Before starting the conversation, adding that "colic"comes from the Greek word "kolikos" refers to any pain in the gut. But what is called colic in children - paroxysmal pain in the abdomen - usually due to two main reasons:
- a violation of the motor function of the intestine;
- increased flatulence.
The main predisposing factor incolic is incomplete breakdown of fats and carbohydrates, which in most cases begins with the third or fourth week of the baby. The result is a spasmodic contraction of the intestinal wall, which leads to the appearance of a sharp pain. In addition, violation of motor function of the gastrointestinal tract further contribute to increased flatulence in the baby's intestines on a background of dysbiosis and swallowing air during feeding.
Medical statistics says the most frequentthe appearance of intestinal colic in children later or in case of a large age difference between the spouses, as well as complications of pregnancy and childbirth. In general, we are often talking about the long-awaited children in families with high income. A high level of anxiety, typical of these families, encourages parents to various additional examinations of the gastrointestinal tract and the baby to unduly frequent recourse to the therapist.
The emergence of pain is noted in one and thesame period: usually during feeding or shortly thereafter. Belly swollen and the infant tense, legs pulled up to the anterior abdominal wall, hands pressed to the body. The attack can last from several minutes to 2-3 hours. Episode intestinal colic almost always accompanied by a hysterical scream. Infant hard Sucitu feet, at which point his skin becoming purplish-red hue. Spastic reduction is often accompanied by vomiting or regurgitation, but tenderness to abdominal palpation or tension of the abdominal wall muscles to function colic uncommon. Flatus and defecation usually bring significant relief to the child, he calms down and his condition improved significantly.
The manifestation of intestinal colic traced "rule of three", which helps young parents to make the correct diagnosis:
- Colic usually starts at the age of three weeks,
- last no more than three hours a day,
- It occurs in children during the first three months of life.
All you need particular patience and skilllisten to the recommendations of the expert, as well as the understanding that as intestinal maturation (as well as the body as a whole) is a transient state that is characteristic for the period of adaptation, takes place completely and irrevocably.
But the so-called "red flags" - the presence ofblood in the stool and vomit, and a high body temperature - should be a strong signal for the parents. It is necessary to pay attention to tense even in repose tummy baby, a complete rejection of food, lack of an independent chair. These symptoms may be accompanied by diseases of the gastrointestinal tract, urogenital system, certain neurological disorders.
Reducing the frequency and severity of intestinal colic can beachieved by observing the rules of care and breastfeeding. Pediatrician and health visitor should not only explain the mother's techniques and skills of the correct position of the baby during breast-feeding, but also to fix them. To the child was easier to suck, he needs to remain in the chest in a position where his tummy is pressed against the body of my mother, at least 20 minutes. The need for dose interruption milk income. The body and neck of the baby must stay in line, facilitating the flow of milk in the stomach.
Proper breast-feeding should beensure a balanced maternal nutrition restriction fatty foods and active provocateurs flatulence, such as cucumbers, cabbage, beans, apples, pears and corn.
We propose a scheme that allowsminimum load of medical help to soothe the baby and his parents. In addition, the sequence of actions will help to distinguish physiological colic from a serious disease, and protect the baby from undue and unnecessary interventions (which occurs, unfortunately, quite often).
- Step 1. While colic attack is recommended to hold the baby in an upright position or on your stomach, with bent knees, warm, easy massaging the tummy in a circular motion.
- Step 2: Herbal teas, which include fennel, fennel seeds, caraway, chamomile, help to relieve pain and relax the intestines.
- Step 3. drugs may be used to ensure destruction of the gas bubbles and the formation of new warning - for example, "Bobotik" "Simethicone" "Espumizan".
- Step 4: To eliminate the symptoms of intestinal dysbiosis fit "Linex", "Bifidumbacterin", "atsilakt", "Atsipol".
- Step 5. Display gas and feces from the rectum can try using enemas or vapor tube. This task will also help to cope with glycerin suppositories.
- Step 6. In the absence of a positive effect of possible appointment of antispasmodic drugs and prokinetic.
Recommendations Some pediatricians Cessationbreastfeeding and the child's transfer to lactose-free diet does not find support among modern professionals. It is proved that a similar technique is contrary to the reasonable approach, as in the first weeks and months of lactose baby is essential.