CRYING


One definition = unexplained paroxysmal bouts of fussing &/or crying > 3h/d x 3 or more days/wk x > 3 weeks

Causes of acute crying in one series of 59 afebrile infants (Pediatrics 88:450, 1991):

Infection 29%
Trauma 16%
"Colic" 11%
GU disease 9%
SVT 4%
CNS disease 4%
Undiagnosed 18%
Other 9%

Diagnoses to keep in mind in the fussy infant/neonate:

Treatments found to be effective in randomized trials (Pediatrics 106:184, 2000--AFP)

Treatments not found to be effective in randomized trials:

Probiotics for colic/crying