Pediatric Colic

by Carlo Raj, MD

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    Our topic is pediatric colic. So what does colic mean to you? This the persistent pain that a child is exhibiting to the point where usually three months of age, with quite a bit of crying taking place, and this is just sad, pediatric colic. Now, what does increased amount of colicky pain – let’s say there’s between two months and two years of age, you as a clinician are going to be looking for quite aggressively? Maybe things like intussusception. Etiology unknown, maybe perhaps temperament? Well, perhaps. However, also keep in mind that it could be serious issues as we will get into in a little bit. Before we move on though, make sure you know what colic means. It means that the child is in severe abdominal discomfort and you’re going to be noticing quite a bit of pain and this pain will be paroxysmal. Diagnosis: The clinical history becomes of utmost importance. No diagnostic test at this point. Rule out the following important pathologies: Intussusception, we’ll talk about this in greater detail. This is called “telescoping of the intestine.” Hernias or perhaps even intestinal obstruction. Serious issues such as volvulus. Our topic with small bowel obstruction and signs and symptoms that you would expect would be bilious vomiting. Now with the bilious vomiting that you might find with a child that is experiencing this colic pain is an emergency. We’ll talk about pediatric colic and small bowel obstruction being caused by the following: Adhesions, quite common. Appendicitis. Intussusception. Inguinal hernia, where the intestine is passing through the inguinal canal. Meckel's diverticulum, the remnant of the vitelline duct, and malrotation issues, referring to volvulus. Anytime that you find bilious vomiting in your neonate, this is an emergency. This is not good. You’re worried about so much constipation, so...

    About the Lecture

    The lecture Pediatric Colic by Carlo Raj, MD is from the course Pediatric GI Pathology.

    Included Quiz Questions

    1. Pediatric colic
    2. Intussusception
    3. Meckels
    4. Appendicitis
    5. Renal stone
    1. Hypertrophic pyloric stenosis
    2. Intussusception
    3. Meckel diverticulitis
    4. Volvulus
    5. Inguinal hernia
    1. Consider it an emergency and try to rule out another diagnosis with investigations.
    2. Provide adequate rehydration.
    3. Continue feeding the child with semisolid diet.
    4. Start antibiotics.
    5. Reassure the parents that it is not an emergency.
    1. Necrotizing enterocolitis
    2. Hypertrophic pyloric stenosis
    3. Meckel diverticulitis
    4. Volvulus
    5. Intussusception

    Author of lecture Pediatric Colic

     Carlo Raj, MD

    Carlo Raj, MD

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