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Related Experiment Videos

Infantile colic.

Donna M Roberts1, Michael Ostapchuk, James G O'Brien

  • 1Department of Family and Community Medicine, University of Louisville School of Medicine, Louisville, Kentucky 40202, USA. dmrobe01@gwise.louisville.edu

American Family Physician
|September 2, 2004
PubMed
Summary

Infantile colic, defined by excessive crying, distresses parents but is typically a self-limited condition. Physicians should rule out organic causes and offer reassurance, as treatments are limited and unproven.

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Area of Science:

  • Pediatrics
  • Neonatology
  • Infant Health

Background:

  • Infantile colic presents as inconsolable crying in healthy infants.
  • Diagnosis often follows the "rule of three": >3 hours/day, >3 days/week, >3 weeks.
  • It causes significant parental distress and anxiety.

Purpose of the Study:

  • To outline the physician's role in managing infantile colic.
  • To review the limited and often unproven treatment options.
  • To emphasize reassurance and support for affected families.

Main Methods:

  • Colic is a diagnosis of exclusion, requiring thorough history and physical examination.
  • Evaluation aims to rule out organic causes of crying.
  • Literature review on treatment efficacy for colic.

Main Results:

  • No feeding changes are typically advised for colic.
  • Medications and behavioral interventions in the US lack proven efficacy.
  • Most interventions are no more effective than placebo.

Conclusions:

  • Physicians must reassure parents that colic is benign and self-limited.
  • Guidance on unproven therapies is crucial.
  • Monitor for persistent distress, especially in vulnerable families.

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