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Published on: July 3, 2013
Renal disease presenting as severe unremitting colic
1Hornsby and Ku-ring-gai Hospital, NSW.
The Medical Journal of Australia
|January 21, 1991
Summary
Infants with severe colic unresponsive to behavioral management may have underlying urinary tract infections and renal disease. Early investigation for urinary infections is recommended for persistent infant colic.
Area of Science:
- Pediatrics
- Nephrology
- Infectious Diseases
Background:
- Infant colic is a common condition affecting many newborns.
- Severe colic can be distressing for both infants and parents.
- Standard behavioral management is often effective for infant colic.
Purpose of the Study:
- To investigate potential underlying causes of severe infant colic unresponsive to standard treatment.
- To determine the prevalence of urinary tract infections and renal disease in this specific infant population.
Main Methods:
- Retrospective study of 1770 infants diagnosed with colic.
- Analysis of infants classified as having severe colic (206 infants).
- Review of treatment responses and subsequent investigations for non-responsive cases.
Main Results:
- Six infants with severe colic did not respond to intensive behavioral management.
- These six infants were diagnosed with urinary infections.
- Further investigation revealed significant renal disease in all six infants.
Conclusions:
- Urinary tract infections should be considered in infants with severe colic.
- Persistent infant colic unresponsive to conventional management warrants investigation for urinary tract infections and potential renal disease.
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