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Colic (Feeding Disturbances (Causes: (Air-swallowing, Esophageal reflux,…
Colic
Feeding Disturbances
Causes:
Air-swallowing
Esophageal reflux
Food intolerance
Hunger
Signs and symptoms
Abdominal pain and cramping
Clinical rule of three
Inconsolable crying > 3hrs a day
Greater than 3 days a week
Greater than 3 weeks
Subsides by 4 months of age
Incidence: 10-20%
Treatment
Change mother's diet if breastfed
Trial of hypoallergenic formula
Non-pharmacological
Soothing: swaddling, white noise, rhythmic movements
Coping skills: avoid parental frustration and exhaustion
Poor Parental Coping Skills: Risk of Child Abuse
Child abuse injuries
Fractures
Bruising
Neglect
Head trauma