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Infantile Colic

Recurrent crying episodes of unknown cause in healthy infants.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Çocuk Sağlığı ve Hastalıkları department. Book Appointment →

What is Infantile Colic?

Infantile colic is a paroxysmal crying picture affecting 10-30% of healthy infants, typically starting from the 2nd week of life and spontaneously resolving around 3-4 months. Wessel's 'rule of three': crying >3 hours per day, >3 days per week, lasting at least 3 weeks.

Its etiology is not fully understood. Possible causes include: gastrointestinal immaturity, gut microbiota, cow's milk protein allergy, lactose intolerance, gas, inadequate breastfeeding technique, parental stress, and temperament.

Alternative causes (UTI, OM, hernia, intussusception, fracture) must be excluded before diagnosis. The basis of treatment is family reassurance and supportive measures. Most cases do not require medication.

Symptoms

Sudden onset of intense crying
Drawing legs to the abdomen
Facial flushing and tension
Passing gas
Worsening in evening hours
Inability to soothe the infant

Risk Factors

First-time parenthood
Maternal anxiety and depression
Cigarette smoke exposure
Cow's milk protein allergy
Premature infant
Abnormal gut microbiota

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • When the crying pattern is atypical
  • If feeding problem or weight loss is present
  • If accompanied by fever, vomiting, or bloody stool
  • When parental burnout and mental health are deteriorating
  • In suspicion of hernia or abdominal distension

Treatment Methods

01
Family education and reassurance (self-limiting)
02
Soothing techniques: swaddling, rocking, white noise
03
Maternal dietary modification (cow's milk elimination) in breastfed infants
04
Probiotics (Lactobacillus reuteri)
05
Switch to hydrolyzed formula in formula-fed infants
06
Family support services and PPD screening

Which Department to Visit?

You can visit our Çocuk Sağlığı ve Hastalıkları department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Çocuk Sağlığı ve Hastalıkları Department

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You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.