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Encyclopedia > Baby colic
Baby colic
Classification & external resources
MedlinePlus 000978
eMedicine ped/434 

Infant colic (also known as baby colic and three month colic) is a condition in which an otherwise healthy baby cries or screams frequently and for extended periods, without any discernible reason. MedlinePlus (medlineplus. ... eMedicine is an online clinical medical knowledge base that was founded in 1996. ... “Baby” redirects here. ...


The condition typically appears within the first two weeks of life and almost invariably disappears, often very suddenly, before the baby is three to four months old [1]. It is more common in bottle-fed babies, but also occurs in breast-fed infants. The crying frequently occurs during a specific period of the day, often in the early evening. An infant being fed by bottle A baby bottle is a bottle with a teat to drink directly from. ... An infant breastfeeding International Breastfeeding Symbol (Matt Daigle, Mothering magazine contest winner 2006) Breastfeeding is the feeding of an infant or young child with milk from a womans breasts. ...

Since the cause is not conclusively established (see below) and the amount of crying differs between babies, there is no general consensus on the definition of "colic". Having ruled out other causes of crying, a common rule of thumb is to consider a baby "colicky" if it cries intensely more than three days a week, for more than three hours, for more than three weeks in a month. Image File history File links Size of this preview: 800 × 532 pixelsFull resolution (3008 × 2000 pixel, file size: 743 KB, MIME type: image/jpeg) photo by Inferis. File historyClick on a date/time to view the file as it appeared at that time. ...

Contents

Causes

There is no commonly accepted explanation for colic. Traditionally, colic was ascribed to abdominal pain resulting from trapped gas in the digestive tract. This theory is not yet discredited, and some recent scientific evidence seems to support it, yet it is no longer universally accepted as the general cause.


There is solid and mounting evidence that the causes are related to gut flora, from multiple studies which have shown that colicky babies have different gut flora patterns, which includes a lack of Lactobacillus acidophilus.[2][3][4] Some of these studies suggest the administering of a probiotic, such as Lactobacillus acidophilus, will improve the condition. Probiotics have been shown to improve other conditions associated with colic, such as lactose intolerance[5], necrotizing enterocolitis[6], and gastric inflammation.[7] In addition to that probiotics have been shown to generally improve the health of children who take them.[8] Escherichia coli, one of the many species of bacteria present in the human gut. ... Binomial name Lactobacillus acidophilus (Moro 1900) Hansen & Mocquot 1970 Lactobacillus acidophilus is one of several bacteria in the genus Lactobacillus. ... Probiotics are dietary supplements containing potentially beneficial bacteria or yeasts. ... Necrotizing enterocolitis (NEC) is a medical condition primarily seen in premature infants, where portions of the bowel undergo necrosis (tissue death). ... An abscess on the skin, showing the redness and swelling characteristic of inflammation. ...


Some doctors claim that it is a combination of a baby's sensitive temperament, the environment, and its immature nervous system which makes it cry easily and without control. Others believe that it originates in problems in the baby's digestive system, specifically because of the buildup of gas which cannot be released. New studies at the Colic Clinic at Brown University demonstrate that nearly half of babies with colic have mild gastroesophageal reflux. Some cases may be the result of lactose intolerance.[9] The nervous system of an animal coordinates the activity of the muscles, monitors the organs, constructs and also stops input from the senses, and initiates actions. ... The digestive system is the organ system that breaks down and absorbs nutrients that are essential for growth and maintenance. ... Brown University is a private university located in Providence, Rhode Island. ... Gastroesophageal Reflux Disease (GERD, or GORD when -oesophageal, the BE form, is substituted) is injury to the esophagus that develops from chronic exposure of the esophagus to acid coming up from the stomach (reflux). ...


Recent research raises a number of hypotheses including the onset of melatonin production by the pineal gland (which does not begin until 12 weeks of age, about the time colic seems to disappear),[10] circadian rhythms,[11] and smoking and stress of the mother in the third trimester.[12] Melatonin, 5-methoxy-N-acetyltryptamine, is a hormone found in all living creatures from algae[1] to humans, at levels that vary in a diurnal cycle. ... The pineal gland (also called the pineal body or epiphysis) is a small endocrine gland in the brain. ... The Circadian rhythm is a name given to the internal body clock that regulates the (roughly) 24 hour cycle of biological processes in animals and plants. ... The cigarette is the most common method of smoking tobacco. ... In medical terms, stress is the disruption of homeostasis through physical or psychological stimuli. ... The human gestation period of approximately 40 weeks between the time of the last menstrual cycle and delivery is traditionally divided into three periods of three months, or trimesters. ...


Because of the links between prenatal stress, birth trauma, maternal stress etc, and colic, it has also been suggested that some 'colic', or excessive crying may actually be a healthy stress release requiring support and facilitation rather than suppression or 'cure'.[13]


Treatment

There is currently no generally-accepted medical treatment for colic, and the approach taken by medical professionals varies substantially from country to country and indeed from doctor to doctor. Many believe that the condition is currently untreatable, and is best left to run its course. Other doctors prescribe simethicone, which treats trapped gas; some parents report that this is effective, but for many others it is not, and research suggests that it is not useful.[14] Simethicone, is an oral anti-foaming agent used to reduce bloating, discomfort and pain caused by excess gas in the stomach or intestinal tract. ...


One study showed a moderate success when infants with colic were treated with dicyclomine, an anti-spasmotic drug commonly found in some anti-diarrheal medications.[15] Dicyclomine is an anticholinergic that blocks muscarinic receptors. ...


Other studies have found success with probiotics such as Lactobacillus reuteri, which were intended to reduce gas.[16] Probiotics are dietary supplements containing potentially beneficial bacteria or yeasts. ... Binomial name Lactobacillus reuteri N/A L. reuteri is a gram-positive bacterial species that typically inhabits mice and pigs. ...


Gripe water is believed by some to relieve the symptoms associated with baby colic, teething and baby's gas[citation needed]. Gripe water is a home remedy for babies with colic, gas, teething pain or other stomach ailments. ...


In addition to herbal teas it is believed that the organoleptic effects of certain herbs can help calm and relieve colic symptoms.


Scientists warn that further studies are necessary before any specific cure should be recommended.[16]


There is general agreement that soothing measures, such as pacifiers, listening to white noise and rocking, are often effective in calming the baby during crying periods. Also known as the "cuddle cure",[17] the five S's are known as Swaddling, placing the baby on their Side or Stomach, Swinging the baby, making a Shhh sound in the baby's ear, and giving the baby something to Suck on. Some parents take turns holding the baby upright (which may reduce the pain and crying) to enable the other parent to catch up on sleep. Babies with lactose intolerance or reflux cry harder and longer when left to lie on their backs, but parents are not advised to put the baby to sleep on their front as it is considered a risk factor for Sudden Infant Death Syndrome. A pacifier A pacifier (North American English), dummy (British, New Zealand, and Australian English) or soother (Canadian and Irish English), is a rubber, plastic, or silicone nipple given to an infant or other young child to suck upon. ... Calculated spectrum of a generated approximation of white noise White noise is a random signal (or process) with a flat power spectral density. ...


Various tactics, such as changes in diet or routine, an increase in fresh air or certain herbal teas, are popularly believed to cure colic. There is also the theory that rubbing warm olive oil on the hands and feet, then rubbing the stomach with olive oil in a clockwise motion will cure colic. While some of these may help in certain cases, none of them is known to be universally effective. The widespread belief in them may be partly due to the suddenness with which colic naturally resolves itself. Many parents keep trying different approaches until the colic suddenly stops, at which point they presume that the last thing they tried was the cure.


In cases where 'colic' or excessive crying is possibly the infants innate healing mechanism helping them to recover from birth trauma or other past or current stress, appropriate holding and facilitation techniques may be able to increase the effectiveness of the release process and reduce the overall amount of crying time needed. In any case parents may benefit from learning these techniques, as this can help them to cope better psychologically with their child's distress, and to feel more empowered in the midst of an extremely trying situation. [18]


Effect on the family

Colic can place an enormous strain on parents and other family members. The feeling that they are not providing something their child desperately wants or needs can induce stress, depression, feelings of helplessness, and low self-esteem. If crying is prevalent during nighttime hours then these problems can be aggravated by the resulting sleep deprivation or interruption to sleep patterns; exhaustion may also result. Where people live in dense housing such as apartment blocks, persistent crying can also strain relationships with neighbors and landlords. In medical terms, stress is the disruption of homeostasis through physical or psychological stimuli. ... In everyday language depression refers to any downturn in mood, which may be relatively transitory and perhaps due to something trivial. ... In psychology, self-esteem or self-worth is a persons self-image at an emotional level; circumventing reason and logic. ... Sleep deprivation is a general lack of the necessary amount of sleep. ... Fatigue is a feeling of excessive tiredness or lethargy, with a desire to rest, perhaps to sleep. ... A landlord, is the owner of a house, apartment, condominium, or real estate which is rented or leased to an individual or business, who is called the tenant. ...


The stress on parents is often compounded by well-meaning but misguided people who believe that the parents must be doing something wrong. This attitude is quite common among people who have raised colic-free children themselves. Even those who have had children who suffered from colic, and who found a "cure" (see above), can be reluctant to believe their own suggested approach does not work for somebody else.


In some areas, support groups have been set up for parents of children with colic. ‹ The template below (Mind-body interventions) is being considered for deletion. ...


References

  1. ^ Boyd, D & Bee, H (2006). Lifespan Development 4th ed. London: Pearson
  2. ^ Bacterial counts of intestinal Lactobacillus species in infants with colic.
  3. ^ Intestinal microflora in breastfed colicky and non-colicky infants.
  4. ^ Long-term consumption of infant formulas containing live probiotic bacteria: tolerance and safety.
  5. ^ Lactobacillus acidophilus as a dietary adjunct for milk to aid lactose digestion in humans.
  6. ^ Probiotics for infants: two studies, two successes
  7. ^ Supplement: Effects of Probiotics and Prebiotics
  8. ^ Probiotics for infants: two studies, two successes
  9. ^ Colic and lactose intolerance
  10. ^ Sivan, Yakov; Laudon, Moshe; Tauman, Rivi; and Zisapel, Nava. 2001. Melatonin production in healthy infants: evidence for seasonal variations. Pediatric Research 49(1): 63-68.
  11. ^ Colic and circadian rhythms
  12. ^ Colic and maternal stress
  13. ^ Solter.1998
  14. ^ University of Michigan clinical trial for simethicone used for colic
  15. ^ Colic and anti-diarrheal medication
  16. ^ a b Study Offers Hope for Treating Colic
  17. ^ Colic and the 'cuddle cure'
  18. ^ Aletha J. Solter, Ph.D "Tears and Tantrums: what to do when babies and children cry" Shining Star Press (1998)

External links


  Results from FactBites:
 
Pediatric Advisor 2006.2: Colic (The Crying Baby) (1340 words)
Colic is unexplained crying (not due to pain or hunger).
Colic tends to occur in babies with a sensitive temperament.
Colic is also not due to excessive gas, so don't bother with extra burping or special nipples.
Baby colic - Wikipedia, the free encyclopedia (865 words)
Infant colic (also known as baby colic and three month colic) is a condition in which an otherwise healthy baby cries or screams frequently and for extended periods, without any discernible reason.
New studies at the Colic Clinic at Brown University demonstrate that nearly half of babies with colic have mild gastroesophageal reflux.
Babies with lactose intolerance or reflux cry more and longer when left to lie on their backs but parents are not suggested to put the baby to sleep on their front as it increases the likelihood of Sudden Infant Death Syndrome.
  More results at FactBites »


 

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