What should parents do?

February is also called intestinal colic. Medically, the cause of the February (intestinal colic) is not enough, so there is no exact method to fundamentally solve this problem, but this does not mean that we are completely helpless.

The typical characteristic of intestinal colic is the elderly and the unreasonable babies who are too anxious. They belong to a benign disease. Most babies will gradually disappear at the age of 4 to May.

Therefore, what we need is not the treatment of intestinal colic, but to help parents go through the challenge period of the baby's growth and development.

There are several methods for your reference:

Identify with disease

When the baby is crying, you must first check them carefully:

Babies accompanied by abdominal swelling and vomiting should pay attention to whether there are intestinal obstruction, intestinal twisting, intestinal embedded meal, intestinal cover, etc.

Accompanied by fever and decreased appetite, it is often prompted to have potential infection;

Crying intermittent period is weak, and weight does not increase. It needs to exclude organic diseases.

With the above situation, take the baby to the hospital for further examination in time.

Relieve parental anxiety

Avoid inappropriate appeal

Intestinal colic is a benign functional gastrointestinal disease. Usually, if the baby's crying symptoms can be relieved, the parents' emotions can be reasonably adjusted, then the intestinal colic will not threaten the baby's body.

On the contrary, the wrong diagnosis and inappropriate treatment may cause unnecessary harm to the physical and mental health of babies and caregivers, and launch hidden dangers for future family disharmony and baby's future behavior problems.

Some parents have great strength. In order to soothe the baby, they may shake him overly, which will increase the risk of baby shaking syndrome.

Therefore, parents must fully understand this condition, make timely psychological adjustment, and learn correctly.

Behavior comfort: 5s soothing method

The currently used 5S appeasement method was proposed by Dr. Harveykapu, a well -known American pediatrician, Dr. Harveycapp, in his book, "The Happy Baby on the Block" (Chinese translation "Karp Newborn Corporation").

Karp believes that the baby is highly immature in the first three months of birth, so the key to appease the baby is to maximize the restoration of the baby's environment in the uterus, so that they will slowly adapt to the outside world in the familiar environment.

So there are five s, which are Swaddling, SIDE / Stomach Position, Shushing / White Nosise, Swinging, and SUCKING.

The specific method is as follows:

Swaddling (parcel) —— 襁 褓 褓 褓

Put your baby's arm on both sides of the body, and then wrap it tightly to simulate the uterine environment, so that you can feel safe.

Note that the parcel method needs to wrap the baby's upper body tightly, but the lower limbs should be appropriately loose, so that the hip joint can be flexed naturally, avoid forming a candle bag, and affect the baby's joint development (as shown in Figure 1).

Figure 1, picture source: "Carp Newborn Acting Method"

SIDE / Stomach Position

Lie the wrapped baby sideways or lying down, and at the same time, with the booing method below, some babies can immediately calm down (as shown in Figure 2).

Figure 2, picture source: "Carp Newborn Acting Method"

Shushing booing method

The sound of wind and waves can make people feel relaxed. For the baby, the loud boo can simulate the sound of the fetus in the uterus and make them quiet.

This boo is close to the noise from household appliances such as hair dryer and vacuum cleaner, so you can try to make a boo in the ears of the crying baby, or play the noise of the household appliances recorded. In principle, let the baby hear it. There are special mobile software to play white noise.

Swinging

The baby likes to shake slightly, just like shaking all day in the mother's belly.

However, novice parents must pay attention to that because the baby's craniocerebral development is immature, and the significant shaking will be injured, causing the baby to shake the syndrome, so it must not be swayed significantly, but shake very small.

In the case of the weather permit, you can also drive a baby to take a circle. On the flat road, the slight tremor of the vehicle may make the baby calm down quickly.

Sucking

Put the pacifier in the baby's mouth. When the baby sucks the pacifier, gently pull the pacifier out. You will find that every time you pull it out, it will make the baby feel about losing this pacifier, and he will suck tighter Essence

Repeatedly, the baby will fall asleep.

Diet adjustment

By reducing lactose intake and supplementing lactase, you can reduce intestinal colic caused by lactose intolerance. Protein hydrolysis prescriptions can reduce intestinal colic caused by milk protein intolerance.

Note that the above treatment is only effective for crying caused by food intolerance, not suitable for all babies.

It is not recommended to use western medicine

Some western medicines, such as glucose, glycolic silicon oil, hydrochloride, proton pump inhibitors and expellaps, etc., due to the uncertain effect, and some adverse reactions, it is not recommended to use it.

Other methods must also be carefully selected, such as supplementing specific probiotics. At present, there is no clear evidence to prove that probiotics can effectively treat baby bowel colic.

In addition, there are Chinese herbal medicines, massage, etc. Although some parents think of effective reports, more clinical random control studies are required to verify, and parents need to choose cautiously.

references

[1] Carp newborn appeasement method [M]. [美] Harvey Cap (着), Chen Nan (translated), Zhejiang People's Publishing House, 2013

[2] Practical Children's Health Care [M]. People's Health Press, Li Shiqi, 2016

[3] Zhu Qingling, Sheng Xiaoyang. The research progress of infant embryoscopy [J]. Chinese Pediatric Magazine, 2017,55 (04): 314-317.

[4] Guarner F. Sanders ME, Kaufmann P, et al. World gastro-enterology organisation global guidelines: probiotics and prebi-otics[EB/OL].[2017-02]http:www.worldgastroenterolo-gy.org/UserFiles /file/guidelines/prbiotics-nd-prebiotics-english-2017.pdf.

[5] Chen Xia, Liu Fangli, Wang Ying, Li Rui. Baby intestinal colic research progress [J]. Chinese children's health magazine, 2021,29 (09): 973-977. [6] Hojsak I. Fabiano v.poptl .et al. Guidance on the useof probiotics in clinical practice in children with selectedclinical conditions and in specific vulnerablegroups[J].Acta Paediatr. 2018, 107(6): 927-937. [7]Valerie Sung, Paediatrician,et al. Infantile colic[J].Aust Prescr. 2018 Aug; 41(4): 105–110. [8]赵煜,张书红.婴儿肠绞痛的识别与管理[J].中国小儿急救医学,2022,29( 02): 90-94.

Experts in this article

Liu Fang

Cooperative expert

Deputy Chief Physician of Child Health Care and Development of Binzhou Medical College Affiliated Hospital

Dai Xiaotian

Review expert

Physician of the Maternal and Child Health Department of Shanghai First Maternal and Baby Health Hospital in Shanghai

Plan

Produced: MEI

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