What is colic?
Infantile Colic is a common syndrome in infancy, which still keeps its mystery in terms of its cause and may cause distress to the family and physician from time to time. Although they have different definitions, growth and development are normal periods of restlessness and crying in the 0 - 3 month old infant, which last for at least 3 weeks, more than 3 days a week, more than 3 hours a day and cannot be explained for any other reason. The incidence varies between 10% and 40% in different studies. It is more common in low birth weight infants. Restlessness and crying bouts are at a certain time of day, usually in the afternoon and evening. Nearly 50% of babies have symptoms that disappear within 3 months, while 40% can last up to 6 months and 10% up to one year.
What are the reasons?
Although the cause of infantile colic remains unclear, some theories have been developed. Some studies have found that maternal and cow's milk, cabbage, cauliflower, broccoli, citrus fruits, chocolate and onions increase the infantile colic of the mother's smoking and coffee use. Considering this may be a food allergy or food intolerance, restrictions in the maternal diet are recommended. Infants are more susceptible to pain sensation and react more to intestinal stresses due to their undeveloped neurological systems. Infantile colic frequency was found to be higher in the babies of mothers and families who had frequent psychological stress during pregnancy and in a tense mental state.
Are genetic factors effective?In the diagnosis of infantile colic, family history is very important. In addition, a full physical examination should be performed to exclude other causes of unrest, and the growth and development of the baby should be normal.
What kind of treatment is followed?In treatment, first of all, it is necessary to understand the concern of the family and to inform them about this situation and the process. It should be emphasized that reducing anxiety or tension seen in the mother or in the family will also be a part of the treatment. The mother should not smoke. Coffee should not consume more than 1-2 cups. Cow's milk, citrus fruits, cabbage, broccoli, cauliflower, cruciferous, chocolate, spicy foods should be removed from the mother's diet. The baby should be kept in a dim, quiet environment. During colic pains, swinging gently on the lap or cradle, singing a lullaby, or listening to music or rhythmic sounds (hairdryers) can provide relief for the baby. Taking a warm bath, clockwise massage on the belly are other relaxing methods. The efficacy of fennel, anise and mint teas has been shown in some studies, but no safety studies have been conducted. As a result, it has been understood that time is the best treatment for this long-awaited mystery disorder.