It is helpful to keep a detailed log including a list of the girl's behaviors and activities, in an attempt to determine and remedy factors that influence agitation. Physical causes for crying should always be considered. Once physical factors are ruled out, strategies such as warm baths, massage, music or a quiet, less stimulating environment can be helpful. Small frequent meals during the day with added carbohydrates may help. Agitation at bedtime can be treated with various medications.
Constipation is common and can result in severe discomfort.
Adequate fluid intake, high-fiber foods and exercise are important. It is preferable to avoid long-term use of laxatives, suppositories and enemas, but stool softeners, mineral oil and Milk of Magnesia are often helpful. The infant may show less eye contact and have reduced interest in toys. There may be delays in gross motor milestones. Non-specific hand wringing and decelerating head growth may be present.