Colic: Difference between revisions
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*Seldom lasts beyond 3-4 months of age | *Seldom lasts beyond 3-4 months of age | ||
*Diagnosis of exclusion | *Diagnosis of exclusion | ||
== | |||
* | ==Clinical Features== | ||
*Crying for ≥3hr/day for ≥3 days/week per week over a 3-week period | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
| Line 10: | Line 11: | ||
{{Pediatric abdominal pain DDX}} | {{Pediatric abdominal pain DDX}} | ||
== | ==Management== | ||
*Changes in caretaking styles | *Changes in caretaking styles | ||
**Increased soothing activities, feeding more frequently, use of pacifier | **Increased soothing activities (utilize the 5 S's: swaddle, sway, side lying, suck, shush), feeding more frequently, use of pacifier | ||
*Changes in environment | *Changes in environment | ||
**Background music, car/stroller ride | **Background music, car/stroller ride | ||
*Changes in feeding for refractory cases | *Changes in feeding for refractory cases | ||
**Removal of cow's milk | **Removal of cow's milk, discuss with pediatrician prior to doing so | ||
==See Also== | ==See Also== | ||
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