COMPASS Therapeutic Notes on the Management of Infantile Colic • May 2010 1 In the first few months of life babies cry for a variety of reasons including thirst, hunger, over stimulation, under stimulation and of course, when they are unwell or in pain. no underlying cause can be found.
Has diarrhoea or constipation Is not gaining sufficient weight Has a high temperature e.g. Infacol®, Dentinox Colic Drops®, baby in a moment of frustration can cause serious harm or death. What is Colic?
Babies over the age of 12 months should be seen by a dietitian for the 1. In most cases of colic, no underlying cause can be found 2. Addressing parental concerns is often the best way to Consider a trial of a colic and constipation formula e.g. SMA Comfort, Aptamil Comfort or Cow
And consistency of the baby’s stools can help diagnose constipation (stools should be very soft if not a bit loose). wrong to cause this. HV’s can advise parents to put the (e.g. Infacol) These help release bubbles of trapped air in the baby’s
Constipation can occur at any time during your pregnancy. Unfortunately, this can cause haemorrhoids and piles. Infacol is sometimes helpful—you can get it at most chemists, but if your baby starts to vomit,
History of cycling constipation and diarrhoea. Only continue treatment with Infacol® if there is a response Holes in bottle teats that are too small may cause babies to swallow air along with their feed.
Neonatal problems November 14th 2012 gonorrhoea, GBS, staph a and pseudomonas can all cause conjunctivitis in the neonate. True Swab for MC&S False Refer to opthalmology at 1yr if not resolved but most do Affects 1 in 5 babies Can be unilateral/bilateral Do nothing/ massage and keep eye
Most common cause is a viral infection, history • Duration • Severity, episodes in 24hrs • Preceding constipation • Urine output and colour It is important to establish the degree of fluid lost in diarrhoea and vomiting, In young babies the fontanelle may also be sunken.
2.6 hrs crying/day Problematic in 20% babies “colic” – >3hrs/day, 3 days/wk, >3 wks. 5% organic cause Many caused by inability to vomiting, constipation, diarrhoea, eczema Sleeping & feeding patterns Family stress Simethicone (Infacol) licensed for colic but no benefit
JBI The effectiveness of interventions for infant colic Best Practice12(6) 2008 | 1 Volume 12 Issue 6 2008 (e.g. Infacol®) Simethicone reduces surface tension of bubbles in the intestinal tract, diarrhoea and constipation were the side effects most commonly reported, but