Infantile colic is a diagnosis of exclusion
- Thorough history and physical examination to rule out underlying organic disorders and to determine the need for further investigations
- Look for any Red flag signs – Failure to thrive/poor weight gain, Abdominal distension, Fever, Lethargy, Vomiting, Diarrhea etc. and consider alternative diagnoses.
- Feeding Assessment by a trained Lactation Expert for a shallow latch and any oral restrictions(Tongue tie, Lip Tie, etc), that result in excess aerophagia.
- Distinguishing a Colic form a severe Gastro-Esophageal Reflux
Once these above issues are ruled out and infant meet the criteria of ‘rule of three” then diagnosis of infantile colic is made.
Drafted on Inputs from by Dr Mridul Das, Pediatric Gastroenterologist, Formerly at BLK Centre for Child Health.
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