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This type of cry is characterized by the same temporal sequence as the basic pattern but distinguished by differences in the length of the various phase components. The third cry is the pain cry, which, unlike the other two, has no preliminary moaning. The pain cry is one loud cry, followed by a period of breath holding. [12]
Crying associated with PBA may be incorrectly interpreted as depression; laughter may be embarrassing, anger can be debilitating. It is therefore critical for families and caregivers to recognize the pathological nature of PBA and the reassurance that this is an involuntary syndrome that is manageable.
Inconsolable, agitated Inconsistently inconsolable, moaning Cries but consolable, inappropriate interactions Smiles, orients to sounds, follows objects, interacts N/A: Motor No motor response Extension to pain (decerebrate response) Abnormal flexion to pain for an infant (decorticate response) Infant withdraws from pain Infant withdraws from touch
Babies who cry may simply be hungry, uncomfortable, or ill. [16] Less than 10% of babies who would meet the definition of colic based on the amount they cry have an identifiable underlying disease. [17] Cause for concern include: an elevated temperature, a history of breathing problems or a child who is not appropriately gaining weight. [9]
Concomitant with this pain is typically flushing, often in an area associated with the pain. [1] During attacks in infants, the child often looks startled or terrified and can scream inconsolably. These attacks can be precipitated by injections, defecation, wiping of the perineum, eating, or the consumption of oral medication. When attacks ...
Studies have sought additional, visible and easily definable indicators of pain and in particular the high level of pain detected in babies when hungry, compared to pain levels in further developed children. Combinations of crying with facial expressions, posture and movements, aided by physiological measurements, have been tested and found to ...
The most common stimulus is a painful event. The child turns pale (as opposed to blue) and loses consciousness with little if any crying. The EEG is also normal, and there is no postictal phase, nor incontinence. The child is usually alert within minutes. There may be a relationship with adulthood syncope. [4] Complicated breath-holding spells
In children, confusional arousals can often be reproduced artificially by awakening the child during deep sleep. [3] However, it doesn't have any clinical significance without deeper investigation. Children living an episode of confusional arousal typically sit up in bed, whimper, cry, moan, and may utter words like “no” or “go away”.