As a new parent, witnessing your newborn baby in distress can be a heart-wrenching experience. One common challenge that many parents face is dealing with colic in infants. The inconsolable crying episodes, typically occurring in the late afternoon or evening, can leave parents feeling helpless and exhausted. In this article, we delve into the nuances of colic, exploring its definition, diagnosis, and management, offering guidance to navigate this challenging phase with your little one.
What is Colic?
Colic is a term used to describe excessive, frequent crying in a healthy infant who is otherwise well-fed and gaining weight. The exact cause of colic remains a mystery, with theories ranging from gastrointestinal issues to immature digestive systems or even sensory overload in newborns. Afflicting up to one in five infants, colic usually manifests within the first few weeks of life, peaking around 6-8 weeks, and gradually subsiding by the time the baby reaches three to four months of age.
Signs and Diagnosis
Typical signs of colic include intense crying that lasts for more than three hours per day on more than three days per week, starting suddenly and often occurs in the evening hours. Infants sound if they are in pain and are difficult or impossible to soothe. It is important to consult with a paediatrician to rule out any underlying medical conditions that might mimic colic symptoms. A thorough physical examination and possibly some tests to rule out other causes may be recommended by the paediatrician.
Other Causes of Excessive Crying
Hunger, pain, fatigue or overstimulation should be ruled out as a cause for the crying.
Food sensitivities to foods in their mother's diet or components in their formula may cause colic. Cow's milk protein in formulas and in the mother's diet may be one of the causes for a food sensitivity.
Gastro-oesophageal reflux (heartburn) after feeds can also be a cause for excessive crying.
Myths
Babies cry to manipulate you. |
You will spoil a baby if you attend to the crying. |
Rice cereal or solids before four months will reduce the crying. |
Lactose in milk or breastfeeding causes colic. |
If you can get rid of the gas the colic will improve. |
Simethicone, dicylomine, gripe water, colocynthis and enemas can treat colic. |
Management and Coping Strategies
Navigating colic requires patience, understanding, and a toolkit of coping strategies for both the baby and parents. Here are some expert-recommended guidelines to help ease colic symptoms and provide comfort to your little one:
Comfort Measures: Swaddling, or carrying your baby in a baby carrier to calm them during crying episodes.
Dietary Adjustments: For breastfeeding mothers, certain foods like dairy and caffeine might exacerbate colic in babies. Keeping a food diary can help identify triggers. If feeding formula, consult with your pediatrician about potential dietary changes.
Soothing Techniques: White noise, such as a gentle hum or a rhythmic sound machine, can help soothe a colicky baby. Additionally, creating a calm and quiet environment during fussy periods can reduce stimulation.
Probiotics: Lactobacillus reuteri in breastfeeding infants has been shown to decrease crying time.
Sucrose: 2 ml of 12% (two and a half teaspoons sugar in 100 ml water) sucrose water decreased crying in some infants.
Parental Self-care: Remember to take breaks, ask for help when needed, and practice self-care to maintain your well-being during this challenging phase.
Trials of acupuncture, infant massage and chiropractic manipulation had conflicting results and cannot be recommended.
Seeking Support
Remember, you are not alone in this journey. Reach out to support groups, parenting classes, or online forums to connect with other parents facing similar challenges. Share experiences, seek advice, and find solace in the community of caregivers who understand the trials and tribulations of managing colic in infants.
Embracing the unpredictability of parenthood, especially during the phase of colic, requires resilience, compassion, and a supportive network. While colic can be a trying time for both parents and babies, it is essential to remember that this phase is temporary, and with time and patience, you will navigate through it together.
In conclusion, colic is a common yet challenging aspect of early infancy, but with the right strategies, support, and guidance from healthcare professionals, you can weather this storm with resilience and care. Stay informed, seek help when needed, and cherish the moments of tranquility amidst the storm of colic.
If you feel you are going to hurt or shake your baby, walk away and get immediate help. |
References:
Turner TL, Augustyn M, Patient education: Colic (excessive crying) in infants (Beyond the Basics), UpToDate, updated 2023 Nov, cited 2024 Jul
Johnson JD et al, Infant Colic: Recognition and Treatment, Am Fam Physician 2015;92(7):577-582
Comments