Tag Archives: Pediatrician in Noida

Infant Colic

Infant Colic

The baby spends hours crying every afternoon, is restless, inconsolable, makes you want to cry with him. We tell you how to identify if it is infant colic and some tricks to soften the problem.

Surely many mothers will be recognized in the situation in which their baby spends hours crying every afternoon, restless and inconsolable, not knowing what to do to calm me down, to a point that makes me want to cry with him. What’s up? Although new-borns cry and are restless, when crying occurs at least three hours a day, for more than three days a week, it can be a disorder known as infant colic.

What is infant colic

Infant Colic Treatment

Infant colic is a benign syndrome characterized by uncontrollable or excessive crying and for no apparent reason, which often begins late in the afternoon. The baby usually stiffens, flexing the lower limbs over the abdomen. It is also associated with meteorism (intestinal gas). It usually starts around the second week of life and persists until the third or fourth month.

Luckily, a child crying every afternoon for a while does not necessarily imply suffering from colic in the infant. Often, babies are more nervous between six and twelve at night (and parents more tired), and it is accepted as normal for them to cry for up to three hours, which will decrease until one or two hours a day at three months.

A baby is considered to have infant colic when he presents: three hours of crying a day for at least three days a week, for three weeks. Keep in mind that it is a benign disorder and that it disappears spontaneously before four months of age. However, here are some possible solutions to calm you, as well as the usual symptoms of infant colic so that you know how to identify and distinguish it from other problems.

Causes of infant colic

Many possibilities are considered as causes of infant colic, but in most babies, who suffer from it, a specific cause cannot be established. Only a minority have alterations in the digestive system. These are some of its possible causes:

Gastrointestinal causes

  • Allergy to cow’s milk protein: allergy is diagnosed as a cause of colic in a very small number of infants.
  • Meteorism: during the first months of life they do not fully absorb the amount of lactose contained in the adapted formulas or in breast milk, and this causes the accumulation of large amounts of intestinal gas.
  • Intestinal hypermotility: involuntary contractions of the intestine that prevent the correct expulsion of feces.
  • Hormonal factors: where an intestinal hormone called motilin may be increased in some infants with colic.

Other causes of infant colic

  • Psychological aspects of the baby, since their temperament, makes them sensitive to normal physiological stimuli.
  • Problems of the interaction of the child with the environment.

Symptoms and diagnosis of infant colic

Colic is very common. It affects between 15 and 40% of infants and is characterized by the occurrence of episodes of intense and inconsolable crying in a healthy and well-fed child. These episodes usually start in the afternoon and last at least two to three hours.

Another symptom of infants with infant colic is that they usually present flexion of the lower limbs on the abdomen and intestinal gas. It may seem hungry but the food does not calm him When the episode ends, the baby regains tranquillity and returns to normal. Keep in mind that the baby may cry for many other causes, which present colic of the infant is an extreme case.

It is considered that an infant suffers colic when his crying is excessive, differs from the usual pattern, is prolonged in excess, or cannot be associated with a specific organic disorder.

Diagnosis of infant colic

If the infant begins with the episodes of crying, it should be evaluated by his pediatrician to perform a physical examination and rule out pathology.

The diagnosis is based on the characteristic symptoms and on the examination, which must be normal, since if they suffer colic, the babies:

  • They have a normal sucking reflex and a good appetite, are healthy and grow normally.
  • They like to be caught and hugged.
  • Your stools are normal.

Solutions for infant colic

Infant colic is a disorder of unknown origin and there are no medications or remedies that can solve it effectively, but you can follow a series of recommendations that soften the problem, never forgetting the instructions of a pediatrician in Noida.

However, if the child cries it is convenient to find out the reason, to rule out that he has any need or is uncomfortable, considering the following possibilities:

  • He may be hungry, he wants food. Check the last time he ate.
  • Do not feed the child every time he cries, you should wait two to three hours between each shot.
  • He is not hungry, but he wants to suck the mother’s pacifier or nipple.
  • He wants to be caught in his arms.
  • He’s bored, maybe he needs some encouragement.
  • He is tired and may need sleep.
  • Rocking the child in the crib or giving him a warm bath could calm his restlessness.

If the crying is persistent after trying to resolve it, it may be helpful:

  • Place the child upright or lying face down on the lap or on an electric blanket.
  • Attempts should be made to improve attacks by varying the food technique, such as the environment or belching.

Colic is not the result of poor parenting, so there should be no reason to feel guilty.

  • In children with uncontrollable crying who do not respond to any measure, with unusual bowel movements, hard stools or who put great effort in defecation, consult the child specialist in Noida about the possibility of establishing a diet without lactose.
  • Consult the paediatrician in Noida before administering any medication or making any milk changes.
  • Do not give up breastfeeding, as it is not the cause of colic.
  • If you are breast-fed, do not change the formula, unless the child has diarrhea or vomiting and is instructed by the child doctor in Noida.

Recommendations for the mother

In order to better cope with your baby’s colic, you also need to keep these tips in mind:

  • In the case of breastfeeding, it is advisable that the mother avoid drinking coffee or drinks that contain caffeine or other stimulants.
  • Take a break; If you do not rest at night, a nap is recommended.
  • Avoid fatigue and exhaustion.
  • Ask for help from family or friends; It is essential to reach difficult times with maximum energy and have support to take turns.
  • Leave home to clear the mind.

The most important thing is that parents are aware that:

  • It is a benign disorder, which will not influence the development of the baby, and that before four months of age will disappear spontaneously.
  • Do not give up breastfeeding.

Without consulting with the pediatric doctor in Noida, medications should not be used, nor should the formula be changed if the infant is breastfed.

Infant Fever, How to Act?

Fever is one of the symptoms that most worries parents, however, they must understand that it is an ally against infections. Learn how to act if it appears and remembers: watch the child, not the thermometer.

Pediatrician in Noida

The child fever is one of the most frequent reasons for consultation by child specialist in Noida, both in health centers and medical emergency services and, no doubt is one of the causes most concern and anxiety generated family.

When we attend to families who come to consult about their children’s fever, the idea that the cause of the fever is an infection is widespread. And so, it is in most cases. However, some rheumatic processes and PFAPA or Marshall’s syndrome, frequently diagnosed as tonsillitis or recurrent angina, are other causes of fever in children of non-infectious origin, but they are very rare.

Feverish Convulsion

The only unpleasant, appalling and very stressful situation related to the fever that can happen to 3-5% of children (aged between six months and five years) is a febrile seizure. The febrile seizures typically are benign, do not leave sequels or the child is in the future increased risk of epilepsy.

It is normal for parents who have a child who has suffered a febrile seizure to try to avoid a second seizure by resorting to treating the fever with all kinds of measures. The most important thing is to know that the aggressive treatment of fever by resorting to physical means or using anti-thermal medications (ibuprofen or paracetamol) to lower the fever has not proven effective in avoiding these complications. In addition, the potential toxicity of these drugs, makes it contraindicated to give anti-thermal agents for this purpose.

Families of children who have had a febrile seizure will be instructed by their pediatrician in Noida on how to act and will tell them what treatment they should give the child in case the seizure does not give way spontaneously.

Lowering the body temperature by having the febrile child naked or taking a bath in warm water causes the temperature to drop temporarily while wasting all the energy (calories) that the child has used to move from a normal temperature to fever. In this context, the hypothalamus (your thermostat) will again force you to reach the right temperature to fight the infection and that will entail an extra expenditure of calories, which many times cannot be satisfied by the use of carbohydrates (sugars) and the child will be forced to burn fat, appearing acetone and worsening the general condition of the child.

Child Care with Fever

In a child with a fever, you always have to watch the child and not the thermometer. It is good to know its temperature, but this should not be the criterion of action in fever due to an infection. Neither the degrees of temperature reached nor the response to the antithermic agents serves to assess the severity of the responsible infection or to guide whether it is caused by viruses or bacteria. If you have doubts about the care of a child with a fever, here is an answer to your questions:

What medications do I give?

In a child with a fever, as it happens to adults, it is normal to feel pain or discomfort (headache, muscle aches from the shivering, feeling of bad body, etc.). To alleviate it, the analgesic (ibuprofen or paracetamol) must be provided) that best tolerates the child with appropriate doses to his weight and not his age must be provided. Very important: in a child with a fever you have to look for comfort, not look for a fever-free. Both ibuprofen and acetaminophen will relieve your pain and temporarily lower your fever. Someone might think that we killed two birds with one stone and that is the case, but the fever bird is very good for us (the problem is that we do not have pain relievers that do not lower the fever). If there is pain or discomfort, the analgesic that best tolerates the child should be given with doses appropriate to his weight and not his age or prescribed by child specialist doctor in Noida.

For treatment against pain or discomfort both ibuprofen and paracetamol can be given, but these medications should not be alternated. It should be remembered again that treating fever will not prevent febrile seizures in predisposed children. Those children who have previously had seizures will have the appropriate treatment indicated by their pediatrician doctor in Noida in the event that the seizure is repeated and does not give up spontaneously.

Feeding and hydration in fever

We must be aware that energy expenditure is very important in fever and at the same time assume that in this state there is no appetite. What is normal is that the feverish child is thirsty, so we must try to give him liquids that contain carbohydrates (fruit juices, smoothies, sugary milk …), so that he not only recovers the water he loses but also incorporate in this way the calories you will need. Foods with carbohydrates (fruit, vegetables, rice, pasta, cookies, bread …) will always be a priority before those rich in protein and fat (egg, meat, fish).

On the other hand, you should not bathe the child, if not for hygienic reasons, or leave him naked or put cold cloths. If shivering will have to shelter him. This means that your hypothalamus (your thermostat) requires you to increase your body temperature and one of the mechanisms is muscle contraction. Nor should we overdo it so as not to hinder the natural mechanisms of temperature regulation.

When faced with fever, when to see a doctor?

The important thing is to monitor the signs of severity that can be associated with fever, which are the ones that will tell us when we should go urgently to the child doctor in Noida. That is, knowing or suspecting if the infection causing the fever is serious or not.

Reasons for urgent consultation are:

  • Presence of petechiae.
  • Permanent irritability
  • Inconsolable crying
  • Convulsion.
  • Loss of consciousness.
  • Respiratory difficulty accompanied by rib cage or with the presence of whistles in the chest.
  • Absence of urine
  • Dehydration (dry tongue, absence of saliva, slightly elastic skin, sunken eyes, absence of tears).
  • Provided the baby is under three months old.