Colic or reflux? How to tell?

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Constant crying in babies can indicate colic or reflux, but the symptoms and causes are different. Colic is characterized by predictable crying, while reflux is associated with spitting up, coughing, and wheezing. Colic usually goes away on its own, while reflux may require dietary changes or medication. Reflux can lead to more serious medical complications if left untreated. Contact a pediatrician for more information.

While every baby cries at least once in a while, constant crying can indicate a more serious problem. If your baby cries constantly, you may start to wonder if he just has colic or if he has reflux. Although the symptoms of colic and reflux can sometimes be quite similar, reflux usually has a few more symptoms, and the causes of these symptoms are different. Also, although it generally goes away as a child gets older, uncontrolled reflux can lead to other health problems.

Confusing colic and reflux symptoms is a common mistake many parents can make. Colic is typically characterized by long periods of intense crying. These crying spells are often quite predictable, appearing to happen at the same time of day or night. Colicky babies may also appear to be in intense pain, curling their legs, tensing their bodies, and clenching their fists.

The crying associated with infant reflux isn’t always as predictable as the crying that occurs with colic. However, it typically happens shortly after the baby has been fed and may not even want to eat. Being placed on the back can exacerbate symptoms. Frequent spitting up, coughing, wheezing, and hiccups are also common symptoms associated with reflux

The causes of colic and reflux are very different. In fact, it is not known what exactly causes colic. Numerous studies have been done to understand this. A popular theory that seems to be shared by many is that colic is caused by too much gas. Most often, reflux is caused by an immature lower esophageal sphincter that doesn’t close properly. This is the ring of muscle that keeps food and acids from backing up into the esophagus.

Other important differences between colic and reflux are treatment and lasting effects. Colic usually goes away on its own without any other health problems, and a baby often has no symptoms after about three to four months. There is often no way to soothe a colicky baby, however some pediatricians may prescribe probiotics, as some believe they can help regulate the bacteria in the digestive tract.

Infantile reflux typically goes away on its own after a child turns one. Some medications may be prescribed for severe cases of reflux, but most of the time, simple dietary changes can help make your child more comfortable and get rid of symptoms. If you suspect your baby has reflux, try feeding him small amounts, more often. Also, you can try burping more during feedings. Severe cases of childhood reflux may require surgery, but this is very rare, as the risks of the surgery are worse than the symptoms.

Unlike colic, if left untreated, infant reflux can lead to more serious medical complications in the future, including respiratory and intestinal problems. Because a baby with reflux may have trouble eating, it can also lead to stunted growth. If you have serious concerns and would like to learn more about colic and reflux, you should contact your baby’s pediatrician.




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