Unsettled/Irritable Infant
The Irritable Baby
Infantile colic is a term that has been used by various healthcare professions to describe the persistent, often violent crying which sometimes characterizes an otherwise healthy and thriving baby. There has never been agreement about how to diagnose colic with the result that the term colic is applied to many different clinical presentations. Colic also carries an inference that the cause of the symptoms is in some way due to abdominal or intestinal problems: no link with the intestines as a cause of the symptoms has been found and the cause of the symptoms remains unknown. In view of these difficulties we prefer to use the diagnosis "Irritable Baby Syndrome" (IBS). Numerous non chiropractic treatments have been proposed but most have been shown to be without effect and most drug preparations have serious side effects. A common drug treatment still used is dimethicone and several good controlled studies have shown that this treatment is no better than placebo.
There are a number of conditions that can complicate IBS. It is important that the baby has a full examination by someone trained in paediatrics to rule out the possibility of other underlying disorders such as cow’s milk protein or soy protein sensitivity, infection, gastroesophageal reflux, pyloric stenosis, intussusception or a bowel obstruction. In the absence of any of other causative conditions the baby is regarded as having “uncomplicated colic”.
Cow’s milk protein sensitivity:
The clinical diagnosis of cow’s milk protein intolerance is made based on the presence of the “triad” of symptoms, which include gastrointestinal disturbance, skin rash and respiratory ‘wet’ sounds. (5) Cow’s milk protein allergy/intolerance is the main cause of lactose intolerance in infants. Common symptoms associated with cow’s milk protein intolerance are:
Gastrointestinal: Bloating, frequent passage of flatus and intractable crying/distress with pulling up of the legs. Chronic diarrhea, constipation or an alternating pattern of both.
Skin: Maculopapular rash which may occur anywhere on the body but is most commonly found on the face neck trunk buttocks and upper arms. Eczema.
Respiratory: Crackles/wet sounds without obvious dyspnea. Wheezing and rhinitis (snuffly breather).
Neurological: Disturbed sleep pattern with frequent waking and crying at night.
At Chiropractic Children’s Healthcare, safety and specificity are our top priorities. Our treatment of children is extremely gentle with an exemplary safety record.
References:
1. Klougart N, Nilsson N, Joacobsen J. Infantile colic treated by chiropractors: a prospective study of 316 cases. JMPT 1989;12(4):281-8.
2. Wiberg JMM, Nordsteen J, Nilsson N. The Short-term Effect of Spinal Manipulation in the Treatment of Infantile Colic; A Randomised Controlled Clinical trial with a Blinded Observer. JMPT 1999;22(8):517-522.
3. Wiberg KR and Jesper MM. A retrospective study of chiropractic treatment of 276 Danish infants with infantile colic. J Manipulative Physiol Ther 2010;33:536-541
4. Miller JE, Newell D, Bolton JE. Efficacy of chiropractic manual therapy on infant colic: a pragmatic single blind, randomized controlled trial. J Manipulative Physiol Ther 2012;35:600-607
5. Davies NJ. Chiropractic Pediatrics: A Clinical Handbook. Churchill-Livingstone. 2000