INFANTILE COLIC CMJ

Differential diagnosis of colic symptoms in infants

Infection

Meningitis, urinary tract infection, otitis media

Gastrointestinal

Constipation, cow’s milk protein allergy, gastro-oesophageal reflux disease, inguinal hernia, intussusception, anal fissure

Metabolic

Hypoglycaemia, inborn errors of metabolism

Neurological

Hydrocephalus

Trauma

Non-accidental injury, accidental trauma

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Red flags signs and symptoms

Signs

• Irritability, tachycardia, pallor, mottling, poor perfusion
• Petechiae, bruising, tachypnoea, cyanosis, nasal flaring
• Hypotonia, meningism, full fontanelle
• Weight <4th centile for age (or decreasing on the centile charts)
• Head circumference >95th centile (or increasing on the centile charts)

Symptoms

• Bilious or projectile vomiting, bloody stool
• Fever, lethargy, poor feeding
• Perinatal risk factors for sepsis (premature rupture of membranes, maternal fever or infection, group B streptococcus)
  
  
  
  
  
  
  
  
  /////////////////////////////////Simethicone (Infacol), which reduces intraluminal gas and is readily available over the counter, has been studied in two randomised controlled trials. No difference in reducing colic episodes was shown compared with placebo
  
  
  
  
  /////////////////////////H DOG AS YAMA
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////////////////////////////////SAT CHID ANANDA - EXISTENCE KNOWLEDGE BLISS

///////////////////////////////2020