Thursday, August 26, 2010

"Wind", "Angin", "风" or Colic ?

When we have a question that has no definite answer, we tend to label it very weirdly. The following condition is a good example:
  • An apparently well baby who is easy to be taken care of since birth -- feeding, sleeping, feeding, sleeping....
  • He/ she started to appear uneasy after about 3 weeks of life (or anytime within 3 months)
  • He/ she tend to cry a lot, difficult to console
  • An observant parent may notice this baby seemed to know the timing of crying, classically in the evening but stopped by midnight (when he/ she + parents are already exhausted!)
  • The doctor checked the baby thoroughly and reassured the parents that everything is okay (but the parents strongly disagree. THEY are not okay -- they are tired of trying all means to console the baby at home)
Most of the time, the parents and the doctor will find a common ground between them -- the baby passes a lot of flatus. Therefore, the parents (and especially the grandparents) said this is because of the "Wind", "Angin", "风" (the term depends on the language). The doctor, being professionally trained and tends to label medical jargon, agreed with them but labelled the condition as "colic".
So, both parties agreed on the description of the problem but the importance is how to help the baby?
Nobody has the exact idea as no one reall know the cause??!! (that's why the name is so weird.)

There are many postulated, possible causes (but none of them explain all scenarios):
diagram taken from here


There are also many possible treatments (but none is definitely effective and you have to try them one by one):

Feed your baby. A hungry man is an angry man, this saying applies to your little baby as well. If you think your baby may be hungry, try a feeding. Hold your baby as upright as possible, and burp your baby often.

Hold your baby. Cuddling helps some babies. You can also try to use baby sling to relieve your arms. Don't be afraid to pamper your baby at this difficult time.

Keep your baby in motion. When you are holding your baby in your arms or putting baby in a sling, you can provide some movement. They seemed to like movements.

Give some music. You must use your soothing sounds. If this is too difficult, try some music.
Offer a pacifier. For many babies, sucking is a soothing activity. Even if you're breast-feeding, it's OK to offer a pacifier to help your baby calm down.

Soft massage at tummy. You might wonder the baby enjoy massage, like adults.
Give your baby (and yourself) some private time. If everything failed, you should give your baby and yourself some time to rest. Just to make sure your baby in a safe place and come back to see him/ her after 10 - 15 minutes. If needed, ask someone to take over the care for a while.

You may need to mix the methods above from time to time.

The good news is normally this condition spontaneously resolved by 3 months. Nevertheless, the new problem may follow --- the teething.

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