Colic in infant. Or aomething else.

I totally understand your concern. Before suggesting treatment, I would like to ask a few questions to ensure the correct management can be provided. Contact me on Practo or WhatsApp chat. Contact number: 97012307 two nine Dr. G. Avinash MBBS, MD (Pediatrics) Fellowship in Neonatology

This presentation sounds like *Infantile Colic. Typical features of colic: - Age: Starts around 2-3 weeks, peaks at 6 weeks, resolves by 3-4 months - Rule of 3: Crying >3 hours/day, >3 days/week, >3 weeks, in an otherwise healthy, well-fed infant - Evening predominance, intense inconsolable cry, legs drawn up, abdomen tense - Baby is completely well between episodes, feeding and weight gain are normal Is it colic or something else? Colic is a diagnosis of exclusion. Need to rule out red flags: - Fever, vomiting, poor feeding, loose stools / blood in stool - Excessive sleepiness, poor weight gain - Abdominal distension, persistent crying all day If any of these are present, or if baby is not gaining weight, it needs physical examination to rule out GERD, cow milk protein allergy, urinary infection, otitis media, etc. About medicines: - *Colicaid (Simethicone):* Has limited efficacy, but generally safe. - *Colimex / Colimex drops contains Dicyclomine + Simethicone:* Dicyclomine is *NOT recommended below 6 months* due to risk of apnea, drowsiness, breathing difficulty and other anticholinergic side effects. Even if it seems to help, please avoid self-medication. FDA warns against it <6 months. *Safe management for colic:* 1.  Burp well after each feed - 15-20 mins upright 2.  Correct latching if breastfed, avoid overfeeding 3.  5 S's: Swaddle, Side/Stomach position on lap, Shush, Swing gently, Suck 4.  White noise, gentle tummy massage clockwise, warm bath 5.  Mother to avoid excess caffeine if breastfeeding 6.  Probiotic (L. reuteri) has some evidence, but discuss with Pediatrician first Colic is self-limiting and not due to mother's fault. Advise to visit your Pediatrician for weight check and to confirm it is simple colic and for proper prescription as per age/weight. If cry becomes high-pitched, baby refuses feeds, has fever/vomiting, becomes lethargic - visit ER immediately.

Symptoms are suggestive of infant colic. Burp baby well after each feeds. Make sure baby is not overfed. Please do not self medicate. If baby is still fussy consult a paediatrician.

Apply asafoetida on   tummy mixed with some water.

Make sure you are not overfeeding your child and making child burp after each feeds. Despite practicing these child is fussy should visit nearby pediatrician for assessment.

Visit physically to nearby pediatrician for check

Consult with Pediatrician physically for further evaluation and treatment

Greetings described symptoms resemble infantile colic, a common pattern of crying that typically peaks around 6 weeks (42 days) of age. However, the patient's symptoms could also be consistent with alternative conditions such as gastroesophageal reflux, a cow's milk protein allergy, or an underlying infection.Colimex drops contain dicyclomine, an antispasmodic that is strictly contraindicated in infants under 6 months of age due to the risk of severe, life-threatening side effects like serious breathing problems. You should immediately stop giving Colimex and consult a pediatrician