Infant colic: What is it and how to manage it?
Article written by our Neonatologist, Dra. Isabel Miras
Infant colic is a recurrent episode of intense crying or irritability in young infants that has no apparent cause and is difficult for caregivers to soothe. These episodes usually appear from 15 days of age, reach their highest frequency around one and a half months of age, and disappear by 4 months of age. This is why they are also known as ‘first trimester colic’.
Why does colic occur?
The exact cause of infant colic is not fully known, but several theories have been put forward. These include:
– Immaturity of the digestive system: the baby’s digestive system is not yet fully developed.
– Alterations in the intestinal flora: an imbalance in the beneficial bacteria in the gut may play a role.
– Constipation: this can also be a contributing factor.
How to identify colic?
Colic is characterized by sudden crying spells, more frequent in the afternoon and evening, which can last from minutes to several hours. During these episodes, the baby often
– Shrugs the legs towards the abdomen
– Clenches fists tightly
– Reddens from the exertion of crying.
When the episode is over, the baby looks calm and normal again.
What can the pediatrician do?
In most cases, the pediatrician will perform a physical examination to make sure there is no other cause for the crying. It is important to note that infant colic is a benign condition that, although infuriating for families, goes away on its own.
Tips for relieving colic
Although there is no universal remedy, there are measures that can help:
– Calm and touch: hold your baby in your arms, finding the position that is most comfortable for them (face up, face down, upright, etc.).
– Try to convey reassurance while comforting the baby
– Rhythmic movements: walk with the baby in the pram, rock your baby in your arms or use the rocking motion of the car, try the motion of a washing machine running.
– Massage: gently massage the abdomen in a clockwise direction, massage the baby’s back as well to relax it
– Elimination of gas: After each feeding, hold the baby in an upright position for a few minutes to ease burping
– Pharmacological options and complementary therapies
– Probiotics (Reuteri): This treatment, with 5-10 drops a day, has been shown to reduce crying in some babies. Although not a definitive solution, it is a safe option to try.
– Physiotherapy: Some families opt for this therapy to relieve colic. Although its effects are usually temporary, it can be useful as an adjunct.
– Most importantly: patience and reassurance
Infant colic can be exhausting for the family, but it is important to remember that it is temporary and does not represent a serious health problem. With love, patience and the right strategies, these episodes will be more bearable until they disappear completely.
Does your baby have colic and you need guidance? Don’t hesitate to contact us or make an appointment with our neonatologist or one of our pediatricians to resolve any doubts and ensure that everything is in order.
