Colic Lecture Powerpoint

Question 1

Colic definition

Answer 1

Spasmodic pains in the abdomen relating to the colon, in young infants paroxysms of GI pain with crying and irritability due to a varietyof causes such as swallowing of air, emotional upset, overfeeding, or unknown cause

Question 2

Wessel’s rule of 3 for colic

Answer 2

• crying more than 3 hours per day
• 3 days per week
• for more than 3 weeks

Question 3

Rome III criteria for colic

Answer 3

• paroxysms of irritability, fussing, or crying that starts and stops without obvious cause
• episodes lasting 3 hours or greater a day, 3 days a week, or greater than 1 week
• ABSENCE of failure to thrive

Question 4

Colic - when does it begin and how long does it continue? What pattern occurs with it? Does coddling help? Are they unhealthy?

Answer 4

• most begin within first 3 weeks of life
• can continue up to 12 weeks or longer
• predictable, appears approx the same time each day, usually in late afternoon or early evening
• coddling doesn’t help
• no, typically in good health

Question 5

colic treatment options (6) and which one doesn’t work? (1)

Answer 5

• rule out other causes (infection, hairs arounde extremities, etc)
• alternative caregiver and support if parents can’t cope
• rocking child or using swing
• elimination of cruciferous veggies from breast feeding mother’s diet
• changing formula in some cases
• herbal teas
• NO evidence either simethicone or dicyclomine (IBS prescription drug) work

Question 6

Things to worry about in colic babies (5)

Answer 6

• infant cries more than 3 hours or is unusually intense
• has never happened before or been checked by doctor
• pain or fever
• vomitting or diarrhea
• parental abuse