1st question: My one-month-old baby, starting from the second week, shows crying crises coinciding with feedings (artificial feeding with [name adapted milk with lactose]) in the afternoon and evening, lasting about one ‘Now. This symptomatology makes the little one particularly restless, who therefore sleeps little and gnaws the nipple I offer him nervously. The pediatricians consulted believe that they are colic and agreed to prescribe the [drug name based on simethicone] for which I have been advised several dosages. In addition, a pediatrician suggested I try to change the milk with another one with a lower lactose content and with the presence of maltodextrins. I would like to know if, on the basis of this diagnosis, you are of
2nd question: I am the father of a seven-week-old baby breast-fed. My daughter almost every night and during the night suffers and cries a lot, lying down or more often pulling her legs towards her belly. Holding her down on her arm I can feel her belly harden or emit continuous grunts. We were told that these are gaseous colics, which can be alleviated either by the administration of anti-aerofagic preparations or with pediatric infusions (in particular they have recommended one to fennel). Among other things, I see her trying very hard and painfully quite often during the day and especially in the evening, and not being able to evacuate gets very angry and cries. I would like to know how to deal with the baby in these circumstances, if the use of anti-aerophagus preparations is absolutely necessary,
3rd question: I am a doctor: my son has two weeks and presents colic as they are classically described. I know they are considered almost normal. I realize that it is not a serious pathology and “passes”: in fact, between one colic and another, my little one falls asleep blessed. Nevertheless I would not mind being able to reduce at least number, intensity and duration.
“If, besides the mother, the infant is also accompanied by the father, then he has gaseous colics “. This joke a few years ago (when it was rare to see a dad in the studio) bears witness to all the worry and turmoil that generates a “trivial” problem. The infant is fine, grows well, feeds regularly (from his mother or artificially), but in the evening he begins to cry, kick, wake up shouting, and go on like this until late at night.
In the morning, he who can, sleeps deeply and wakes up in perfect shape , hungry and smiling. The family takes him to the pediatrician, who finds nothing pathological, except perhaps a little too much gas in the tummy (meteorism) and reassures them. But the reassurance does not last long, because the next evening we start again with walks in the corridor and the chamomile sips.
The grandmother tells her mother: “it will be your milk that is no longer good! You didn’t have to eat pizza last night “. The other grandmother adds: “do not always hold it in your arms, that you spoil it: crying a little is good for your lungs”. The aunt, who has already passed, says to try certain drops. And the parents (increasingly desperate and with deep circles) carry their son (increasingly round, because he discovered that by eating pain he passes them and then eats like a lion) again from the pediatrician, or perhaps from other pediatricians, or maybe they write to Online Pediatrics.
But what are baby colic?
Gaseous colics of the newborn are painful crises that occur in waves, especially in the evening, with irritability, agitation and cries that last at least 3 hours a day for at least 3 days a week; they start at the age of 2-3 weeks and resolve within 3 months, without compromising growth.
What causes gas colic in newborns?
As with all unclear situations, the hypotheses are different and probably connected to each other: food intolerance, in the sense of an allergy to milk proteins or an intolerance to lactose (milk sugar). gastrointestinal immaturity, aerophagia, peristalsis ineffective parent-infant tension: a child who struggles to relax (nervous is born!) and a tense mother who cannot comfort him. But it is certainly not easy to remain calm when one has a son who spends his evenings crying; and then, the guilt that comes from feeling inadequate to calm him does not help at all.
What can you do to avoid colic? Do milk enzymes work?
The first and fundamental step is to be able to calm the child , consoling it and relaxing it. To do this all the tricks are permissible (pacifier, walk, hold it in your arms, drink chamomiles or herbal teas, attach it to the breast), without any fear of generating vices or bad habits. To comfort and relax the child, the mother must be relaxed and calm.
Starting from the awareness that the child is well, that the colics are harmless, that sooner or later they will pass, here we need to improve the quality of the mother-child interaction. Sit in an armchair, place a pillow under your arm, relax your muscles, talk calmly, turn down the volume, don’t force him to drink or eat at all costs, remove all those who stress you . The child immediately understands if the mother is tense. Don’t try to fool him.
Medications can be used . The effect is not guaranteed, but we all prescribe medications against meteorism to use regularly and anti-spastic drugs to use when needed, when you just can’t calm it. Also probiotics (modern lactic ferments) fall into this possibility, acting on the restoration of normal intestinal flora. Change milk.
If the child uses a suitable milk, it is a viable attempt to switch to a milk with a share of maltodextrin. In borderline cases, it is also permissible to try soy milk : if it works, in the future it will be necessary to clarify if there is an allergy situation. If instead he eats from his mother, he is forbidden to stop.
Finally, the rectal tube is often a useful tool : keeping it in place for ten minutes helps to expel the gas and reduce pain.