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Crying Infant

Javed Ismail1, Karthi Nallasamy2

  • 1Advanced Pediatrics Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India.

Indian Journal of Pediatrics
|August 27, 2017
PubMed

Insights

Excessive infant crying, often benign, requires careful examination to rule out serious causes. Management focuses on parental reassurance and avoiding unnecessary medications for conditions like colic.

Area of Science:

  • Pediatrics
  • Neonatology
  • Infant Health

Background:

  • Excessive crying is a frequent concern in infants under 3 months.
  • Potential causes include circadian rhythm disruption, immature central nervous system, and altered gut microbiota.

Purpose of the Study:

  • To outline the evaluation and management of excessive infant crying.
  • To differentiate benign causes from serious underlying conditions.

Main Methods:

  • Clinical examination is crucial for identifying organic causes.
  • Urgent care settings are appropriate for benign cases.
  • Referral to emergency departments is indicated for 'red flag' symptoms.

Main Results:

  • Routine investigations are unnecessary for afebrile infants without concerning history or physical findings.
  • Colic-related crying causes significant parental stress.
  • Treatment prioritizes parental support over unproven medications.

Conclusions:

  • Careful clinical assessment is key to managing infant crying.
  • Reassurance and supportive care are primary for benign crying and colic.
  • Avoidance of medications with uncertain efficacy and side effects is recommended.

Keywords:
ColicExcessive cryingInfant

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