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This condition occurs in 20% of infants and is typical in the first 2-5 months of life, in the evening or at night. The baby cries intensely and cannot be consoled. Their legs are often bent, fists closed and abdomen tensed, without an obvious cause. It lasts at least three hours a day, three days per week and for more than three weeks. The cause is unknown but its relationship with an allergy to cows' milk proteins is being studied. Physical examinations between seizures are normal. It is not a medical emergency, although it is a cause of great anxiety for the parents. Your pediatrician can give you advice and osteopathy has sometimes been shown to be effective in reducing the number of episodes. Seek an urgent consultation if your baby loses the sucking reflex and is not eating correctly, is inconsolable even with belly massages, vomits immediately after feeding or has diarrhea or blood in their stool.
- Teri Lee Turner, MD, MPH, MEd. Shea Palamountain, MD. Infantile colic: Clinical features and diagnosis. UpToDate. May 31, 2016.
- Teri Lee Turner, MD, MPH, MEd. Shea Palamountain, MD. Infantile colic: Management and outcome. UpToDate. Oct 18, 2016.
- Douglas P, Hill P. Managing infants who cry excessively in the first few months of life. BMJ 2011; 343:d7772.
- Benninga MA, Faure C, Hyman PE, et al. Childhood Functional Gastrointestinal Disorders: Neonate/Toddler. Gastroenterology 2016.
Dr. Sara Vitoria
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