Colic in a newborn is a common cause of crying and restlessness in children in the first months of life. Colic in a newborn is most often a manifestation of the baby’s gastrointestinal tract adapting to independent feeding. Colic is abdominal pain that in young children is manifested by restlessness, sudden loud crying, and refusal to eat. Colic appears after the third week of life and goes away by the end of the third or fourth month of life.
With colic, the stomach is swollen and tense, the baby can bend and straighten his legs, so he tries to alleviate his condition. Noticeable relief occurs after the passage of stool and gas.
Colic attacks appear during feeding, a few minutes after eating, most often in the evening. In this case, colic can last from several minutes to several hours. Colic in a newborn occurs as a result of immaturity of the central and peripheral nervous regulation of the intestines, immaturity of substances that are involved in the digestion of food, disruption of the development of intestinal microflora, these factors lead to incomplete breakdown of fats and carbohydrates in milk and excessive gas formation in the baby’s intestines.
Causes of colic in a newborn
Pain during colic in a newborn occurs as a result of: excessive accumulation of gases in the intestines, swallowing air during feeding, as a result of overfeeding, constipation, lactase deficiency. Also, as a result of breastfeeding, the breastfeeding technique and nutrition of the nursing mother may be impaired.
Incorrect grasp of the nipple by the baby, greedy sucking leads to the fact that the child swallows air during feeding, and aerophagia develops. If a nursing mother consumes foods that promote fermentation in the intestines, this will lead to excessive gas formation in the child.
If a mother overfeeds her child, this increases the load on the child’s intestines, leading to incomplete breakdown of foods and the development of constipation. Accumulation of gases and flatulence are the result of overfeeding the child, subsequently intestinal colic appears.
Premature babies suffer from lactase deficiency; in such children, the production of lactose, an enzyme that processes milk sugar lactose, is reduced in the intestines. Incomplete breakdown of milk sugar leads to fermentation and rapid release of gases. Lactase deficiency is the result of immaturity of the gastrointestinal tract. The child grows and there is an improvement in the digestion and absorption of milk sugar, which the baby needs for proper growth and development.
Disturbances in the development of intestinal microflora also lead to incomplete breakdown of nutrients, the formation of gases and the occurrence of intestinal colic. Lactobacilli, bifidobacteria, and E. coli are capable of producing enzymes that improve the digestion of food and accelerate its absorption. Beneficial intestinal microflora also affects timely bowel movements and protects against allergic reactions and constipation.
Children who are breastfed have bifidobacteria in their intestines, which help the body digest food. Formula-fed children have lactobacilli and microbes in their intestines; if immunity decreases, the number of microbes increases; if this amount exceeds the permissible level, then putrefactive processes begin in the intestines, which cause increased gas formation, colic and constipation. Only with mother's milk does the baby receive bifidogenic factors that promote the growth and development of bifidobacteria. In premature babies, intestinal colic is protracted and lasts longer than in full-term babies, passing only 5-6 months of life.
In most cases, intestinal colic in infants is temporary and associated with the functional immaturity of organs and systems. Colic can lead to disturbances in the child's sleep and nutrition, and they affect his psychomotor and physical development.
Colic in newborns - how to relieve suffering?
If you notice that your baby has started colic , then you can follow simple and accessible steps: first of all, you need to take the baby in your arms, create a comfortable position for him, facilitate the passage of gases from the intestines - put him on his tummy, placing him on the mother’s stomach .
Next, put or place a diaper under the baby’s tummy that has been warmed with an iron, massage the abdomen, do the “bicycle” exercise, while pressing the baby’s bent legs to the tummy. If the above recommendations did not help your baby, then you need to use a gas outlet tube or an enema, which will facilitate the passage of gas and stool.
Colic in a newborn - gas outlet tube
Lubricate the tip of the boiled gas outlet tube with Vaseline or vegetable oil. Place the baby on his back, bend his legs, press his legs to his stomach. Slightly turning the tube, you need to insert it into the rectum and leave for a few minutes. To facilitate the passage of gases, you can stroke the baby's tummy clockwise.
Colic in a newborn - enema
Colic can be very severe and difficult for the baby to tolerate; the passage of gas can be alleviated by using an enema. Boil the enema bulb and fill it with warm boiled water.
The child should be placed on his side, legs bent and brought to the tummy, carefully insert the tip of the enema into the rectum to a depth of 3-5 cm, and then squeeze the bulb. You need to close the baby’s buttocks, carefully pull out the tip of the enema and support the baby in this position for some time. A cleansing enema is done for a newborn with 25-30 ml of water, for an infant - 60-150 ml.
A gas tube or an enema should not be used every time for problems with the intestines, but only after the previous methods did not help, it is necessary not to deregulate the baby’s own bowel movement mechanism.
Colic in a newborn - use of medications
In order to facilitate the passage of gases in newborns with colic, it is permissible to administer a suppository with glycine. However, you can use suppositories not often, as an emergency; long-term use of suppositories can not only cause irritation of the intestinal mucosa, but also interfere with the restoration of independent stool.
The doctor may also prescribe the following medications: espumisan, sub simplex, baby calm, plantex. These medications help improve the passage of gases. Colic can persist for up to 3-4 months; taking medications can be episodic for pain relief, or preventive.
Before giving these drugs to a child, you should consult a doctor. Sab Simplex is usually prescribed 10-15 drops during each feeding. Espumisan is prescribed to infants and young children 1 teaspoon of emulsion 2-3 times a day. Baby Calm contains a mixture of natural oils of anise, mint and dill; it is a plant-based drug. The oil concentrate is diluted with water directly in the bottle to a certain level and given to the baby 10 drops before each feeding. Baby Calm is equipped with a dispenser pipette, which allows you to measure the required number of drops.
If the colic is very severe, then pediatricians usually prescribe antispasmodics (no-spa, papaverine, etc.). If the baby has dysbiosis, then pre- and probiotics are usually prescribed (Bifidumbacterin, Linex, primadophilus, etc.). You will need to undergo tests first.
Plantex contains fennel fruits and its oil, which stimulate digestion, food is released and absorbed faster. The active substances of fennel promote easier passage of gases and prevent further accumulation of gases. Plantex can be used not only for treatment, but also for the prevention of intestinal colic in children. However, this drug should be used very carefully in children with lactose intolerance, as it contains lactose. Doctors usually prescribe Plantex 1 sachet per day for babies aged 1 month, and after 23 months, 2 sachets per day.
If the prescribed measures did not produce positive results or constipation, loose stools, vomiting, regurgitation, or impaired weight gain appeared, then it is necessary to conduct an in-depth examination to identify the causes of the disorders, followed by selection of therapy.
Colic in a newborn - prevention
From the first minutes of a child’s life, it is necessary to provide breast milk, which is the most balanced, easily digestible and beneficial compared to artificial feeding. Breast milk contains substances that facilitate its digestion, substances necessary for the formation and development of beneficial intestinal microflora and proper intestinal motor function.
Release form
"Papaverine" is produced by many pharmaceutical factories and is sold in pharmacies in three dosage forms.
- Rectal suppositories. They have a white-cream or white-yellowish tint and an elongated shape. Such suppositories are sealed in blister packs of 5 pieces and are sold in 10 suppositories in one pack.
- Pills. This form of "Papaverine" is characterized by its white color and round shape. Sometimes the tablet has a line along which it can be divided into parts. One package may contain 10, 20, 30 or more tablets.
- Solution for injections. This is a clear liquid, packaged in 2 ml ampoules. It is usually colorless or with a yellowish-greenish tint. One box contains 5 or 10 ampoules.
Compound
The action of all forms of the drug is ensured by the substance of the same name - papaverine hydrochloride. For this reason, the medicine can be called either simply “Papaverine” or “Papaverine hydrochloride”. In addition, there are names with an additional word or abbreviation, for example, “Papaverine hydrochloride MS” or “Papaverine bufus”. They are all variants of the same drug.
The amount of active substance in one suppository and one milliliter of injection solution is 20 mg, in one tablet - 10 mg (children's form) or 40 mg. In addition to the active compound, the drug in the form of suppositories contains only a fatty base, which gives the medication its shape and makes it easier to use. The tablets contain auxiliary components such as starch, stearic acid and sucrose. The composition of the injection solution additionally includes methionine, water and disodium edetate.
Operating principle
The main effect that any form of Papaverine has is antispasmodic. It is associated with the effect of the drug on smooth muscles - under the influence of the drug, the muscles relax and their tone decreases. This helps in eliminating pain caused by spasms in organs that contain smooth muscles (stomach, gallbladder, intestines, bronchi, genitourinary organs), and also dilates blood vessels, which leads to a decrease in blood pressure.
The effect of the drug is not selective - that is, it simultaneously affects all target organs, which determines its widespread use.
It is also important to note that the active compound of the drug is obtained from the opium poppy (papaverine is one of the alkaloids of such a plant), but tablets, injections or suppositories do not have a narcotic effect.
Indications
"Papaverine" can be used in all cases of smooth muscle spasms, for example, with:
- bronchospasm;
- pylorospasm;
- colitis with severe spastic pain;
- vascular spasms in the brain or in peripheral tissues;
- cholecystitis or cholelithiasis (to eliminate biliary colic);
- irritable bowel syndrome;
- spasms in the bladder, urethra or kidneys (renal colic).
Another reason for prescribing Papaverine is increased body temperature, at which the blood vessels spasm, causing the skin of the child’s hands and feet to be pale and cool. This fever is called “white” and poses a danger to the body of children, since it has a risk of overheating of internal organs, including the brain.
To reduce the temperature in such cases, the so-called lytic mixture or “triad” is in demand - a combination of three drugs that act together and help quickly improve the patient’s condition. One of them is an antispasmodic drug, which may be Papaverine. The other two medications represent the groups of antipyretics (Ibuprofen, Analgin, Paracetamol) and antihistamines (Suprastin, Diphenhydramine).
At what age is it prescribed?
The injection form of the drug is contraindicated before six months of age, so it is not used for newborns. Tablets "Papaverine" in children's dosage can also be given to infants from 6 months. At the same time, it is better not to use medicine in tablets for adults for children , since the dose of the active substance in it is too large, and it is very difficult to divide the drug into small pieces corresponding to children's dosages.
In the instructions for suppositories you can see restrictions up to 1 year or a note “childhood” in the “contraindications” paragraph, but in practice this “Papaverine”, like other forms, can also be used from 6 months of age.
Is it possible to give “No-Shpu” and “Papaverine” to a newborn for colic?
These painkillers eliminate abdominal pain caused by spasms (antispasmodics), but do not eliminate the cause of colic itself. This is only a temporary measure and only in extreme cases with the permission of a doctor, since No-Shpa and Papaverine are not used for up to a year, and Papaverine for up to six months due to the risk of side effects. If there is such a need, the dosage of the antispasmodic is determined by the doctor:
- from 1/4 to 1/8 No-shpy tablets per day;
- from 1/4 to half a tablet of “Papaverine” or in the form of suppositories, 1/3 of a candle.
Important! The No-shpa tablet is very bitter and causes the baby to produce copious amounts of saliva, so it is important to hold it upright after taking the medicine. This way, excess saliva will come out and will not interfere with breathing.
Instructions for use
The tableted medicine must be swallowed with clean water. Usually the medication is taken when necessary (if spastic pain occurs), but no more than 3-4 times a day. Food does not affect the effect of the drug, but if there is pain in the organs of the digestive system, it is best to drink Papaverine 15-30 minutes before meals (this way the child will eat calmly).
The suppositories are removed from the blister packaging and inserted into the rectum. Before using this form of Papaverine, the child must go to the toilet on his own or with the help of an enema. "Papaverine" in solution can be administered subcutaneously or intramuscularly, as well as intravenously. The method of using this form is determined by the doctor, taking into account the baby’s condition. Neurologists also prescribe an injectable medicine for electrophoresis.
The single dosage of “Papaverine” for children is primarily affected by age:
- for an infant over 6 months and up to two years of age, this medication is prescribed 5 mg;
- if the child is 2-4 years old, then he is also prescribed 5 mg of the active substance, but sometimes the dose per dose is increased to 10 mg;
- at 5-6 years of age, the child receives 10 mg of “Papaverine” at a time;
- if the patient is 7-9 years old, the drug is given at 10 mg, sometimes increasing the dose to 15 mg;
- at 10-14 years of age, a single dose is 15-20 mg;
- From the age of 15, an adult dosage of the medicine can be given at one time - that is, 40-60 mg.
The duration of treatment with Papaverine is influenced by the rate of disappearance of abdominal pain and other cramps. If the condition is acute, the drug is usually taken for 2-5 days, and in the treatment of chronic diseases it may be prescribed for a week or longer.
Probiotics for colic
Sometimes pediatricians prescribe probiotics to newborns for colic - drugs that contain intestinal bacteria. Not all doctors agree with this position. After all, dysbiosis is not always the cause of bloating, but if the cause of colic is a deficiency of beneficial microorganisms, then probiotics are necessary.
- "Bifiform Baby" A product containing probiotics and prebiotics (dietary fiber digestible by microflora). Presented in the form of powders and oily liquid in a bottle with a dispenser. They help the baby if they are prescribed one dose once a day during feeding.
- "Linex". Available in powder form inside a capsule. The powder is added to breast milk or formula. 1 capsule is prescribed per day.
- "Acipol." Available in capsules and tablets. Children dissolve the contents of the capsule in water and give them a drink. Prescribe 1 capsule 2 times a day.
- "Hilak Forte". They have a strengthening effect on the baby's immunity. Available in the form of drops. A newborn is prescribed 15-20 drops 2-3 times a day before feeding or directly during meals.
- "Bak-Set baby." Contains seven types of beneficial bacteria. Available in bags (sachets). Before use, the contents of the sachet are dissolved in a small amount of water. For infants, one sachet per day is enough.
- "Bifidumbacterin". It comes in a variety of forms, but is most often used in liquid or powder form. Newborns are given one sachet of the dry drug three times a day, first diluted with water. Liquid "Bifidumbacterin" is given twice a day half an hour before meals.
- "Lactobacterin". For newborns, it is used in powder form in glass bottles containing 3 or 5 doses of lactobacilli acidophilus. The contents of the bottle are dissolved in chilled boiled water at the rate of 1 tsp. for 1 dose of Lactobacterin. Infants up to 6 months are given 2-3 times a day, 1-2 tsp. about one hour before meals, after 6 months and up to a year, 2-3 tsp.
- "Primadophilus child." It is a dietary supplement containing strains of bifidobacteria and lactobacilli. For infants, the powder form is used. Give the supplement 1/2 teaspoon once a day 10 minutes before meals.
- "Rela Life" ("Rela Drops"). Contains strains of lactic acid bacteria. Used for babies in the form of drops. It is enough to give 5 drops a day once to provide the child with lactobacilli important for his intestines.
Terms of sale and storage
“Papaverine” in suppositories and tablets is sold without a prescription, and the solution for injections is sold after presenting a prescription from the attending physician. The price of a medicine is affected by the dosage form, manufacturer and packaging volume. For 10 suppositories you need to pay an average of 40-80 rubles, for 10 tablets - 7-10 rubles, and for 10 ampoules - from 30 to 70 rubles. The tableted drug should be stored at temperatures up to +25 degrees, other forms should be stored in a cooler place. The shelf life of "Papaverine" in suppositories and injections is 2 years, in solid form - 3 years.
Analogs
If “Papaverine” is used in a lytic mixture, then it is most often replaced with “No-shpoy”. This medicine is available in solution for injections and in tablet form. It is used in children older than one year, if you need to quickly bring down a high fever, as well as for constipation, dry cough, toothache, and so on.
Instead of “No-shpa”, analogues with the same active ingredient are in demand, for example, “Drotaverine”, “Spazmol”, “Spazmonet” or “Droverin”. In children over 12 years of age, Duspatalin can be used for biliary and intestinal colic, and in children for colic, drops of “Bobotik” or “Espumizan Baby”, as well as “Plantex” can be used.
The official instructions for use of the drug are given in the following video.
Papaverine
The drug Papaverine is a drug that effectively helps eliminate spasms. The drug Papaverine is available in various dosage forms. If the drug Papaverine is used in large doses, it can have a calming (that is, sedative) effect.
Indications for taking Papaverine
The drug Papaverine can be used for diseases that are accompanied by spasms of smooth muscles. The drug can be used for diseases of the abdominal organs accompanied by spasms, for example, renal colic, spastic colitis, cholecystitis, pyloric spasms.
The drug Papaverine can be prescribed for spasms of peripheral vessels, which are observed with endarteritis. The drug Papaverine effectively eliminates cerebral vascular spasms. For spasms of the heart muscle (myocardium), the drug Papaverine can be used as one of the drugs in complex therapy.
Contraindications to taking Papaverine
The drug Papaverine is not used if the human body exhibits hypersensitivity to the drug.
A contraindication to the use of the drug Papaverine is AV blockade. The drug Papaverine cannot be used by patients with glaucoma, as well as by patients who suffer from severe liver failure.
Papaverine should not be used to treat elderly patients, as this may entail a risk of developing hypertension. In addition, Papaverine is not used to treat newborns and children under six months.
It is necessary to prescribe Papaverine with extreme caution to patients who have suffered a traumatic brain injury, as well as to those suffering from chronic renal failure; having problems with the functioning of the adrenal glands; men, pp
Source
I gave it to mine a couple of times, although I got to it myself, it turned out that there was nothing at home, and it was simply unrealistic to run for medicine. Crush 1/4 in a spoon and dilute with water. I just took it from a spoon and gave it to the small one for 2 months. Then she gave me a bottle to drink
Dizziness, palpitations, feeling of heat, increased sweating, decreased blood pressure, allergic skin reactions. With intravenous administration - collapse, AV block, arrhythmias, depression of the respiratory center. Overdose. Symptoms: in large doses, it disrupts atrioventricular conduction, reduces the excitability of the heart muscle, and can cause cardiac arrest and paralysis of the respiratory center.
At one time, for very severe colic, we were prescribed to give our son 1/4 of a No-Spa tablet, usually we saved ourselves with Espumisan or Plantex, but it didn’t always help, a couple of times we had to give a tablet: we cut off 1/4 of it with a knife, crushed it into powder, and poured it into the baby’s mouth. mouth and immediately gave it to drink.
Girls, I gave it subsimplex, but they didn’t feel any relief, now I decided to try drinking Baby Calm (it’s easier, but who knows, maybe it will help), and I have Plantex (yesterday I started drinking it myself, at the courses at the birth center they advised my mother to drink it). For now, massage, straws and glycerin suppositories have saved us. For now we relieve ourselves with them.
At one time, for very severe colic, we were prescribed to give our son 1/4 of a No-Spa tablet, usually we saved ourselves with Espumisan or Plantex, but it didn’t always help, a couple of times we had to give a tablet: we cut off 1/4 of it with a knife, crushed it into powder, and poured it into the baby’s mouth. mouth and immediately gave it to drink.
You need to break it off like this (at least that’s how I’ve always done it): crush the entire tablet in a tablespoon and, in the same place, divide all the resulting powder into five parts and take a fifth part accordingly. I dissolved all the medicines in milk and poured them into the child’s mouth.
Is it possible for a child to put a small pillow on his tummy (not on his naked one, of course) maybe he will warm up?
Source
papaverine and colic
I heard in the maternity hospital that you can give papaverine for colic if nothing else helps the child... well, some girls said... some did.
I tried everything: massage, diaper, tummy wrap, espumisan, bobotik, sub, dill water, baby calm... in short, everything I could (Plantex more or less helped, but it gave her constipation and green poop), my child screams. definitely not hungry, he kicks his legs, strains, grunts and then just screams like a fool... I put my hand on my stomach, and not only that, it’s swollen, there’s such a war of gases going on... I inserted a tube, it helped for 30 minutes and again I screamed at the whole house.
User comments
This is because of your gas outlet tube... the body is used to being helped to get rid of gases... and in general there is no such drug that relieves colic, so stop buying the pharmacy and just accept it - carry her in your arms, put her on your stomach so that she is warm... by 3 the month will pass on its own, be patient
does she poop often? mine myself could not poop for 2-3 days ((also screamed terribly. I gave him microlax. All the poop came out and farts. The sounds were terrible, there was so much gas in there after such enemas I began to poop myself... and farts periodically
I’ll tell you honestly, the more you do enemas, tubes, the worse it will be, every feeding give sub simplex or espumisan or something else, just choose 1 drug, not everything in a row and put it on your tummy before feeding, I was also very worried when there was colic there were, but I pulled myself together, did the same thing all the time and everything went away ugh ugh for 1.5 months already we don’t know the grief, I don’t remember at the breast you?? watch your diet, all the reasons are 100% this.
nutrition must be observed, do not eat anything that can cause bloating and gas formation, but in general colic is a thing you know, everything happens only due to the immaturity of the child’s intestines)
How to choose the best remedy for stomach cramps
Each organism is individual. Breasts are no exception. It is impossible to say in advance which medicine will suit the child and help get rid of colic. The best colic remedies for newborns are selected through selection. If there is no effect from using one drug, another is prescribed. This is how they find the optimal one for the baby. It is used until the end of the acute period. Even drugs whose active ingredients are simethicone or dimethicone have different effects, depending on the dosage form chosen.
When choosing a drug, it is worth remembering that only a doctor should prescribe and select the dose. Parents are obliged to strictly monitor the baby’s condition and stop using the drug when the first allergic reactions appear. Frequently changing the baby's position, stroking and massaging the tummy have a positive effect on intestinal motility. Such exercises also help get rid of colic.
Colic in a newborn is a common cause of crying and restlessness in children in the first months of life. Colic in a newborn is most often a manifestation of the baby’s gastrointestinal tract adapting to independent feeding. Colic is abdominal pain that in young children is manifested by restlessness, sudden loud crying, and refusal to eat. Colic appears after the third week of life and goes away by the end of the third or fourth month of life.
With colic, the stomach is swollen and tense, the baby can bend and straighten his legs, so he tries to alleviate his condition. Noticeable relief occurs after the passage of stool and gas.
Colic attacks appear during feeding, a few minutes after eating, most often in the evening. In this case, colic can last from several minutes to several hours. Colic in a newborn occurs as a result of immaturity of the central and peripheral nervous regulation of the intestines, immaturity of substances that are involved in the digestion of food, disruption of the development of intestinal microflora, these factors lead to incomplete breakdown of fats and carbohydrates in milk and excessive gas formation in the baby’s intestines.
Causes of colic in a newborn
Pain during colic in a newborn occurs as a result of: excessive accumulation of gases in the intestines, swallowing air during feeding, as a result of overfeeding, constipation, lactase deficiency. Also, as a result of breastfeeding, the breastfeeding technique and nutrition of the nursing mother may be impaired.
Incorrect grasp of the nipple by the baby, greedy sucking leads to the fact that the child swallows air during feeding, and aerophagia develops. If a nursing mother consumes foods that promote fermentation in the intestines, this will lead to excessive gas formation in the child.
If a mother overfeeds her child, this increases the load on the child’s intestines, leading to incomplete breakdown of foods and the development of constipation. Accumulation of gases and flatulence are the result of overfeeding the child, subsequently intestinal colic appears.
Premature babies suffer from lactase deficiency; in such children, the production of lactose, an enzyme that processes milk sugar lactose, is reduced in the intestines. Incomplete breakdown of milk sugar leads to fermentation and rapid release of gases. Lactase deficiency is the result of immaturity of the gastrointestinal tract. The child grows and there is an improvement in the digestion and absorption of milk sugar, which the baby needs for proper growth and development.
Disturbances in the development of intestinal microflora also lead to incomplete breakdown of nutrients, the formation of gases and the occurrence of intestinal colic. Lactobacilli, bifidobacteria, and E. coli are capable of producing enzymes that improve the digestion of food and accelerate its absorption. Beneficial intestinal microflora also affects timely bowel movements and protects against allergic reactions and constipation.
Children who are breastfed have bifidobacteria in their intestines, which help the body digest food. Formula-fed children have lactobacilli and microbes in their intestines; if immunity decreases, the number of microbes increases; if this amount exceeds the permissible level, then putrefactive processes begin in the intestines, which cause increased gas formation, colic and constipation. Only with mother's milk does the baby receive bifidogenic factors that promote the growth and development of bifidobacteria. In premature babies, intestinal colic is protracted and lasts longer than in full-term babies, passing only 5-6 months of life.
In most cases, intestinal colic in infants is temporary and associated with the functional immaturity of organs and systems. Colic can lead to disturbances in the child's sleep and nutrition, and they affect his psychomotor and physical development.
papaverine suppositories for colic in newborns
papaverine and colic
I heard in the maternity hospital that you can give papaverine for colic if nothing else helps the child... well, some girls said... some did.
I tried everything: massage, diaper, tummy wrap, espumisan, bobotik, sub, dill water, baby calm... in short, everything I could (Plantex more or less helped, but it gave her constipation and green poop), my child screams. definitely not hungry, he kicks his legs, strains, grunts and then just screams like a fool... I put my hand on my stomach, and not only that, it’s swollen, there’s such a war of gases going on... I inserted a tube, it helped for 30 minutes and again I screamed at the whole house.
This is because of your gas outlet tube... the body is used to being helped to get rid of gases... and in general there is no such drug that relieves colic, so stop buying the pharmacy and just accept it - carry her in your arms, put her on your stomach so that she is warm... by 3 the month will pass on its own, be patient
does she poop often? mine myself could not poop for 2-3 days ((also screamed terribly. I gave him microlax. All the poop came out and farts. The sounds were terrible, there was so much gas in there after such enemas I began to poop myself... and farts periodically
I’ll tell you honestly, the more you do enemas, tubes, the worse it will be, every feeding give sub simplex or espumisan or something else, just choose 1 drug, not everything in a row and put it on your tummy before feeding, I was also very worried when there was colic there were, but I pulled myself together, did the same thing all the time and everything went away ugh ugh for 1.5 months already we don’t know the grief, I don’t remember at the breast you?? watch your diet, all the reasons are 100% this.
nutrition must be observed, do not eat anything that can cause bloating and gas formation, but in general colic is a thing you know, everything happens only due to the immaturity of the child’s intestines)
Colic in infants: 10 tips
Source
Papaverine for colic in newborns
> Medicine
27.04.2020
Colic in a newborn is a common cause of crying and restlessness in children in the first months of life.
Colic in a newborn is most often a manifestation of the baby’s gastrointestinal tract adapting to independent feeding.
Colic is abdominal pain that in young children is manifested by restlessness, sudden loud crying, and refusal to eat. Colic appears after the third week of life and goes away by the end of the third or fourth month of life.
With colic, the stomach is swollen and tense, the baby can bend and straighten his legs, so he tries to alleviate his condition. Noticeable relief occurs after the passage of stool and gas.
Colic attacks appear during feeding, a few minutes after eating, most often in the evening. In this case, colic can last from several minutes to several hours.
Colic in a newborn occurs as a result of immaturity of the central and peripheral nervous regulation of the intestines, immaturity of substances that are involved in the digestion of food, disruption of the development of intestinal microflora, these factors lead to incomplete breakdown of fats and carbohydrates in milk and excessive gas formation in the baby’s intestines.
Causes of colic in a newborn
Pain during colic in a newborn occurs as a result of: excessive accumulation of gases in the intestines, swallowing air during feeding, as a result of overfeeding, constipation, lactase deficiency. Also, as a result of breastfeeding, the breastfeeding technique and nutrition of the nursing mother may be impaired.
Incorrect grasp of the nipple by the baby, greedy sucking leads to the fact that the child swallows air during feeding, and aerophagia develops. If a nursing mother consumes foods that promote fermentation in the intestines, this will lead to excessive gas formation in the child.
If a mother overfeeds her child, this increases the load on the child’s intestines, leading to incomplete breakdown of foods and the development of constipation. Accumulation of gases and flatulence are the result of overfeeding the child, subsequently intestinal colic appears.
Premature babies suffer from lactase deficiency; in such children, the production of lactose, an enzyme that processes milk sugar lactose, is reduced in the intestines.
Incomplete breakdown of milk sugar leads to fermentation and rapid release of gases. Lactase deficiency is the result of immaturity of the gastrointestinal tract.
The child grows and there is an improvement in the digestion and absorption of milk sugar, which the baby needs for proper growth and development.
Disturbances in the development of intestinal microflora also lead to incomplete breakdown of nutrients, the formation of gases and the occurrence of intestinal colic.
Lactobacilli, bifidobacteria, and E. coli are capable of producing enzymes that improve the digestion of food and accelerate its absorption.
Beneficial intestinal microflora also affects timely bowel movements and protects against allergic reactions and constipation.
Children who are breastfed have bifidobacteria in their intestines, which help the body digest food.
Formula-fed children have lactobacilli and microbes in their intestines; if immunity decreases, the number of microbes increases; if this amount exceeds the permissible level, then putrefactive processes begin in the intestines, which cause increased gas formation, colic and constipation.
Only with mother's milk does the baby receive bifidogenic factors that promote the growth and development of bifidobacteria. In premature babies, intestinal colic is protracted and lasts longer than in full-term babies, passing only 5-6 months of life.
In most cases, intestinal colic in infants is temporary and associated with the functional immaturity of organs and systems. Colic can lead to disturbances in the child's sleep and nutrition, and they affect his psychomotor and physical development.
Colic in newborns - how to relieve suffering?
If you notice that your baby has started colic , then you can follow simple and accessible steps: first of all, you need to take the baby in your arms, create a comfortable position for him, facilitate the passage of gases from the intestines - put him on his tummy, placing him on the mother’s stomach .
Next, put or place a diaper under the baby’s tummy that has been warmed with an iron, massage the abdomen, do the “bicycle” exercise, while pressing the baby’s bent legs to the tummy. If the above recommendations did not help your baby, then you need to use a gas outlet tube or an enema, which will facilitate the passage of gas and stool.
Colic in a newborn - gas outlet tube
Lubricate the tip of the boiled gas outlet tube with Vaseline or vegetable oil. Place the baby on his back, bend his legs, press his legs to his stomach. Slightly turning the tube, you need to insert it into the rectum and leave for a few minutes. To facilitate the passage of gases, you can stroke the baby's tummy clockwise.
Colic in a newborn - enema
Colic can be very severe and difficult for the baby to tolerate; the passage of gas can be alleviated by using an enema. Boil the enema bulb and fill it with warm boiled water.
The child should be placed on his side, legs bent and brought to the tummy, carefully insert the tip of the enema into the rectum to a depth of 3-5 cm, and then squeeze the bulb. You need to close the baby’s buttocks, carefully pull out the tip of the enema and support the baby in this position for some time. A cleansing enema is done for a newborn with 25-30 ml of water, for an infant - 60-150 ml.
A gas tube or an enema should not be used every time for problems with the intestines, but only after the previous methods did not help, it is necessary not to deregulate the baby’s own bowel movement mechanism.
Colic in a newborn - use of medications
In order to facilitate the passage of gases in newborns with colic, it is permissible to administer a suppository with glycine. However, you can use suppositories not often, as an emergency; long-term use of suppositories can not only cause irritation of the intestinal mucosa, but also interfere with the restoration of independent stool.
The doctor may also prescribe the following medications: espumisan, sub simplex, baby calm, plantex. These medications help improve the passage of gases. Colic can persist for up to 3-4 months; taking medications can be episodic for pain relief, or preventive.
Before giving these drugs to a child, you should consult a doctor. Sab Simplex is usually prescribed 10-15 drops during each feeding. Espumisan is prescribed to infants and young children 1 teaspoon of emulsion 2-3 times a day.
Baby Calm contains a mixture of natural oils of anise, mint and dill; it is a plant-based drug. The oil concentrate is diluted with water directly in the bottle to a certain level and given to the baby 10 drops before each feeding.
Baby Calm is equipped with a dispenser pipette, which allows you to measure the required number of drops.
If the colic is very severe, then pediatricians usually prescribe antispasmodics (no-spa, papaverine, etc.). If the baby has dysbiosis, then pre- and probiotics are usually prescribed (Bifidumbacterin, Linex, primadophilus, etc.). You will need to undergo tests first.
Plantex contains fennel fruits and its oil, which stimulate digestion, food is released and absorbed faster. The active substances of fennel promote easier passage of gases and prevent further accumulation of gases.
Plantex can be used not only for treatment, but also for the prevention of intestinal colic in children. However, this drug should be used very carefully in children with lactose intolerance, as it contains lactose.
Doctors usually prescribe Plantex 1 sachet per day for babies aged 1 month, and after 23 months, 2 sachets per day.
If the prescribed measures did not produce positive results or constipation, loose stools, vomiting, regurgitation, or impaired weight gain appeared, then it is necessary to conduct an in-depth examination to identify the causes of the disorders, followed by selection of therapy.
Colic in a newborn - prevention
From the first minutes of a child’s life, it is necessary to provide breast milk, which is the most balanced, easily digestible and beneficial compared to artificial feeding. Breast milk contains substances that facilitate its digestion, substances necessary for the formation and development of beneficial intestinal microflora and proper intestinal motor function.
Source: https://nashi-malyshki.ru/papaverin-pri-kolikah-u-novorozhdennyh/
papaverine for babies with colic reviews
No-spa for colic in newborns
Every second family with a child faces such a problem as colic in newborns. There are many medications on the market for the treatment of colic, but spa for colic in newborns effectively helps the baby.
The newborn's body has not yet developed, such as the intestines, and therefore bloating, cramps and colic occur. Symptoms of colic in a newborn:
But a doctor prescribes spa for a baby with colic only if other medications do not help, and the child cries all the time from abdominal pain.
No-spa copes with gases in the intestines. But spa is not recommended for children under one year of age , because it can negatively affect cardiac activity. No-shpa for colic in newborns is given in extreme cases, and the dosage is given as follows, one fourth or one eighth of a tablet once a day. It will relieve the spasm in the abdomen, and the child will quickly calm down.
The most popular among people is dill water . It is very easy to brew it at home, take a dill seed and pour boiling water, let it brew and give the child one teaspoon before meals.
Plantex powder is approved from the age of two weeks, but this powder is not recommended for babies with lactose intolerance.
Tablets Linex and Espumisan. A small child can take Linex with water or milk. Espumisan is also a suspension that can be given to a child from birth. It is excreted from the body along with feces, so it has no effect on the gastrointestinal tract. Espumisan does not contain sugar or lactose.
Bifiform baby is not a medicine, but a dietary supplement. It is very convenient to give it to a child, because there is a pipette with a dispenser. Allowed from the first days of life.
Papaverine
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Herbal remedies for colic
Just like the previous group of anti-colic drugs, they have the property of reducing gas formation, but due to natural rather than synthetic substances in the composition.
- "Plantex" A product made from fennel fruit. Available in the form of granules for preparing a solution. Packaged in bags. Dissolve the medicine in warm boiled water. For 1 sachet of Plantex, use 100 ml of warm boiled water. Infants are given 1–2 packets per day, dividing them into 2–3 doses between feedings.
- "Dill water". 15 ml of the prepared solution is sold in bottles. A newborn over two weeks of age is given 1 tbsp. 3 – 6 times a day.
- "Baby Kalm" (Bebikalm). An Israeli preparation created on the basis of vegetable oils: mint, dill and anise. The oily mixture is diluted with chilled boiled water, pouring to the mark on the bottle. The resulting emulsion is dripped 10 drops into the baby's mouth before each feeding. The bottle with the finished mixture is kept in the refrigerator. An analogue is “Happy Baby”.
- "Kolik Kalm". American homeopathic remedy for colic based on medicinal herbs and charcoal. The drug is given to the baby 1/2 teaspoon, if necessary, it can be given after another 30 minutes, but no more than 3 times a day.
- "Bebinos." The drops are based on extracts of chamomile, fennel seeds, and coriander. Up to a year, it is recommended to give the baby 3-6 drops three times a day.
If you don’t have ready-made pharmacy dill water (for example, “Mommy’s bliss gripe water” , “Pedi Water” ), you can prepare it yourself at home. In addition, infusions, decoctions, and herbal teas provide good relief from abdominal pain: chamomile, sage, mint, caraway, which are often classified as folk remedies . Separately, it is necessary to highlight homeopathic medicines, for example, Enterokind.
Effective medicines for newborns for colic in the tummy
1 Causes of the symptom
Colic is intestinal spasms. The appearance of colic in newborns is provoked by several factors. The digestive system of newborns is just beginning to form. Due to its immaturity, it does not have the necessary amount of digestive enzymes to process the incoming food. For the same reason, intestinal motility is often impaired in infants. The situation is aggravated by increased gas formation, which appears as a result of poor nutrition of the mother and the baby swallowing air during feeding or crying. Gases distend the baby's intestines, and he suffers from attacks of severe pain.
Colic in most children appears at 3-4 weeks of life and lasts up to 3-4 months. But some children begin to suffer from them earlier. Some babies suffer for all 3 months, while others suffer for 1-1.5 months. Boys suffer more often and more severely from bloating.
When a baby suffers from colic, he constantly cries, twists his legs and pulls them towards his tummy, his face turns red. The newborn's feet become cold to the touch, his arms are pressed tightly against his body, and his stomach becomes distended and tense. With colic, rare regurgitation is possible. Due to the gas distension in the abdomen, the child cannot eat and pushes away the breast or bottle. He cannot sleep and rest properly. Some children do not experience relief for several days in a row. The child is exhausted and exhausts the mother.
Some parents believe that colic just needs to be waited out. But this painful condition can lead to negative consequences. Due to constant colic, the child’s parietal digestion and absorption of nutrients are disrupted, and a syndrome of regurgitation and vomiting gradually develops due to increased intra-abdominal pressure. The child may develop rickets and malnutrition
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Intestinal colic in newborns
Intestinal colic in newborns is a clinical syndrome that occurs against the background of morphofunctional immaturity of the digestive tract and its neuroendocrine regulation in the first months of a child’s life and occurs with paroxysmal pain in the intestines. Intestinal colic is accompanied by crying and screaming of the newborn, restlessness, tension and bloating. The diagnosis of intestinal colic in newborns is based on the characteristic clinical picture, data from coprological examination, stool culture, and ultrasound of the abdominal organs. Treatment of intestinal colic in newborns includes the mother's diet, adherence to feeding techniques, selection of an adequate formula, light abdominal massage, taking herbal remedies, antispasmodics, probiotics. Symptoms of intestinal colic in newborns
Intestinal colic in newborns occurs in the first 3-4 weeks of life and continues until 3, less often - 4-6 months of age. Attacks of intestinal colic in newborns usually begin unexpectedly, without any apparent reason, usually at the same time of day, immediately during or after feeding.
Episodes of intestinal colic last up to 3 or more hours a day, repeat at least three days a week and last for at least three weeks in a row. Intestinal colic in newborns is accompanied by a loud, piercing cry, a cry, expressed by the anxiety of the child, who twists his legs and pulls them to his stomach. In this case, there is hyperemia of the facial skin, bloating and tension in the anterior abdominal wall. One attack of intestinal colic can last from 30 minutes to 3 hours.
With intense intestinal colic, newborns experience disturbances in appetite and digestion, rumbling in the stomach, regurgitation, increased irritability and excitability, and sleep disturbances. Relief from intestinal colic in a newborn occurs after the passage of gas or defecation. The general condition of the newborn between attacks of intestinal colic is not disturbed, there is no pain on palpation of the abdomen, good appetite remains, and weight gain is age-appropriate. Intestinal colic in newborns can be combined with constipation, dyspepsia, and gastroesophageal reflux.
Prevention and treatment of intestinal colic in newborns
The following actions are recommended as emergency measures to relieve colic pain in newborns:
1. To reduce spastic intestinal motility, you can put a heating pad or a warm compress on the abdominal area.
2. To relieve colic in newborns, massage and stroking the tummy clockwise are indicated.
3. Changing body position and placing the baby on his stomach has a positive effect.
4. The release of gases, as a rule, relieves pain. When treating colic in newborns, mechanical aids, such as an enema or a gas tube, can be used to facilitate the removal of gases. It needs to be inserted into the rectum 1-1.5 cm. The second end of the tube is placed in a glass of water in order to control the passage of intestinal gases.
Treatment of intestinal colic in newborns is carried out jointly by a pediatrician and a pediatric gastroenterologist, is individual in nature and is aimed at eliminating the main cause of this condition, correcting motor and functional disorders of the gastrointestinal tract.
Some cases of intestinal colic in breastfed newborns can be prevented by following the diet of the nursing mother. Products containing cow's milk protein and beef meat are excluded from her diet; foods rich in fats and also promoting increased gas formation (raw and pickled vegetables and fruits, legumes; fresh yeast bread and kvass), chocolate, sweets and baked goods are limited.
Before each feeding, it is necessary to place the baby on his stomach for 5-10 minutes, and then lightly stroke the abdomen in a clockwise direction to improve intestinal motility and the passage of gases. For intestinal colic, you can warm the newborn's belly with a warm diaper or carry him in your arms, pressing the anterior abdominal wall to the mother's stomach.
To prevent aerophagia, it is important to follow feeding techniques, keep the child in an upright position for 10-15 minutes after feeding for better belching of air; limiting pacifier sucking and selecting an adequate formula. If a gastrointestinal form of food allergy is suspected in a child, they switch to mixtures based on protein hydrolyzate (casein or whey); in case of lactase deficiency, they switch to low-lactose or lactose-free mixtures. Frequent use of a gas tube and enemas is not advisable due to the slight vulnerability of the intestinal mucosa in newborns, especially premature ones.
For severe intestinal colic, newborns are prescribed herbal remedies with a carminative and relaxing effect (based on fennel, dill, chamomile, mint - plantex), antifoams (based on simethicone - espumizan, sub simplex), antispasmodics (drotaverine, suppositories with papaverine), sorbents ( enterosgel, lactofiltrum). Medicines are used both during an attack of intestinal colic and to prevent their development in newborns at each feeding. To correct dysbiosis, probiotics (normoflorin, bifiform) are used.
Exercises and massage
Special exercises, massage and other active methods can distract the child from pain, turning his attention to new objects. On the one hand, parents carry out an entertaining activity with the baby, on the other hand, they massage the tummy, helping the “gas” come out. However, these methods should not be practiced immediately after the child has eaten. Active ways to help with intestinal colic:
- Exercise: pulling the legs towards the stomach;
- Massage the tummy clockwise;
- Exercise on a gymnastic ball;
- Place on a pillow with the legs hanging down.
Place your baby on his back, grab his legs at the shins with your hands and gently press them towards your stomach.
This exercise can be done by placing the baby on his tummy. Then the child takes a position similar to all fours. When performing this exercise, the muscles of the anus relax, and gases pass away more easily. Massage your baby's tummy around the navel in a clockwise direction. To distract him from the pain, you can sing songs or recite nursery rhymes. Massage of the tummy also occurs when placing it on a gymnastic ball. Carefully place the child on the ball and, holding it with your hands, roll it. You can place the newborn on a pillow so that his legs hang down - his own weight will put pressure on the tummy and stimulate the release of gases.
Colic in infants: symptoms and how to relieve your baby from pain
Intestinal colic is one of the most pressing problems in the first months of a baby’s life. Intestinal colic is the name given to abdominal pain associated with increased gas formation in the child’s intestines. This is due to the adaptation of the baby’s gastrointestinal tract to the new conditions of postnatal development. The child begins to show restlessness, which usually ends in uncontrollable, prolonged crying. The first colic in infants can appear 2-4 weeks after birth and usually disappears by 3 months . Colic occurs in completely healthy children who have a good appetite and normal development.
Symptoms of colic
Screams shrilly for several hours, almost always in the late afternoon, although the child has had a good appetite throughout the day and is healthy;
Causes
If the baby is bottle-fed, the bottle should be at an angle of up to 45° so that air accumulates at the bottom.
Overfeeding. Consuming large amounts of milk can cause gas in the stomach and regurgitation. In this case, it is better to feed the baby more often, but in small portions.
If the occurrence of colic is associated with the listed foods, then after eliminating them from the mother’s diet, the colic goes away within 1-2 days after their exclusion.
Enzyme preparations
Often the cause of colic may be a deficiency of the enzyme lactase, which occurs due to the development of the child’s digestive tract in the first months of life. This enzyme breaks down lactose. If there is little enzyme, then unprocessed lactose enters the large intestine, where it causes excessive gas formation and, as a result, colic. In this case, treatment is carried out using drugs containing the missing lactase enzyme (“Colief”, “Lactazar”).
- "Lactazar." When breastfeeding, the contents of one capsule are mixed with 30 ml of expressed breast milk and the baby is given medicine first, and then breastfed. When artificial feeding, one capsule of the drug is dosed for every 100 ml of formula.
Read more about lactase enzyme deficiency in newborns.