Last update Feb. 1, 2017

Infantile colic

Very Low Risk

Safe. Compatible. Minimal risk for breastfeeding and infant.

The causes of infant colic are not well understood, yet it is known that it is not a disease with spontaneous disappearance around 3-5 months of age. Infant colic, as a source of anxiety, is a risk factor for cessation of breastfeeding (Howard 2006).

There is a controversy on whether breastfeeding affects the frequency of infant colic, for some authors breastfeeding would pose a preventive and / or curative factor (Saavedra 2003, Howard 2006, Canivet 2008, Yalçın 2011, Cohen 2012). However for others it does not (Clifford 2002, Johnson 2015).

It has not been well established whether maternal feeding would affect infant colic in spite that some authors recommend a variety of modifications of maternal diet (Aksoy 2016). There is some level of consensus on that some cases of colic may improve by suppressing cow's milk from mother’s diet (Jakobson 1983, Kenny 2016, Vandenplas 2016), yet the latter is not shared by others (Evans 1981, Carranza 2010, Pärtty 2015).

Parent smoking may be a factor for increased risk (Reijneveld 2005).

Based on several well-designed studies, meta-analysis and opinion by experts it is well known the ineffectiveness of the use of probiotics (Sung 2013 and 2014, Pärtty 2015), herbal teas, body manipulations or acupuncture (Savino 2014). Likewise, allowing the baby to burping after a feeding, (Kaur 2015) is not effective on treating or preventing infant colic.
Trying to manage it with the use of herbal teas increases the risk for stopping breastfeeding (Jain 2015).

Whatever case, suppression of breastfeeding should be never recommended (Toca 2015, Morais 2016, Vanden Plas 2016).

Suggestions made at e-lactancia are done by APILAM team of health professionals, and are based on updated scientific publications. It is not intended to replace the relationship you have with your doctor but to compound it.

Jose Maria Paricio, Founder & President of APILAM/e-Lactancia

Your contribution is essential for this service to continue to exist. We need the generosity of people like you who believe in the benefits of breastfeeding.

Thank you for helping to protect and promote breastfeeding.

José María Paricio, founder of e-lactancia.

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References

  1. Kenny P. [Excessive crying in infants in the first months of life: review]. Arch Argent Pediatr. 2016 Abstract
  2. Aksoy Okan M, Gunduz M, Okur M, Akgun C, Esin K. Does maternal diet affect infantile colic? J Matern Fetal Neonatal Med. 2016 Abstract
  3. Morais MB. Signs and symptoms associated with digestive tract development. J Pediatr (Rio J). 2016 Abstract
  4. Vandenplas Y, Alturaiki MA, Al-Qabandi W, AlRefaee F, Bassil Z, Eid B, El Beleidy A, Almehaidib AI, Mouawad P, Sokhn M. Middle East Consensus Statement on the Diagnosis and Management of Functional Gastrointestinal Disorders in <12 Months Old Infants. Pediatr Gastroenterol Hepatol Nutr. 2016 Abstract
  5. Kaur R, Bharti B, Saini SK. A randomized controlled trial of burping for the prevention of colic and regurgitation in healthy infants. Child Care Health Dev. 2015 Abstract
  6. Pärtty A, Lehtonen L, Kalliomäki M, Salminen S, Isolauri E. Probiotic Lactobacillus rhamnosus GG therapy and microbiological programming in infantile colic: a randomized, controlled trial. Pediatr Res. 2015 Abstract
  7. Jain K, Gunasekaran D, Venkatesh C, Soundararajan P. Gripe Water Administration in Infants 1-6 months of Age-A Cross-sectional Study. J Clin Diagn Res. 2015 Abstract
  8. Toca Mdel C, Sosa P, Aprigliano G, Furnes R, Marchisone S, Mora M, Orsi M, Saieg G, Tabacco O, Wagener M. [Management of the most frequent functional gastrointestinal dis orders in healthy infants]. Arch Argent Pediatr. 2015 Abstract
  9. Johnson JD, Cocker K, Chang E. Infantile Colic: Recognition and Treatment. Am Fam Physician. 2015 Abstract
  10. Sung V, Hiscock H, Tang ML, Mensah FK, Nation ML, Satzke C, Heine RG, Stock A, Barr RG, Wake M. Treating infant colic with the probiotic Lactobacillus reuteri: double blind, placebo controlled randomised trial. BMJ. 2014 Abstract
  11. Savino F, Ceratto S, De Marco A, Cordero di Montezemolo L. Looking for new treatments of Infantile Colic. Ital J Pediatr. 2014 Abstract
  12. Sung V, Collett S, de Gooyer T, Hiscock H, Tang M, Wake M. Probiotics to prevent or treat excessive infant crying: systematic review and meta-analysis. JAMA Pediatr. 2013 Abstract
  13. CLM - Comité de Lactancia Materna de la AEP. Preguntas frecuentes sobre lactancia materna. Folleto. 2012 Full text (link to original source) Full text (in our servers)
  14. Cohen Engler A, Hadash A, Shehadeh N, Pillar G. Breastfeeding may improve nocturnal sleep and reduce infantile colic: potential role of breast milk melatonin. Eur J Pediatr. 2012 Abstract
  15. Yalçın SS, Kuşkonmaz BB. Relationship of lower breastfeeding score and problems in infancy. Breastfeed Med. 2011 Abstract
  16. Carranza-Lira S, Uribe-Medina A, Ogando-Suárez M. [The effect of milk products consumption in mothers during breastfeeding]. Rev Med Inst Mex Seguro Soc. 2010 Abstract
  17. Canivet CA, Ostergren PO, Jakobsson IL, Dejin-Karlsson E, Hagander BM. Infantile colic, maternal smoking and infant feeding at 5 weeks of age. Scand J Public Health. 2008 Abstract
  18. Howard CR, Lanphear N, Lanphear BP, Eberly S, Lawrence RA. Parental responses to infant crying and colic: the effect on breastfeeding duration. Breastfeed Med. 2006 Abstract
  19. Reijneveld SA, Lanting CI, Crone MR, Van Wouwe JP. Exposure to tobacco smoke and infant crying. Acta Paediatr. 2005 Abstract
  20. Saavedra MA, da Costa JS, Garcias G, Horta BL, Tomasi E, Mendonça R. [Infantile colic incidence and associated risk factors: a cohort study]. J Pediatr (Rio J). 2003 Abstract
  21. Clifford TJ, Campbell MK, Speechley KN, Gorodzinsky F. Infant colic: empirical evidence of the absence of an association with source of early infant nutrition. Arch Pediatr Adolesc Med. 2002 Abstract
  22. Jakobsson I, Lindberg T. Cow's milk proteins cause infantile colic in breast-fed infants: a double-blind crossover study. Pediatrics. 1983 Abstract
  23. Evans RW, Fergusson DM, Allardyce RA, Taylor B. Maternal diet and infantile colic in breast-fed infants. Lancet. 1981 Jun 20;1(8234):1340-2. Abstract

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