems, such as breathing quickly or grunting while breathing
  • Has a fit (seizure) whilst crying
  • Vomiting green fluid
  • Isn’t feeding
  • Failure of treatment
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5
Q

Causes of infant colic

A

Exact cause unknown, some theories are:

Problems with digestion

Intolerance to lactose

Trapped wind

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6
Q

What can increase the risk of your baby developing colic?

A
  • Smoking during pregnancy and also taking NRT during your pregnancy
  • Passive smoking
  • More common in babies who are born prematurely.
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7
Q

Differential diagnosis for infant colic

A
  • Lactose intolerance
  • Cow’s milk allergy
  • Reflux
  • Twist in bowel
  • Severe nappy rash
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8
Q

Treatment of colic

A

Infacol

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9
Q

Infacol

A
  • Can be used from birth onwards
  • Orange flavour
  • Sugar, alcohol and colourant free
  • Dropper
  • Each bottle contains enough liquid for up to 100 doses
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10
Q

Non-pharmacological treatment of colic

A
  • Sit baby upright when feeding
  • Check the size of the hole in the teat for bottle-fed babies
  • Hold bottle so that the teat is full of milk, avoid sucking a lot of air
  • Burp the baby during and after feed
  • Baby massage - this is not proven, based on individual
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