The history (medical history) represents an important component in the diagnosis of the excessive crying infant. Family history What is the general health of your family members? Are there any diseases in your family that are common? Social history Is there any evidence of psychosocial stress or strain due to your family situation? Current medical … Crying Infant: Medical History
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body temperature, body weight, body height; further: Inspection (viewing). Skin, mucous membranes and sclerae (white part of the eye). Abdomen (abdomen) Shape of the abdomen? Skin color? Skin texture? Efflorescences (skin changes)? Pulsations? Bowel movements? … Crying Infant: Examination
2nd order laboratory parameters – depending on the results of the history, physical examination, etc. – for differential diagnostic clarification Small blood count Differential blood count Inflammatory parameter – CRP (C-reactive protein) Urine status (rapid test for: pH, leukocytes, nitrite, protein, glucose, ketone, blood), sediment, if necessary urine culture (pathogen detection and resistogram, that is, … Crying Infant: Test and Diagnosis
Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics, and obligatory medical device diagnostics – for differential diagnostic clarification Abdominal ultrasonography (ultrasound of the abdominal organs). X-ray of the thorax (X-ray thorax/chest). Magnetic resonance imaging (MRI) of the abdomen (abdominal MRI)/thorax (thoracic MRI)/skull (cranial MRI) – for further … Crying Infant: Diagnostic Tests
The following symptoms and complaints may occur together in an excessive crying infant: Leading symptom Excessive crying infant Associated symptoms Refusal to drink Fever Drooling Difficulty with bowel movements Restlessness Distended abdomen Caveat. Exclude child abuse! Rule of three from Wessel et al Excessive crying occurs when a healthy infant exhibits restlessness, whining, or crying: … Crying Infant: Symptoms, Complaints, Signs
Therapy depends on the cause of the condition. Drug therapy is not indicated for excessive crying! The following is advice for those affected on general measures in terms of self-help. General measures Calming the child – observing what is good for the child, e.g.: Cuddling Carry the baby close to the body, for example, in … Crying Infant: Therapy
