467639
Descrição
Mapa Mental por v.djabatey, atualizado more than 1 year ago
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Criado por v.djabatey
mais de 10 anos atrás
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Infant 'colic'
- symptom complex
- occurs during first few months of life
- resolves by 4 months of age
- resolves by 4 months of age
- paroxysmal, inconsolable crying or screaming
- often + drawing up of knees + passage of excessive flatus
- often + drawing up of knees + passage of excessive flatus
- occurs during first few months of life
- occurs several times daily
- esp in the evening
- esp in the evening
- gastrointestinal causes often suspected
- but no firm evidence for this
- but no firm evidence for this
- present in up to 40% of babies
- benign
- frustrating and worries parents
- but may ppt non-accidental injury
in alreadyat risk infants
- frustrating and worries parents
- Mx
- support and reassure
- Gripe water
- often recommended
- but benefit unproven
- but benefit unproven
- often recommended
- if colic severe or persistent
- consider cow's milk protein allergy or GORD
- empirical 2 week trial of whey hydrolysate formula
- then trial of anti-reflux Rx
- then trial of anti-reflux Rx
- empirical 2 week trial of whey hydrolysate formula
- consider cow's milk protein allergy or GORD
- support and reassure
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