Infantile Colic / crying spell / sawan tangis
It defined by rules of Three’s – commonly at first 3 months of life , inconsolable crying for more than 3 hours per day , more 3 days per week in an infant who is well – fed and otherwise healthy.
It is nothing to do with poor parenting skill . Although it is a distressing experience to any parents .
The famous theory was excessive gas production in colon but radiographic images taken during crying episode showed normal finding.
Treatments suggested by Cochrane reviews:
?Simethicone ,herbal , acupunture treatment showed no evidence
?propose a low allergan mmmmaternal diet – in breastfed baby – basically cow’s milk,dairy product ,peanuts for 2 weeks
?start taking probiotics – Lactobacillus reuteri is the only clinically proven in helping colicky infants
?pain relieving agent like sucrose drops
? baby massage , swaddling , sucking a pacifier ,lying in stomach position (NOT to do when baby is sleeping – risk of Siddden Infant’s Sindrome SIDS) , swinging and Shushing white noise) – from 5 C’s approach by Dr Karl
?goat’s milk – no evidence it is better than cow’s milk
? Partial hydrolysed milk can help in formula-fed infant . EG : NAN HA , Similac Total Comfort.
Dr Hamidah