Colic
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
- Sepsis
- Meningitis
- UTI
- Otitis media
- Pneumonia
- GI
- Intussusception
- GERD
- Incarcerated hernia
- Milk protein intolerance
- Anal fissure
- Ophtho
- Occult trauma
- Hair tourniquets (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
0–3 Months Old
- Emergent
- Necrotizing Enterocolitis
- Volvulus
- Testicular torsion
- Inguinal hernia
- Incarcerated hernia
- Trauma
- Pyloric stenosis
- Toxic megacolon
- Hirschsprung's Disease
- Nonemergent
- Constipation
- Acute Gastroenteritis
- Colic
3 mo–3 y old
- Emergent
- Intussusception
- Testicular Torsion
- Trauma
- Volvulus
- Appendicitis
- Toxic megacolon
- Vaso-occlusive crisis
- Nonemergent
- Acute Gastroenteritis
- Constipation
- Urinary tract infection
- Henoch-Schonlein purpura
3 y old–adolescence
- Emergent
- Appendicitis
- DKA
- Vaso-occlusive crisis
- Toxic ingestion
- Testicular Torsion
- Ovarian Torsion
- Ectopic Pregnancy
- Trauma
- Toxic megacolon
- Inflammatory bowel disease
- Gastric ulcer disease
- Ovarian cyst
- Pregnancy
- Pancreatitis
- Cholecystitis
- Intussusception (to age 6)
- Nonemergent
- Constipation
- Acute Gastroenteritis
- Nonspecific viral syndrome
- Streptococcus pharyngitis
- Urinary tract infection
- Pneumonia
- Renal Stone
- Henoch-Schonlein purpura
- Inflammatory bowel disease
- Vulvovaginitis
Management
- Changes in caretaking styles
- Increased soothing activities, 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
See Also
Crying Infant
References
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