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Query: UMLS:C0030193 (pain)
 261,466 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Infantile colic (IC) is a distressing condition with an unclear etiology. A prospective trial was undertaken to study the hypothesis that medication during labor increases the risk of IC. Of 365 singleton deliveries, 70 (19%) developed IC. The factors associated with a significantly increased occurrence of IC were: a "psychological" complication of pregnancy, a sibling with a history of IC, a bad subjective experience of pregnancy and second parity. No significant association to "true" obstetrical complications or labor occurrences (breech, vacuum extractor, cesarean section, shoulder dystocia, pudendal block, epidural analgesia, general anesthesia or intravenous Syntocinon) was found. Modern management of labor does not increase the risk of IC. Prevention of IC is therefore achieved by psychological support to the pregnant women in the risk groups, and not by depriving her of necessary obstetrical management or pain relief.
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PMID:The significance of pregnancy, delivery and postpartum factors for the development of infantile colic. 196 Jun 29

Infantile colic occurs in 1/3 of all infants and is still a medical mystery. This paper reviews the etiology and the documented therapies. The overall aim is to avoid that inefficient forms of medication are used for this indication. It is not yet known whether colic is a dysfunction related to physical pain or behaviour. The results from 885 infants born in Oslo suggested that colic was frequent among those whose mothers both breastfed them and smoked more than five cigarettes daily. No increase in relative risk was found for other maternal or demographic factors. Since it is impossible to treat the causes parents should be advised to try general and specific strategies. General advice includes support, interest and care from health personnel and assistance from relatives. Specifically, some infants respond to either dietary changes (no cow's milk), oral sucrose infusion, vibro-accustic treatment, behavioural therapy or carrying, but avoiding hyperstimulation. Nicotine-free breast milk has not been evaluated. The available pharmacotherapy is not efficacious. Alternative medicine (herbal teas, chiropractic, acupuncture), has not yet been proven to be efficacious.
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PMID:[Infantile colic--what will help?]. 766 54

In front of infant and toddler presenting with unexplained cries, unusual behavior, and tachycardia, pain should be recognized, and signs and symptoms of shock and intestinal occlusion should be sought without any delay. Meningitis, pyelonephritis, and pneumonia must be taken into consideration in a young child with fever and irritability. In the presence of any paroxystic pain with refusal of feeding, one should consider acute intestinal occlusion, volvulus due to intestinal malrotation if associated with signs of shock, and volvulus related to postsurgical adhesions if history of abdominal surgery. Abdominal ultrasonography is the exam of choice in these cases. Examination of inguino-scrotal region is essential in order to rule-out inguinal hernia, ovarian hernia, and testicular torsion. Infant colic and peptic esophagitis are common causes of recurrent pain.
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PMID:[Diagnosis of acute abdominal pain in infants]. 2169 87

Infantile colic is a common disturbance occurring in the first three months of life. It is a benign condition and one of the main causes of pediatric consultation in the early part of life because of its great impact on family life. Some pediatricians are prone to undervalue this issue mainly because of the lack of evidence based medicine guidelines. Up to now, there is no consensus concerning management and treatment. Literature reports growing evidence about the effectiveness of dietary, pharmacological, complementary and behavioral therapies as options for the management of infantile colic. Dietary approach, usually based on the avoidance of cow's milk proteins in breast-feeding mothers and bottle-fed infants, more recently has seen the rise of new special formulas, such as partially hydrolyzed proteins and low lactose added with prebiotics or probiotics: their efficacy needs to be further documented. Investigated pharmacological agents are Simethicone and Cimetropium Bromide: the first is able to reduce bloating while the second could reduce fussing crying, but it has been tested only for severe infantile colic. No other pain relieving agents have been proposed until now, but some clinical trials are ongoing for new drugs.There is limited evidence supporting the use of complementary and alternative treatments (herbal supplements, manipulative approach and acupuncture) or behavioral interventions.Recent studies have focused the role of microbiota in the pathogenesis of this disturb and so new treatments, such as probiotics, have been proposed, but only few strains have been tested.Further investigations are needed in order to provide evidence-based guidelines.
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PMID:Looking for new treatments of Infantile Colic. 2558 17

Infantile colic is a self-limiting disorder of excessive infant crying or fussiness that peaks at 6 weeks of age and typically improves by 3 months of age. The etiology of infantile colic has yet to be definitively elucidated, but there is increasing research to support its relationship to migraine. The aims of this review are to present recent research investigating the connection between infantile colic and migraine. The importance of identifying this connection is useful in reducing invasive and potentially harmful investigations and to identify age appropriate pharmacologic interventions that would be safe in this population.
Curr Pain Headache Rep 2016 May
PMID:The Link Between Infantile Colic and Migraine. 2703 70