Infantile Colic: An Update

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dc.contributor.authorSarasu, J Muruguen_US
dc.contributor.authorNarang, Manishen_US
dc.contributor.authorShah, Dheerajen_US
dc.date.accessioned2020-04-23T07:43:25Z
dc.date.available2020-04-23T07:43:25Z
dc.date.issued2018-11
dc.description.abstractContext: Infantile colic is self-limiting condition but it can be a cause of anxiety for parents and challenge for doctors. The challenge for thedoctors lies in correct identification of the condition and appropriate management. The objective of this review article is to summarize thepathophysiology, treatment options and outcome in infantile colic so that clinicians can have a fair idea about the condition, recentupdates and future prospects.Evidence: A search of the Cochrane Library, PubMed, and Google Scholar was made using the key words “Infant colic”, Infantile colic”,“excessive crying in infants”. All the materials were analyzed and summarized.Results: At present, infantile colic is an area of clinical research both in terms of etiology and treatment. Various etiological theories havebeen proposed but none of them are strong enough to completely describe the condition. Various treatment agents are being tried forcolic like counseling and behavioral modification, dietary modification, lactase and probiotic supplementation, pain relieving agents, andchiropathy. Proper counseling of the parents is the first line of management at present. Simethicone has no role in decreasing thesymptoms of colic and Dicyclomine is not recommended in children younger than six months. No specific recommendations have beenmade on the use of pain relieving agents and manipulative therapies in colic. At present strong evidence is lacking regarding the use ofprobiotics, lactase supplementation and dietary modification.Conclusion: Counseling of parents about the benign nature of the condition is considered first line for now until an effective treatment isestablished. Other treatment options are prescribed on a case-based manner, and based on the parental perception of the condition.en_US
dc.identifier.affiliationsDivision of Pediatric Gastroenterology, University College of MedicalSciences and Guru Teg Bahadur Hospital, University of Delhi, Delhi, Indiaen_US
dc.identifier.affiliationsHepatology, University College of MedicalSciences and Guru Teg Bahadur Hospital, University of Delhi, Delhi, Indiaen_US
dc.identifier.affiliationsNutrition, University College of MedicalSciences and Guru Teg Bahadur Hospital, University of Delhi, Delhi, Indiaen_US
dc.identifier.affiliationsDepartment of Pediatrics, University College of MedicalSciences and Guru Teg Bahadur Hospital, University of Delhi, Delhi, Indiaen_US
dc.identifier.citationSarasu J Murugu, Narang Manish, Shah Dheeraj. Infantile Colic: An Update. Indian Pediatrics. 2018 Nov; 55(11): 979-987en_US
dc.identifier.issn0974-7559
dc.identifier.issn0019-6061
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/199213
dc.languageenen_US
dc.publisherIndian Academy of Pediatricsen_US
dc.relation.issuenumber11en_US
dc.relation.volume55en_US
dc.source.urihttps://www.indianpediatrics.net/nov2018/979.pdfen_US
dc.subjectCounselingen_US
dc.subjectCryingen_US
dc.subjectLactaseen_US
dc.subjectManagementen_US
dc.subjectProbioticsen_US
dc.titleInfantile Colic: An Updateen_US
dc.typeJournal Articleen_US
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