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What do abdominal tightness and excessive crying in an infant indicate?

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Posted on Sat, 9 May 2015
Question: Hi doc,
My baby is 25 day old, crying without reason. His stomach getting tight today. Please advise.
doctor
Answered by Dr. Sumanth Amperayani (18 minutes later)
Brief Answer:
Evening colic

Detailed Answer:
Hi...Thank you for consulting in Health Care magic.
This is called evening colic and is quite common in this age group. This happens when the baby sucks at the breast very fast and in eagerness to drink milk will gulp in air too. Unless the air comes out like burping or flatus this discomfort will be there and next time check if she is sucking too fast and gulping in air too. You will be more convinced. Usually I don't advice any medicines for this as they give only temporary relief.
The two best ways to relieve this distress is -
1. Do not put her in lying position after feeding till she burps out the swallowed air.
2. If she is still crying - put her in prone position and keep patting her back gently so that she passes off the flatus and gets relieved.
Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.
Dr. Sumanth MBBS., DCH., DNB (Paed).,

Above answer was peer-reviewed by : Dr. Neel Kudchadkar
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Follow up: Dr. Sumanth Amperayani (26 hours later)
Hi doc,
I have followed your advice yesterday, but
Today my baby again crying without reason and also have potty in green color.

Please advice..
doctor
Answered by Dr. Sumanth Amperayani (2 hours later)
Brief Answer:
Green colored stools is notmal in this age

Detailed Answer:
Hi...What your kid is having is not a diarrhea and is only a gastro-colic reflux.

It is quite common for babies of this age group to pass small amount of diarrhea or green colored loose stools soon after feeds. This need not be treated as diarrhea and especially antibiotics are not indicated.

Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry.

The two best ways to relieve this distress is -
1. Do not put him in lying position after feeding till he burps out the swallowed air.
2. If he is still crying - put him in prone position and keep patting his back gently so that he passes off the flatus and gets relieved.

Regards - Dr. Sumanth
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Sumanth Amperayani

Pediatrician, Pulmonology

Practicing since :2003

Answered : 8342 Questions

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What do abdominal tightness and excessive crying in an infant indicate?

Brief Answer: Evening colic Detailed Answer: Hi...Thank you for consulting in Health Care magic. This is called evening colic and is quite common in this age group. This happens when the baby sucks at the breast very fast and in eagerness to drink milk will gulp in air too. Unless the air comes out like burping or flatus this discomfort will be there and next time check if she is sucking too fast and gulping in air too. You will be more convinced. Usually I don't advice any medicines for this as they give only temporary relief. The two best ways to relieve this distress is - 1. Do not put her in lying position after feeding till she burps out the swallowed air. 2. If she is still crying - put her in prone position and keep patting her back gently so that she passes off the flatus and gets relieved. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. Dr. Sumanth MBBS., DCH., DNB (Paed).,