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  • Writer's picturePriyanka Goswami

Infantile colic

Infantile colic is a harmless condition that occurs when a baby cries for more than three hours a day, more than three days a week, and for more than three weeks. Peak incidence occurs at around six weeks of birth, and symptoms typically subside between three and six months of age. There is no link between gestational age, socioeconomic position, or the choice of feeding method (breast vs. bottle). Infantile colic has many potential reasons, some of which are: changes in faecal microflora; intolerance to cow's milk protein or lactose; gastrointestinal immaturity or inflammation; increased serotonin secretion; improper feeding technique; maternal smoking or nicotine replacement treatment; and others. A diagnosis of colic is made after all other possible causes have been ruled out through a thorough history and physical evaluation. Reassurance and encouragement from parents are essential in the treatment of colic. Dicyclomine is not recommended for the therapy of colic, and simethicone and proton pump inhibitors are ineffective. Breastfed infants can be treated by decreasing maternal dietary allergen consumption or by administering the probiotic Lactobacillus reuteri (strain DSM 17938). If your baby is on formula, you may want to consider switching to a hydrolyzed formula. Infant massage, swaddling, acupuncture, and herbal remedies have not been shown to be effective.


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