persistent colic
Introduction
Introduction It is the pain caused by the large intestines, which often makes the baby cry and keep on continually crying for 1-2 hours. Since the baby does not speak, for the discomfort of the body, only crying is the main body language. Infant colic is characterized by intermittent crying.
Cause
Cause
It is related to the incomplete development of the baby's digestive tract. This immaturity is manifested in abnormal brain control of the ganglion. Strictly speaking, the digestive tract refers to the entire lumen system associated with digestion and absorption from the mouth to the anus. This continuous lumen system can be divided into several segments, and the neural control of each segment is derived from different ganglia, which are controlled by the high-level nerve-brain of the "Command".
The brain development of infants within 4 months is not yet mature. Therefore, the authority of the "Command" cannot be fully reflected, so that the physiological functions of the digestive tract at each stage may be uncoordinated. This situation is particularly prominent in the peristalsis of the intestines. When the infant's intestinal peristalsis is fast and some intestinal peristalsis is slow, resulting in a "twisting" phenomenon in the intestinal junction, it is called intestinal colic. The inconsistent speed of the intestines causes the twisting of the intestines to cause the baby to cry. In addition, improper feeding can also cause colic in your baby.
1, frequency change breast feeding on both sides. When the mother is feeding, the composition of breast milk will constantly change. The sucking of the baby causes the milk in the breast to gradually increase the fat. If the baby is not sucked, the mother will switch to the other side of the milk. The baby can absorb less fat, the intake of calories is insufficient, the baby will soon feel hungry, and the mother needs to feed a few more meals. And too much milk will make the baby vomit. In milk with too low a fat content, there will be excessive sugar, and the baby's stomach can't digest these sudden sugars at once. He feels uncomfortable, crying, snoring, spitting, temper, and excreting green water. The symptoms of colic.
2. The feeding site is not suitable. It is not convenient to feed in public, and there are some nasty eyes around. The environment is forced, my mother can only feed a few minutes of milk to cope with the hungry baby. Please note: babies usually spend two hours on their breasts. If the environment permits, the mother should try to feed the baby to stop sucking. However, if it is not convenient, the mother should massage the breast after feeding the emergency milk, and keep the milk with enough fat so that the baby can suck the high-fat milk when feeding the next meal (using the same milk).
3. Improper feeding reaction. When the baby inhales too much milk in a short period of time, it will feel uncomfortable and impatient. These reactions are often mistaken for normal infantile colic. Usually the baby will be spoiled. After a few minutes, the baby will start coughing, licking his throat, struggling, and refusing to eat milk. The mother's milk will flow out, and the baby will return to the nipple to eat milk, so that the baby will suck more milk that makes him uncomfortable. The milk flow is unstable, too fast or too slow, which makes the baby feel more annoyed. Some babies even refuse breast milk.
Examine
an examination
Some small babies will suddenly cry out loud, last for hours, or have paroxysmal attacks. When crying, the baby's face is getting red, the mouth is pale, the abdomen is bulging and tense, the legs are lifted up, the feet are cold, the hands are tight, and the breastfeeding can't be alleviated, and finally the crying exhausts, exhaust or row Stopping with bowel movements, this phenomenon is often referred to as infantile colic. This is due to the strong contraction of the smooth muscles of the infant's intestinal wall or the pain caused by flatulence. It is the most common type of acute abdominal pain in children. It often occurs at night, mostly in infants within 3 months, and is more common in irritability. Excited irritated baby.
Diagnosis
Differential diagnosis
Diagnosis needs to rule out other diseases, such as intussusception, the baby who is born very fat is most likely to get intussusception, the baby who has intussusception will suddenly cry, uneasy, pale, hands and feet, abnormal pain. After a while, the pain passed, and the baby would calm down again, but after a few minutes of silence, I suddenly cried, so repeated attacks, waiting for the baby to be exhausted, crying is not as dramatic as when I was sick, and the interval is extended. Once the course of the disease is delayed, the baby may just be paralyzed or enter a drowsiness state. Some infants with intussusception will have vomiting symptoms. They often vomit shortly after the onset of paroxysmal crying. The first thing they spit out is milk or other food. Then they may spit out bile and even spit out the odorous liquid. 4 to 12 hours after the onset of the disease, the baby may also expel blood, which is dark red sticky jelly-like jam. About 75% to 90% of babies may also have a lump in the abdomen. Once the baby continues to cry, enter the paroxysmal pale, sputum, irritability or lethargy, or bloody should seek medical attention immediately.
