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6 weeks
17%
9/53
4 months
72%
38/53
9 months
2%
1/53
12 months
6%
3/53
18 months
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This 5-week-old healthy male infant is crying for at least 3 hours a day, at least 3 days a week, without evidence of a condition that would provoke crying (e.g. - hunger, wet/soiled diaper, fatigue, emotional neglect, organic illness). Thus, he likely has infantile colic, which should resolve by around 4 months of age. Infantile colic usually begins between 2 and 6 weeks of age, with an estimated prevalence of 10-20% of infants. Although the cause is unknown, some theories include: immature gastrointestinal systems or central nervous systems; allergies; sensitive disposition; and maternal misinterpretation of normal crying. Risk factors include smoking, higher socioeconomic status, older parental age, and parental depression. Roberts et al. review infantile colic. They emphasize that this condition can be distressing to parents, who often embark on dietary changes for themselves or their infants or seek out alternative remedies. They recommend avoiding feeding changes when possible, ruling out organic causes, and providing monitoring, reassurance, and support to the family. Bellaiche et al. review possible treatments for infantile colic. They state that no medication has yet shown be be helpful in clinical trials. Many nutritional interventions have been attempted, including soy-based diets, maternal hypoallergenic diets, and probiotics. Reflexology, chiropractic treatment, and herbal therapies have also been studied. The authors conclude that some evidence does exist for milk without bovine protein, herbal therapies, and probiotics, but parental reassurance is the most useful strategy. Illustration A is a graph that depicts length of time spent crying versus age for four different babies. The babies depicted by the purple and red lines would be defined as having colic, during the time period that their curve is above the yellow line. Incorrect answers: Answers 1, 3-5: Although there is some variation among individual infants, most case of infantile colic will resolve by around 4 months of age.
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