OCTOBER 30, 2004
VOLUME 1 NO. 20
 

"I've got acid reflux for cryin' out loud!"

Colicky infants suffer from tummy and feeding troubles


Amelia Mariano blew a raspberry on her four-month-old daughter Tina's tummy in a futile attempt to stop her crying. Parents like Amelia have long suspected that their colicky babies have tummy troubles. A study, published in the October issue of the Archives of Disease in Childhood, confirmed it. Colicky infants � babies who cry excessively � suffer more gastroesophageal reflux, disorganized sucking and feeding patterns, less responsiveness and greater discomfort while feeding.

Nineteen colicky babies, who cried for three or more hours per day, three or more days of the week for at least three weeks, were recruited from the Infant Behavior Cry and Sleep Clinic at the Women and Infants Hospital in Rhode Island. Twenty-four non-colicky babies were enrolled from the community to serve as comparisons.

The infants' oral motor skills and social interactions were observed during feeding. Abdominal ultrasound tracked episodes of gastroesophageal reflux. Mothers also recorded their own stress levels over a three-day period.

The colicky babies had more disorganized feeding patterns than the comparison group. They also suffered more episodes of gastroesophageal reflux (3.1, CI 95%) compared to the controls (2.1, CI 95%) and spent twice as much time crying. Not surprisingly, their mothers reported higher stress levels as well.

As colic has no significant lasting effects, it's widely believed that there's no need to intervene as long as the baby is growing normally. The research team led by Cynthia Miller-Loncar, PhD, disagreed with this attitude as their observations confirmed that colic negatively affects the baby not to mention the parent.

"Our findings highlight the need to provide information and support for parents whose infants present with clinically diagnosed levels of colic and associated feeding problems," said the authors.

Although the study provided evidence that feeding difficulties and colic co-occur, a causal relationship has not yet been proven. Both excessive crying and feeding difficulties could result from an underlying culprit such as a behaviour regulation disorder. The authors caution that these results may not be applicable to the general population. Research in a larger population is needed to confirm the results.

 

 

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