Exploring hypotheses and rationale for causes of infantile colic
- PMID: 27647578
- PMCID: PMC5276723
- DOI: 10.1111/nmo.12943
Exploring hypotheses and rationale for causes of infantile colic
Abstract
Background: Infantile colic is a frequent problem in neonates and infants. This review addresses current management including the results for nutrient modifications; soy-based formulas; and prebiotics, probiotics, and synbiotics.
Purpose: Given the evidence that there is still an unmet clinical need, as current treatments are incompletely efficacious, we have examined the evidence around three hypothetical mechanisms that could potentially be involved in etiopathogenesis of infantile colic: immaturity of bile acid mechanisms that alter intraluminal and absorptive mechanisms, immaturity in motility and alterations in the microbiome. Understanding these potential mechanisms may lead to the introduction of diagnostic procedures that should enhance the selection or individualization of therapy for infantile colic.
Keywords: formulas; nutrition; prebiotics; probiotics; synbiotics.
© 2016 John Wiley & Sons Ltd.
Conflict of interest statement
The authors have no relevant conflicts of interest.
References
-
- Benninga MA, Nurko S, Faure C, Hyman PE, St. James Roberts I, Schechter NL. Childhood functional gastrointestinal disorders: neonate/toddler. Gastroenterology. 2016;150:1443–1455. - PubMed
-
- Wessel MA, Cobb JC, Jackson EB, Harris GS, Jr, Detwiler AC. Paroxysmal fussing in infancy, sometimes called colic. Pediatrics. 1954;14:421–435. - PubMed
-
- Akhnikh S, Engelberts AC, van Sleuwen BE, L’Hoir MP, Benninga MA. The excessively crying infant: etiology and treatment. Pediatr Ann. 2014;43:e69–e75. - PubMed
-
- Hall B, Chesters J, Robinson A. Infantile colic: a systematic review of medical and conventional therapies. J Paediatr Child Health. 2012;48:128–137. - PubMed
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