colic pain in infants – what parents must know

June 27, 2024 by Dr. Vibin KV0
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Colic is a common condition in infants, characterized by episodes of intense, unexplained crying and discomfort. It typically occurs in the first few months of life and can be very distressing for both the baby and the parents. Here’s what parents need to know about colic pain in infants:

Symptoms of Colic:

  • Intense Crying: Episodes of crying that last for several hours, usually occurring in the late afternoon or evening.
  • Clenched Fists: The baby may clench their fists, curl their legs, and tense their abdominal muscles.
  • Facial Grimacing: The baby might have a pained expression and may appear to be in distress.
  • Difficulty Sleeping: Colicky babies often have trouble falling asleep or staying asleep.

Possible Causes:

The exact cause of colic is unknown, but several factors may contribute:

  • Digestive Issues: Immature digestive systems may lead to gas, bloating, and discomfort.
  • Overstimulation: Sensory overload from lights, sounds, and activities can contribute to colic.
  • Feeding Problems: Difficulty feeding, whether breastfeeding or bottle-feeding, can sometimes cause colic symptoms.
  • Allergies or Intolerances: In some cases, food allergies or intolerances (such as to cow’s milk) may be a factor.

Management and Relief Strategies:

  • Comforting Techniques: Rocking, swaddling, holding the baby, or using a pacifier can provide comfort.
  • Burping: Ensure the baby is burped frequently during and after feedings to reduce gas.
  • Warm Baths: A warm bath can sometimes soothe a colicky baby.
  • Probiotics: Some studies suggest that probiotics may help reduce colic symptoms in breastfed babies.
  • Dietary Changes:For formula-fed babies, trying a different formula may be beneficial.
  • Holding Positions: Holding the baby in different positions, such as upright or on their stomach across your forearm, may provide relief.

When to Seek Medical Advice:

  • Severe or Prolonged Crying: If the crying is exceptionally severe or lasts for more than three hours a day, it’s important to consult a healthcare provider.
  • Feeding Difficulties: If the baby is not feeding well, losing weight, or has other symptoms like vomiting or diarrhea.
  • Health Concerns: Any concerns about the baby’s health or development should be discussed with a pediatrician.

Support for Parents:

  • Take Breaks: It’s essential for parents to take breaks and ask for help to manage stress and fatigue.
  • Parenting Groups: Joining a support group or talking to other parents can provide emotional support and practical tips.
  • Professional Help: If the stress becomes overwhelming, seeking professional help from a healthcare provider or counselor is advisable.

Colic can be challenging, but it usually improves by the time the baby is about 3-4 months old. With patience, support, and appropriate management, parents can help their baby through this difficult phase.


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Dr. Vibin KV

Dr. Vibin KV is best pediatrician in south Delhi, near safdarjung enclave. He has over 14 years experience in managing sick children from newborn to 18 years of age.
Conditions treated and services provided at the clinic include:
1) Respiratory illnesses with cough or noisy breathing- bronchiolitis, bronchitis, pneumonia, wheezing, asthma, foreign body, Inhaler therapy etc.
2) Vaccinations in all age groups.
3) New Born baby care.
4) Diarrhea, dysentery, dehydration.
5) Liver and Kidney Failure.
6) Brain infection including meningitis, encephalitis etc.
7) Urinary problems like Urinary tract infection, poor urine stream, painful urine, tight skin of the penis (phimosis) or paraphimosis, redness or pus at penis area.
8) Nephrotic syndrome and other Kidney related problems.
9) Jaundice, Hepatitis.
10) Poor growth, short stature, overweight, obesity.
11) Childhood diabetes and other endocrine problems in children.
12) Colic in infants.
13) Constipation in infants and older children.
14) Skin conditions like allergies, eczema, dermatitis, herpes, Rashes, dry skin, Dandruff, white patch over face, hair fall, dry scalp, diaper rash, nail problems etc.
15) Hernia or hydrocele- swelling in umbilical, swelling in testis, swelling in inguinal region.
16) Fever and Infections (bacterial, viral, fungal etc)
17) Seizures - Epilepsy, Febrile seizures.
18) worm infestations
19) Fall from height, head injury, Trauma, fractures (bone injury) etc.
20) PICC line and central line insertions.
21) Day care and Inpatient care facilities.
22) Adolescent care - emotional, psychological health.
23) Autism, ADHD, hyperactivity, learning disabilities, Developmental delay.
24) Short surgical procedures needing IV sedation.

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