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Colic
From WikEM
Contents
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
- 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)
- Drug withdrawal
Pediatric Abdominal Pain
0–3 Months Old
- Emergent
- Nonemergent
3 mo–3 y old
- Emergent
- Nonemergent
3 y old–adolescence
- Emergent
- Nonemergent
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
References
Authors
Jordan Swartz, Ross Donaldson, Neil Young, Daniel Ostermayer
