PAROXYSMAL FUSSING IN INFANCY, SOMETIMES CALLED "COLIC"
1 The Yale Rooming-In Project, Department of Pediatrics, Yale University School of Medicine.
The literature on "infantile colic" or "paroxysmal fussing" is reviewed.
The frequent occurrence of a regular evening fussy period in two groups of infants is reported as indicative that this is a normal physiological event of the first few weeks of life.
The longitudinal records of 98 infants who were study subjects of the Yale Rooming-In Project were analyzed with respect to incidence, duration, and severity of "paroxysmal fussing." Forty-eight of the infants were classified as "fussy" and 50 as "contented."
The "fussy" babies typically began to have their paroxysms in the second week of life and ceased to have them at about eight weeks. Almost all of them were more fussy in the evening hours than in the morning. The rationale of various methods of treatment is discussed.
The "fussy" group was similar to the "contented" group as regards details of feeding, birth weight, weight gain, sex, educational level of the mother, and family history of allergy.
Of the 48 "fussy" infants, family tension was judged to be an important contributing cause in 22 cases, allergy in six cases; both allergy and family tension together in nine cases; in 11 cases there was no apparent cause.
"Paroxysmal fussing" or "infantile colic" is possibly one of the earliest somatic responses to the presence of tension in the environment. The particular degree to which any infant reacts is probably determined by constitutional factors.
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|
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|
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|
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|
|
|
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|
|
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|
|
|
|
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|
|
|
|
|
|
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|
|
|
|
 |
|
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|
|
|
|
|
|
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|
|
|
|
|
|
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|
|
|
|
 |
|
 C. E. Reust and R. L. Blake Jr Diagnostic Workup Before Diagnosing Colic Arch Fam Med, March 1, 2000; 9(3): 282 - 283. [Full Text] [PDF]
|
|
|
|
|
|
R. G. Barr, S. N. Young, J. H. Wright, R. Gravel, and R. Alkawaf Differential Calming Responses to Sucrose Taste in Crying Infants With and Without Colic Pediatrics, May 1, 1999; 103(5): 68e - 68. [Abstract] [Full Text]
|
|
|
|
|
|
I. S. James-Roberts; and J R HARPER What is distinct about infants' "colic" cries? • Commentary Arch. Dis. Child., January 1, 1999; 80(1): 56 - 62. [Abstract] [Full Text]
|
|
|
|
 |
|
 P L B J Lucassen, W J J Assendelft, J W Gubbels, J T M van Eijk, W J van Geldrop, and A K. Neven Effectiveness of treatments for infantile colic: systematic review BMJ, May 23, 1998; 316(7144): 1563 - 1569. [Abstract] [Full Text]
|
|
|
|
|
|
N S Crowcroft and D P Strachan The social origins of infantile colic: questionnaire study covering 76 747 infants BMJ, May 3, 1997; 314(7090): 1325 - 1325. [Abstract] [Full Text]
|
|
|
|
|
|
T. Markestad; and R A F BELL Use of sucrose as a treatment for infant colic • Commentary Arch. Dis. Child., April 1, 1997; 76(4): 356 - 358. [Abstract] [Full Text]
|
|
|
|
|
|
H. Raiha, L. Lehtonen, T. Korhonen, and H. Korvenranta Family Life 1 Year After Infantile Colic Arch Pediatr Adolesc Med, October 1, 1996; 150(10): 1032 - 1036. [Abstract] [PDF]
|
|
|
|
 |
|
 M. R. Elliott, J. Drummond, and K. E. Barnard Subjective Appraisal of Infant Crying Clin Nurs Res, May 1, 1996; 5(2): 237 - 250. [Abstract] [PDF]
|
|
|
|
|
|
L. Lehtonen and H. Korvenranta Infantile Colic: Seasonal Incidence and Crying Profiles Arch Pediatr Adolesc Med, May 1, 1995; 149(5): 533 - 536. [Abstract] [PDF]
|
|
|
|
 |
|
 J. E. Drummond, C. F. Wiebe, and M. R. Elliott Maternal Understanding of Infant Crying: What does a Negative Case Tell Us? Qual Health Res, May 1, 1994; 4(2): 208 - 223. [Abstract] [PDF]
|
|
|
|
|
|
B. W. C. Forsyth, J. M. Leventhal, and P. L. McCarthy Mothers' Perceptions of Problems of Feeding and Crying Behaviors: A Prospective Study Arch Pediatr Adolesc Med, March 1, 1985; 139(3): 269 - 272. [Abstract] [PDF]
|
|
|
|
|
|
J. C. O'Donovan and A. S. Bradstock Jr The Failure of Conventional Drug Therapy in the Management of Infantile Colic Arch Pediatr Adolesc Med, October 1, 1979; 133(10): 999 - 1001. [Abstract] [PDF]
|
|
|
|
 |
|
 J. L. Paradise Maternal and Other Factors in the Etiology of Infantile Colic: Report of a Prospective Study of 146 Infants JAMA, July 18, 1966; 197(3): 191 - 199. [Abstract] [PDF]
|
|
