Case story - A healthy 2 months old infant has episodes of crying for hours, usually in late afternoon. After the episode the baby is normal and feeds well. The baby passes stool and urine normally. This has been going on for 4 weeks and parents are concerned. Stool tests done repeatedly were normal. What do you know about evening colic? How do you manage a baby with colic? Definition : Intermittent episodes of abdominal pain and severe crying in young infants who are otherwise well. Usually begins at 2-3 weeks age and can persist up to 3 months. Usually in the late afternoon or evening. Causes : Exact cause? –Not known Overactive infant, overanxious parents Speculations are: •Manifestation of hunger, aerophagia, Cow's milk intolerance, intestinal immaturity, over feeding, intake of food with high carbohydrate, change in bowel flora. Clinical Features Sudden loud crying Continuously for hours Face becomes red and legs are drawn up Abdomen becomes tense Attack
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