Recognition and management of infantile colic
10.3760/cma.j.issn.1673-4912.2022.02.003
- VernacularTitle:婴儿肠绞痛的识别与管理
- Author:
Yu ZHAO
1
;
Shuhong ZHANG
Author Information
1. 天津市儿童医院消化科 300000
- Keywords:
Infantile colic;
Roma Ⅳ criteria;
Fussing
- From:
Chinese Pediatric Emergency Medicine
2022;29(2):90-94
- CountryChina
- Language:Chinese
-
Abstract:
Infantile colic(IC)is a common process that occurs in the infants within five months of age.The main characteristic of IC is paroxysm of inconsolable crying.Although IC is a benign self-limiting process, it is a common source of concern for family, and usually bring challenge to doctors.The diagnostic criteria is Roma Ⅳ criteria, which is mainly based on the typical feature and duration of crying.The etiology is unknown.The proposed causes can be classified into gastrointestinal and non-gastrointestinal factors.There is still no standard treatment for IC.The current management includes dietary modification, behavioral modification, pharmacological intervention, manual therapy, and so on.More clinical studies are needed to confirm the effect of these treatment strategies.Pediatricians should be familiar with the main causes and management of IC, and should also be adept at recognizing the individual reasons, managing the infants, and improving the prognosis.
