{"id":527,"date":"2017-03-30T06:25:54","date_gmt":"2017-03-30T06:25:54","guid":{"rendered":"http:\/\/papergp.com\/index.php\/paediatrics\/infantile-colic\/"},"modified":"2023-01-24T11:25:25","modified_gmt":"2023-01-24T11:25:25","slug":"infantile-colic","status":"publish","type":"page","link":"https:\/\/papergp.com\/index.php\/paediatrics\/infantile-colic\/","title":{"rendered":"Infantile colic"},"content":{"rendered":"<div class=\"content-box-blue\">\n<h4><strong>Differential diagnosis<\/strong><\/h4>\n<ul>\n<li>Acute\n<ul>\n<li>Bowel &#8211; Intussusception, Volvulus, Obstruction &#8211; green vomit, abdo distension, palpable mass<\/li>\n<li>Testicular torsion<\/li>\n<li>Strangulated hernia<\/li>\n<li>UTI\/other infections- fever<\/li>\n<\/ul>\n<\/li>\n<li>Chronic\n<ul>\n<li>GORD &#8211; crying while feeding, back arching, feeding difficulties, chronic cough, premature, ent\/respiratory symptoms<\/li>\n<li>CMPA &#8211; atopy, skin\/GI\/respiratory symptoms<\/li>\n<li>Constipation<\/li>\n<li>Hunger<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<h4><strong>Data gathering<\/strong><\/h4>\n<ul>\n<li>Red flags &#8211; fever, faltering growth, jelly stool, apnoea, projectile vomiting, bile (green\/yellow) vomit<\/li>\n<li>Others &#8211; feeds, bowels, PU, rash, feeding aversion, tooth erosions<\/li>\n<li>Examine &#8211; HR, RR, temp, CRT, abdo\/cvs\/resp\/ENT, growth\/centile chart, fontanelle<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<h4><strong>Clinical management<\/strong><\/h4>\n<ul>\n<li>Explanation\n<ul>\n<li>&lt;5 months of age<\/li>\n<li>Recurrent, prolonged periods of infant irritability and difficult to console<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Treatment\n<ul>\n<li>Conservative\n<ul>\n<li>Reassure &#8211; common, little evidence for medications, improves with age<\/li>\n<li>Smaller, more frequent feeds<\/li>\n<li>Thickened formulas<\/li>\n<li>Raised beds<\/li>\n<li>Support groups &#8211; CRY-SIS.org.uk<\/li>\n<\/ul>\n<\/li>\n<li>Medications\n<ul>\n<li>Trials of\n<ul>\n<li>Gaviscon<\/li>\n<li>Ranitidine\n<ul>\n<li>3mg\/kg 3-4 times daily, tachyphylaxis so dose dictated by symptoms<\/li>\n<\/ul>\n<\/li>\n<li>Nutramigen<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li>Follow-up \/ Safety-net\n<ul>\n<li>Review if symptoms persists after 4 months age<\/li>\n<li>Come back if not putting on weight, blood in stools, feeding difficulties<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Differential diagnosis Acute Bowel &#8211; Intussusception, Volvulus, Obstruction &#8211; green vomit, abdo distension, palpable mass Testicular torsion Strangulated hernia UTI\/other infections- fever Chronic GORD &#8211; crying while feeding, back arching, feeding difficulties, chronic cough, premature, ent\/respiratory symptoms CMPA &#8211; atopy, skin\/GI\/respiratory symptoms Constipation Hunger &nbsp; Data gathering Red flags &#8211; fever, faltering growth, jelly stool, &hellip; <a href=\"https:\/\/papergp.com\/index.php\/paediatrics\/infantile-colic\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Infantile colic<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":96,"menu_order":82,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-527","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/527","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/comments?post=527"}],"version-history":[{"count":8,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/527\/revisions"}],"predecessor-version":[{"id":1951,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/527\/revisions\/1951"}],"up":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/96"}],"wp:attachment":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/media?parent=527"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}