Colic

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD's weight loss doctor NYC
Philadelphia GLP-1 weight loss and GLP-1 clinic NYC

Colic
File:Cruikshank - The Cholic.png
Synonyms	N/A
Pronounce	N/A
Specialty	N/A
Symptoms	Crying, irritability, abdominal pain
Complications	N/A
Onset	Typically in the first few weeks of life
Duration	Usually resolves by 3 to 4 months of age
Types	N/A
Causes	Unknown, possibly gastrointestinal or psychosocial factors
Risks	Parental stress, smoking during pregnancy
Diagnosis	Based on clinical presentation
Differential diagnosis	Gastroesophageal reflux disease, lactose intolerance, food allergy
Prevention	N/A
Treatment	Soothing techniques, dietary changes, probiotics
Medication	Simethicone, dicyclomine (rarely used)
Prognosis	N/A
Frequency	Affects 10-40% of infants
Deaths	N/A

File:Cruikshank - The Cholic.png

Colic is a term used to describe severe, often fluctuating pain in the abdomen caused by the intestinal gas or obstruction in the intestines. It is a common condition that can affect both infants and adults, though it is most frequently associated with infants.

Types of Colic

Colic can be classified into several types based on the underlying cause and the affected population:

• Infant colic: This type of colic is characterized by episodes of crying and fussiness in an otherwise healthy infant. It typically begins within the first few weeks of life and usually resolves by the age of three to four months.
• Renal colic: This type of colic is caused by kidney stones and is characterized by severe pain in the lower back or abdomen.
• Biliary colic: This type of colic is caused by gallstones and is characterized by severe pain in the upper right abdomen.
• Intestinal colic: This type of colic is caused by obstruction or gas in the intestines and is characterized by cramping and abdominal pain.

Symptoms

The symptoms of colic can vary depending on the type and cause but generally include:

• Severe, fluctuating abdominal pain
• Crying and fussiness (in infants)
• Bloating and gas
• Nausea and vomiting
• Changes in bowel movements

Causes

The exact cause of colic is not always clear, but several factors may contribute to its development:

• Gastrointestinal immaturity (in infants)
• Food intolerance or allergy
• GERD
• Lactose intolerance
• Kidney stones
• Gallstones
• Intestinal obstruction

Diagnosis

Diagnosis of colic typically involves a thorough medical history and physical examination. In some cases, additional tests such as ultrasound, X-ray, or blood tests may be required to identify the underlying cause.

Treatment

Treatment for colic depends on the underlying cause and may include:

• Dietary changes (e.g., eliminating certain foods)
• Medications to relieve pain and discomfort
• Hydration and electrolyte management
• Surgery (in cases of obstruction or stones)
• Comfort measures (e.g., swaddling, rocking, and soothing techniques for infants)

Prevention

Preventive measures for colic may include:

• Proper feeding techniques (for infants)
• Avoiding known food triggers
• Staying hydrated
• Regular physical activity

See also

• Abdominal pain
• Gastrointestinal disorders
• Pediatric medicine
• Nephrology
• Gastroenterology