Crying and fussing is normal behavior for babies in the first 3 months of life. Babies even cry when their diapers are wet or they are hungry. These cries are usually short-term cries that do not disturb the baby and the family. When the reason for crying is corrected, the baby immediately becomes silent and calms down.
INFANTILLE COLIC (BABY PAINS) are crying spells that cannot be relieved and are seen in healthy babies. Crying during colic pain is different and resembles screaming or crying in pain. These crises, which do not have a bad outcome, are generally seizures that last longer than 3 hours a day, more frequently than 3 days a week, and longer than 3 weeks a month. It usually peaks in the sixth week of life. Symptoms typically decrease after the 3rd - 4th month and disappear by the 6th month. It can be seen in children of families of all socioeconomic levels in every society all over the world. The incidence of baby pain varies in different societies, and this rate can vary between 10% and 40%. The incidence rate does not differ between girls and boys. It has nothing to do with nutrition, gestation period, or social and economic situation. The incidence of the disease does not vary depending on the seasons. It is one of the top reasons for hospital admission in the first year of life. The time of colic attacks can be predicted. It usually occurs in the evening hours. Pain attacks usually begin suddenly and without any apparent reason. The baby, who is sleeping calmly or lying in his crib, suddenly starts crying loudly and violently, as if something had been cut off. Facial color changes, face and cheeks become red, and the area around the mouth may be pale. The body is tense. Arms are stretched and hands are balled into fists. The legs are stretched or pulled towards the abdomen. The abdomen is also tense and the spine is bent back like a spring. It is not yet understood why the pain usually begins in the evening hours, why it starts after the 3rd week of the first month, why it varies between babies and how it disappears spontaneously over time. Colic attacks usually occur in the evening hours when parents are tired and Repeating it every evening can cause them to feel helpless, angry and even angry. Unrelieved colic attacks cause them to become depressed This can lead to despair and wandering from doctor to doctor. Postpartum depression of mothers may contribute to baby pain. Psychological disorders of the parents may cause them to behave angrily towards the baby and cause shaken baby syndrome. Baby pains are a disorder that ends well and disappears on its own. It manifests itself as pain attacks that occur in healthy babies and cannot be relieved no matter what is done. Parents should be sure that the pain does not have a bad course and will disappear completely without causing harm or damage to the baby.
Causes:
Although it has been intensively researched for decades, baby pains The exact causes are unknown. Among the suspected but unproven causes:
*Changes in the microbial flora of the stool
*Cow milk protein allergy
*Intolerance to milk sugar or milk sugar overload
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*Immaturity of the digestive system
*Inflammation of the digestive system, (in 2 studies, the protein called calprotectin, which is an indicator of intestinal inflammation, was found to be high in the stools of babies with infantile colic).
< br /> *Excessive secretion of serotonin hormone
*Poor feeding techniques
*Failure to remove gastric gas frequently and sufficiently
*The baby swallows air while feeding because the baby's nose is blocked
*The baby swallows air while feeding with the bottle because the bottle head is simple
> *The mother's continued use of cigarettes and tobacco while breastfeeding her baby
*Unsatisfactory mother-baby relationships
*The mother's psychological disorder: Stress, anxiety and depression are at the top of the list. .
*Failure to pass stomach gas frequently and adequately
*Overfeeding, malnutrition (hunger),
*Early types of baby migraine are also causes of pain. It may be possible.
Approach and diagnosis of a colicky baby:
In order to evaluate a painful baby and diagnose colic, the baby and the mother must be aware of any symptoms that may be related to the disease. Their past needs to be learned in detail. After this information is learned, your baby will be examined by the pediatrician.
When going to an appointment with your doctor:It is always a good idea to be prepared before going to an appointment with the doctor. It would be very useful to take short reminder notes about the topics you want to talk about and consult. Before your colicky baby's appointment, make a written note of the following issues:
- How old was your baby when the pain attacks first started?
- At what time of the day do the pain attacks usually occur and how long do they last?
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- What is your baby's behavior like right before, during and after the seizure?
- What is your baby's feeding and sleeping pattern?
- What do you do to comfort your baby in pain?
- If there is a person or people who take care of your baby other than you, who are they? (Such as the other spouse, grandparents, aunts, uncles, caregivers.)
Your doctor will probably ask you the following questions:
1) Can you describe your baby's typical crying spells?
2) What does the crying sound like?
3) Does your baby tense up during contractions? How are his arms, hands, legs, abdomen and spine?
4) At what time of the day do the seizures start, how long do they last and how many days do they repeat in a week?
5) To calm your baby down What do you do? How successful are the things you do?
6) Does your baby have any problems with feeding?
7) What foods and how often do you feed your baby? How much amount do you give?
8) How long after feeding do crying spells start?
9) Does your baby vomit? How often and how much does he vomit?
10) How long does your baby sleep at a time? Have there been any changes in your sleep pattern lately?
11) Is it difficult to breathe while crying?
12) What are the behaviors and approaches of other members of your family during crying crises? Your doctor will answer the above questions and provide detailed information. According to the examination findings, it will be decided whether your baby has a disease other than infantile colic.
When a baby with suspected colic is examined by a doctor:
*The baby's growth is evaluated by measuring its height, weight, and head circumference. Thus, malnutrition (starvation) or overnutrition situations are investigated.
*The presence of burns, redness, swelling, abrasions, bruises, wounds, rashes, itching and allergy signs on the skin are investigated.
* The baby's hands, arms, legs, feet, fingers and toes, and nails are examined.
*His head, skull bone, eyes and ears are examined.
*Heart, lung and intestinal sounds are listened to. is checked.
*The baby's genitals and anus area are carefully examined.
*The baby's reaction to touching and moving is evaluated.
Important disorders that should not be confused with baby pain:
It cannot be claimed that the baby's pain attacks are due to infantile colic without eliminating organic disease causes. In order to say that the baby has infantile colic, the following causes must be eliminated: Hirshprung's disease, strangulated hernias, gastroesophageal reflux disease, advanced hydronephrosis, pathological phimosis (excessive narrowness of the foreskin), torsion of the testicle or its appendages, pyloric stenosis, intestinal obstructions, severe constipation. , cracks in the anus, , child abuse, beating of the baby, injuries, bone fractures, subdural hematoma (bleeding under the skull bone), eyelashes, hair or other foreign objects getting into the eye, injuries to the corneal layer of the eye, hydrocephalus, microbial diseases (meningitis, pneumonia, middle ear inflammation and urinary tract infection), hair wrapped around the fingers or toes or around the penis, cow's milk allergy, lactose intolerance (intolerance to milk sugar). It may be necessary to have some tests and tests such as ultrasound, brain tomography, endoscopy, occult blood in the stool, reducing substance in the stool, calprotectin in the stool, pH of the stool, complete urinalysis and urine culture. The following features are not present in real baby colic: An extremely swollen and tense baby. abdominal pain, bilious vomiting, blood in the stool, inability to feed, high fever and excessive sleepiness. If these symptoms are present, there may be another serious disease, not infantile colic. The baby may sometimes need to be examined by a pediatric surgeon, pediatric neurologist and ophthalmologist to show that the above-mentioned disease causes do not exist in the painful baby.
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