Dietary management for infantile colic: A systematic review

Iacovou, Marina; Ralston, Robin A.; Truby, Helen; Gibson, Peter R; Muir, Jane G.

doi:10.1016/j.jnim.2014.10.139

Cited by 28 publications

(54 citation statements)

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“…There were not any studies before this which reported a similar finding. In nutritional interventions, a significant difference was found just in the type of infant's feeding (breastfeeding more than formula feeding) [12]. Hill et al demonstrated via an RCT that elimination of certain allergenic foods (cow milk, soy, wheat, eggs, peanuts, tree nuts, and fish) was positively associated with a reduction in infantile colic in breastfed infants [13].…”

Section: Discussionmentioning

confidence: 99%

Effective Interventions of Mothers in Colicky and Non-colicky Infants

Soltaninejad¹,

Nouhi²,

Safizade³

2017

J Pain Relief

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Background: According to Wessel, infantile colic is defined as excessive crying which lasts more than three hours a day for more than three days a week for at least three weeks in an otherwise healthy baby. Prevalence of infantile colic has been reported to vary within the 10-40% range in different studies depending on data collection, study design and definition of colic. Despite 50 years of research about infantile colic its etiology is unknown. Some causes are mother's stress under pregnancy, postpartum depression, social factors like mother's occupation and fulltime education and other factors such as lactose intolerance, cow's milk allergy, gut contraction and parentsinfant relationship.

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Section: Discussionmentioning

confidence: 99%

Effective Interventions of Mothers in Colicky and Non-colicky Infants

Soltaninejad¹,

Nouhi²,

Safizade³

2017

J Pain Relief

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“…Several studies have demonstrated that completely hydrolyzed formulas significantly improved the clinical symptoms of infantile colic in terms of duration and frequency of crying episodes [26,27]. The improvement was noted as early as seven days after the introduction of hydrolyzed formula.…”

Section: Dietary Interventionmentioning

confidence: 99%

“…The improvement was noted as early as seven days after the introduction of hydrolyzed formula. In onecontrolled trial which was done comparing partially hydrolyzed formula with soy based formula, there was reduction in colicky symptoms after fourteen days of introduction of partially hydrolyzed formula [27].…”

Section: Dietary Interventionmentioning

confidence: 99%

“…While there are few studies recommending the use of partially hydrolyzed formula others do not advocate it in cases of infantile colic as partially hydrolyzed formula is not hypoallergenic and therefore it will not be helpful in cases where colicky symptoms are secondary to protein allergy [27].…”

Section: Citationmentioning

confidence: 99%

“…There was no significant difference in colicky symptoms when high fibre formula was compared with standard formula [26,27]. Due to concern about the level of phytoestrogen in soy based formula and due to possibility of allergy, it is not recommended in babies with infantile colic [28].…”

Section: Citationmentioning

confidence: 99%

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Infantile Colic - A Challenge to Parenthood

Telmesani¹,

Khan²

2016

Int J Community Fam Med

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Infantile colic is a common problem in healthy thriving infants in first few months of life. It is extremely frustrating for parents as it is difficult to treat and may result in abuse and psychosocial consequences. Underlying etiology of colic is poorly understood. It affects 5-25% of young infants throughout the world. Thorough detailed history and physical examination are mandatory to rule out underlying serious and life threatening conditions. Laboratory tests and radiological investigations are usually not indicated in a thriving healthy child who has normal physical examination. Our aim is to review and assess various management options based on the evidence. Family reassurance and counselling is -themainstay of management. Benign and self-limiting nature of this condition should be emphasized to the parents. Dietary modification is a low-risk option when cow's milk protein allergy is suspected and a short trial of hypoallergenic formula in a bottle fed infant may be considered under supervision. Simethicone, probiotics may be tried in selected cases. Herbal preparation, sucrose solution has limited use in colicky babies due adverse side effects, lack of standardization of dosage, formulation and poor quality of evidence. Dicyclomine, an anticholinergic agent is no longer a therapeutic option due to life threatening serious side effects. Health education and public awareness program regarding how to deal with a crying infant plays a vital role in the management and prevention of any untoward complication. Keywords:Infantile colic, Colic, Breastfeeding, Cow milk protein allergy Mini ReviewOpen Access IntroductionInfantile colic is one of the major challenges for parents. Also,it isone of the common reasons for parents seeking medical advice for their healthy thriving babies in first three months of life. Persistent inconsolable crying is enough to fray the nerves of even the most tranquil parents. Though it is a benign and self-limiting condition, those affected most by colic are the parents, especially the first time parents [1]. To deal with screaming on a daily basis can drive them to the brink of losing their temper and control of their nerves and resulting into shaking their baby out of frustration causing shaken baby syndrome [2]. In addition, crying spells are also associated with relationship stress, failure of breastfeeding, postpartum depression. It affects 5%-25 % of young infants throughout the world [3]. It affects boys and girls alike, although in some report it is found to affect the first born babies more than subsequent ones.The word colic is derived from the Greek word 'Kolikos'-meaning colon suggesting that it involves some bowel disturbances [3].The most commonly accepted definition of colic using "rule of three" was described by Wessel et al. [4] as episodes of inconsolable crying in an otherwise healthy infant younger than three months of age that last at least three hours a day and occur at least three days per week over the course of at least three weeks in a month.More rec...

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