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Colic, Infantile

Daniel T. Lee, MD, MA and Arthur Ohannessian, MD Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Colic is defined as excessive crying in an otherwise healthy baby.

  • A commonly used criteria is the Wessel criteria or the Rule of Three, when crying lasts for:

    • >3 hr/day

    • >3 days...

DIAGNOSIS

HISTORY

  • Evaluation for Wessel criteria: Crying lasts for >3 hr/day, >3 days/week, and persists >3 weeks.

  • Episodes usually have a clear beginning and end.

  • The crying is generally sponta...

TREATMENT

GENERAL MEASURES

  • Soothe by holding and rocking the baby (1)[B].

  • Use a pacifier (1)[B].

  • Use of gentle rhythmic motion (e.g., strollers, infant swings, car rides) (1)[B]

  • Place near white noise (e....

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

Frequent outpatient visits as needed for parental reassurance, education, and monitoring and to ensure the health of the infant and parents 

Patient Monitoring

Foll...

REFERENCES

1 Garrison MM, Christakis DA. A systematic review of treatments for infant colic. Pediatrics.  2000;106(1, Pt 2):184–190.  [View Abstract]
2 van Sleuwen BE, L’hoir MP, Engelberts AC,...

ADDITIONAL READING

  • Anabrees J, Indrio F, Paes B, et al. Probiotics for infantile colic: a systematic review. BMC Pediatr.  2013;13:186.  [View Abstract]

  • Gelfand AA, Thomas KC, Goadsby PJ. Before ...

CODES

ICD10

R10.83 Colic 

ICD9

789.7 Colic 

SNOMED

35363006 Infantile colic (finding) 

CLINICAL PEARLS

  • Colic is defined as excessive crying in an otherwise healthy baby (3 hr/day, 3 day/week, persists >3 weeks).

  • Excessive crying may be a risk factor for shaken baby syndrome or other f...

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