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What can be mistaken for colic?

Understanding Colic and Its Misinterpretations
Colic, particularly in infants, is often characterized by excessive crying for prolonged periods without an apparent cause. This condition typically affects healthy babies, especially during the first few weeks of life, and can be a source of significant stress for parents. However, several other conditions can mimic colic, leading to confusion and concern among caregivers.
Conditions That Can Be Mistaken for Colic
1. Gastrointestinal Issues: One of the most common culprits that can be mistaken for colic is gastrointestinal discomfort. Conditions such as gas, indigestion, or overfeeding can lead to similar symptoms. Babies may cry excessively due to the pain associated with these issues, which can easily be misidentified as colic. In fact, many parents report that their infants seem to be in distress due to these digestive problems, prompting them to seek solutions that may not address the underlying cause.
2. Reflux: Gastroesophageal reflux disease (GERD) is another condition that can be confused with colic. Infants with reflux may cry due to the discomfort caused by stomach acid flowing back into the esophagus. This can lead to feeding aversions and irritability, which can be mistaken for the classic signs of colic.
3. Allergies or Intolerances: Food allergies, particularly to cow’s milk protein or soy, can also present symptoms similar to colic. Babies may experience abdominal pain, gas, and irritability as a reaction to certain foods consumed by breastfeeding mothers or included in formula. This can lead to excessive crying, which might be misinterpreted as colic.
4. Infections: In some cases, underlying infections, such as a urinary tract infection or ear infection, can cause a baby to cry excessively. These conditions may not be immediately apparent, and the crying can be mistaken for colic, especially if the infant appears otherwise healthy.
5. Neurological Issues: Rarely, neurological conditions can present with symptoms that mimic colic. For instance, conditions affecting the central nervous system may lead to irritability and discomfort, which can be misidentified as colic. Parents should be vigilant for other signs that may indicate a more serious issue.
The Importance of Accurate Diagnosis
Given the potential for misdiagnosis, it is crucial for parents to consult healthcare professionals if their baby exhibits excessive crying. A thorough evaluation can help distinguish between colic and other underlying conditions that may require different treatments. Understanding the nuances of these symptoms can alleviate parental anxiety and ensure that infants receive appropriate care.
In conclusion, while colic is a common and often misunderstood condition, it is essential to recognize that other medical issues can present similarly. By being informed and proactive, parents can better navigate the challenges of infant crying and seek the necessary support for their child’s health and well-being.

What is the 3-3-3 rule for colic?

The most commonly accepted definition of colic, which originated in 1954,4 describes using the “rule of three”: crying for more than three hours per day, for more than three days per week, and for more than three weeks in an infant that is well-fed and otherwise healthy.

What mimics colic?

Neurologic issues. Tetanus, rabies and botulism can cause signs that mimic colic. Respiratory issues. Respiratory issues may also be mistaken for colic, specifically those that are associated with the lining of the lungs, like pleuropneumonia or rib fractures.

What does mild colic look like?

Features of colic may include the following: Intense crying that may seem more like screaming or an expression of pain. Crying for no apparent reason, unlike crying to express hunger or the need for a diaper change. Extreme fussiness even after crying has diminished.

Is my baby colic or is something wrong?

A healthy baby may have colic if they cry or are fussy for several hours a day, for no obvious reason. Colicky babies often cry from 6 p.m. to midnight. Colicky crying is louder, more high-pitched, and more urgent sounding than regular crying. Colicky babies can be very hard to calm down.

How do you confirm colic?

Babies have been known to fuss and cry, especially during the first three months of life. The range for what’s considered typical crying is difficult to pin down. In general, colic is defined as crying for three or more hours a day, three or more days a week, for three or more weeks.

What is false colic?

Occasionally there are non-intestinal conditions, such as laminitis, bladder stones or ovarian problems, that may initially look like symptoms of colic. This is known as ‘false colic’, but may still be very serious.

Do babies with colic cry everyday?

All babies cry, but your baby may have colic if they cry more than 3 hours a day, 3 days a week for at least 1 week but are otherwise healthy. They may cry more often in the afternoon and evening. It may also be colic if, while they are crying: it’s hard to soothe or settle your baby.

What is the 3 3 3 rule for colic?

The most commonly accepted definition of colic, which originated in 1954,4 describes using the “rule of three”: crying for more than three hours per day, for more than three days per week, and for more than three weeks in an infant that is well-fed and otherwise healthy.

What is silent colic in babies?

The scenario I mention above, whereby the stomach contents continually reflux up and down within the oesophagus, is actually known as Silent Reflux……..but, to the untrained eye, because the baby is showing no signs of vomiting or outward signs of having reflux the condition is usually passed off as ‘colic’.

What is similar to colic?

In addition to a milk allergy like Madilyn’s, other conditions that might mimic colic include: GERD (gastroesophageal reflux disease): Stomach acid can back up into your baby’s esophagus, causing painful reflux. Spitting up a lot and crying during feedings are signs, Spinner says.

Natasha Lunn

Tash is an IBCLC and Business Coach helping fellow IBCLCs create fun, profitable businesses that are more than just an expensive hobby. Before becoming an IBCLC and starting her private practice - The Boobala, Tash graduated as an Osteopath in 2008 and has been in Private Practice in South West Sydney. She was also a volunteer Breastfeeding Counsellor and Community Educator with the Australian Breastfeeding Association for 6 years. Through her business, Your Lactation Biz, Tash coaches and creates products to help new and seasoned IBCLCs build businesses that suit their personality and lifestyle.

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