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Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
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Infant Colic Beyond 5 Months: A Multicenter Study From Colombia.

Carlos Velasco-Benitez1, Daniela Velasco1, Malia Andujar2

  • 1Universidad del Valle, Cali, Colombia.

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Summary
This summary is machine-generated.

Infant colic is common in early infancy but rare after 5 months, aligning with Rome IV criteria for most babies. A small group may experience persistent symptoms beyond this age.

Keywords:
Rome criteriacoliccryinginfantprevalence

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Area of Science:

  • Pediatrics
  • Gastroenterology
  • Infant Health

Background:

  • Infant colic is a prevalent and distressing condition in early infancy.
  • The Rome IV criteria define colic up to 5 months, but symptoms may persist longer.
  • Emerging evidence suggests the need to evaluate colic prevalence beyond the established age threshold.

Purpose of the Study:

  • To determine the prevalence of infant colic beyond 5 months of age.
  • To evaluate if the Rome IV diagnostic age cutoff accurately reflects the clinical course of infant colic.
  • To assess the persistence of colic symptoms in infants aged 1-12 months.

Main Methods:

  • A cross-sectional, multicenter study was conducted in Colombia.
  • Caregivers of 1236 infants aged 1-12 months were recruited from outpatient clinics.
  • Infant colic was diagnosed using the Spanish version of the Rome IV Questionnaire on Pediatric Gastrointestinal Symptoms (QPGS-IV).

Main Results:

  • Overall, 1.7% of infants met Rome IV criteria for colic.
  • Prevalence was 3.0% in infants aged 1-4 months versus 0.5% in those aged 5-12 months (p < 0.001).
  • Fourteen percent of colic cases occurred beyond 5 months, with none reported after 8 months.

Conclusions:

  • Infant colic is common in early infancy but rare beyond 5 months, supporting the Rome IV criteria's typical clinical course.
  • A small subgroup of infants experiences persistent colic symptoms beyond 5 months.
  • The current Rome IV age boundary may not encompass the full spectrum of infant colic presentation.