İnfantil Kolik

ÖzHalen gizemini koruyan, ayırıcı tanısına giren birçok hastalık nedeni ile aileyi ve hekimi çoğu zaman sıkıntıya sokabilen, maddi ve manevi birçok kayıplara neden olan infantil kolik, yaşamın ilk üç ayında görülen, en az üç hafta süren ve haftada en az üçgün ortaya çıkan ağlama epizotları şeklinde yaklaşık 60 yıl önce Wessel tarafından tanımlanmıştır. Etiyolojisi halen tam olarak bilinmemektedir. Birçok risk faktörü öne sürülse de kesin olarak tek bir neden suçlanamamaktadır. Tedavi olarak ta etkili ve güvenli diyebileceğimiz kesin bir yöntem yoktur. Bu yazıda amacımız güncel literatür bilgileri ışığında bebeklik döneminde sık görülen bu rahatsızlığı irdelemektir.

Colicum Infantum

AbstractColicum infantum which is described by Wessel et al nearly 60 years ago is a frequently encountered complaint which can be seen in infants within the first three month safter delivery and is characterized by excessive uneasiness and crying episodes which may continue more than 3 weeks and at least 3 days in a week. Although many studies towards etiology of infantil colic, it is not exactly explained. Many risk factors are mentioned but no one explore definitively. Also, there is no effective treatment for colicum infantum, yet. We review the colicum infantum insight to current literature.

___

  • Kaynaklar 1.Wessel MA, Cobb JC, Jackson EB, Harris GS Jr, Detwil-ler AC. Paroxysmal fussing in infancy, sometimes called co-lic. Pediatrics 1954; 14 (5): 421-35. 2.Jarman, R, Sewell, J. Common behavioral and developmen-tal problems. In Paediatric Handbook. Blackwell: Oxford2000: 144–45. 3.Kurth, E, Kennedy H, Spichiger E, Wray J, Powell KH.Crying babies, tired mothers: What do we know? A systema-tic review. Midwifery. 2011; 27 (2): 187–94. 4.Clifford TJ, Campbell MK, Speechley KN, Gorodzinsky F.Sequelae of infant colic: evidence of transient infant distressand absence of lasting effects on maternal mental health. ArchPediatr Adolesc Med 2002; 156 (12): 1183-88. 5.Neu M, Robinson J. Infants with colic: Their childhood cha-racteristics. J Pediatr Nurs 2003; 1 (18): 12-20. 6.Roberts DM, Ostapchuk M, O’Brien JG. Infantil colic. AmFam Physician 2004; 70 (4): 735-40. 7.Hiscock H, Jordan B. Problem crying in infancy. Med J Aust2004; 181 (9): 507-12. 8.Poole SR. The infant with acute, unexplained, excessive crying.Pediatrics 1991; 88 (3): 450–55. 9.Hiscock H. The crying baby. Aust Fam Physician 2006; 35(9): 680-84.10.Akçam M. İnfantil Kolik. Sted 2004; 13 (2): 66-67. 11.Miller-Loncar C, Bigsby R, High P, Wallach M, Lester B.Infant colic and feeding difficulties. Arch Dis Child 2004; 89(10): 908-12. 12.Gupta SK. Is colic a gastrointestinal disorder? Curr Opin Pe-diatr 2002; 14 (5): 588-92. 13.Saavedra MA, Dacosta JS, Garcias G, Horta BL, Tomasi E,Mendoca R. Infantil colic incidence and associated risk fac-tors: a cohort study. J Pediatr (Rio J) 2003; 79 (2): 115-22. 14.Canivet CA, Ostergren PO, Rosen AS, Jakobsson IL, Ha-gender BM. Infantile colic and the role of trait anxiety du-ring pregnancy in relation to psychosocial and socioecono-mic factors. Scand J Public Health 2005; 33 (1): 26-34. 15.Talachian E, Bidari A, Rezaie MH. Incidence and risk fac-tors for infantile colic in Iranian infants. World J Gastroen-terol 2008; 14 (29): 4662-66. 16.Hill DJ, Roy N, Heine RG, et al. Effect of a low-allergen ma-ternal diet on colic among breastfed infants: A randomized,controlled trial. Pediatrics 2005; 116 (5): 709–15. 17.Al Dhaheri W, Diksic D, Ben-Shoshan M. IgE-mediated cowmilk allergy and infantile colic: diagnostic and managementchallenges. BMJ Case Rep 2013. 18.Barr RG, Changing our Understanding of infant colic.Arch Pediatr Adolesc Med 2002; 156 (12): 1172-74. 19.Van den Berg MP, van der Ende J, Crijnen AA, et al. Paternal depressive symptoms during pregnancy are related to ex-cessive infant crying. Pediatrics 2009; 124 (1): 96-103. 20.Yalaz M. İnfantil Kolik Tedavi Modellerinin İncelenmesi. Tür-kiye Klinikleri: Pediatri 2003: 12 (3): 206-10. 21.Milidou I, Søndergaard C, Jensen MS, Olsen J, HenriksenTB. Gestational age, small for gestational age, and infanti-le colic. Paediatr Perinat Epidemiol 2014; 28 (2): 138-45. 22.Canivet CA, Ostergren PO, Jakobsson IL, Dejin-KarlssonE, Hagander BM. Infantile colic, maternal smoking and in-fant feeding at 5 weeks of age. Scand J Public Health 2008;36 (3): 284-91. 23.Savino F, Cresi F, Castagno E, Silvestro L, Oggero R. A ran-domised double-blind placebo controlled trial of a standar-dized extract of Matricariae recutita, Foeniculum vulgare andMelisa officinalis (ColiMil®) in the treatment of breastfedcolicky infants. Phytother Res 2005; 19: 335-40. 24.Yılmaz G, Gürakan B, Varan B. İnfantil kolik: Etyoloji, tanıve tedavi. Türkiye Klinikleri Pediatri 1999; 8: 169-75. 25.Metcalf TJ, Irons TG, Sher LD, Young PC. Simethicone inthe treatment of infant colic: a randomized, placebo-control-led, multicenter trial. Pediatrics 1994; 94 (1): 29–34. 26.Savino F, Tarasco V. New treatments for infant colic. CurrOpin Pediatr 2010; 22 (6): 791–97. 27.Drug and Therapeutics Bulletin. Management of infantilecolic. BMJ 2013; 347: 4102. 28.Landgren K, Kvorning N, Hallström I. Feeding, stooling andsleeping patterns in infants with colic--a randomized control-led trial of minimal acupuncture. BMC Complement AlternMed 2011; 11: 93. 29.Savino F, Brondello C, Cresi F, Oggero R, Silvestro L. Ci-metropium bromide in the treatment of crisis in infantile co-lic. J Pediatr Gastroenterol Nutr 2002; 34 (4): 417–19. 30.Canpolat FE, Armangil D, Korkmaz A. Asepromazin: Ye-nidoğanda seyrek görülen bir nörotoksisite nedeni. Çocuk SağHast Derg 2009; 52: 85-87. 31.Preliminary Efficacy and Safety Study of Oral Nepadutantin Infant Colic (no-cry): Clinical Trials.gov identifier:NCT01258153. 32.Savino F, Tarasco V, Lingua C, Moja L, Ricceri F, Biagio-li E. Pain-relieving agents for infant colic. Cochrane Data-base Syst Rev 2012 (7): Art. No: CD009999. 33.Savino F, Ceratto S. Advances in Infantile colic and the useof Probiotics. Funct Food Rev 2012; 4 (4): 152–57. 34.Savino F, Cordisco L, Tarasco V, et al. Lactobacillus reute-ri DSM 17938 in infantile colic: a randomized, double-blind,placebo-controlled trial. Pediatrics 2010; 126 (3): 526–33. 35.Szajewska H, Gyrczuk E, Horvath A. Lactobacillus reute-ri DSM 17938 for the management of infantile colic in bre-astfed infants: a randomized, double-blind, placebo-control-led trial. J Pediatr 2013; 162 (2): 257–62. 36.Critch JN. Infantile colic: Is there a role for dietary interven-tions? Paediatr Child Health 2011; 16 (1): 47–49. 37.Olofsdottir E, Forshei S, Fluge G, Markestad T. Randomisedcontrolled trial of infantile colic treated with chiropractic spi-nal manipulation. Arch Dis Child 2001; 84 (2): 138-41. 38.Markestad T. Use of sucrose as a treatment for infant co-lic. Arch Dis Child 1997; 76 (4): 356-58. 39.Wade S, Kilgour T. Extracts from “Clinical Evidence” In-fantile Colic. BMJ 2001; 323 (7310): 437-40. 40.Akcam M, Yilmaz A. Oral hypertonic glucose solution in thetreatment of infantile colic. Pediatr Int 2006; 48 (2):125–27. 41.Yakut Hİ, Tunç B. İnfantil kolik. Türkiye Çocuk Hastalık-ları Dergisi. 2007; 1 (1): 58-64. 42.Weizman Z, Alkrinawi S, Goldfarb D, Bitran C. Efficacy ofherbal tea preparation in infantile colic. J Pediatr 1993; 122(4): 650–52. 43.Savino F, Ceratto S, De Marco A, Cordero di Montezemo-lo L. Looking for new treatments of infantile colic. Ital J Pe-diatr 2014; 40: 53. 44.Lust KD, Brown JE, Thomas W. Maternal intake of cruci-ferous vegetables and other foods and colic symptoms in exc-lusively breastfed infants. J Amer Diet Assos 1996; 96 (1):46–48. 45.Yalçın SS, Kuşkonmaz BB. Relationship of lower breastfee-ding score and problems in infancy. Breastfeeding Medicine2011; 6 (4): 205-208. 46.Lucassen PL, Assendelft WJ, Gubbels JW, van Eijk JT, vanGeldrop WJ, Neven AK. Effectiveness of treatments for infan-tile colic: systematic review. BMJ 1998; 316 (7144): 1563-69. 47.St James-Roberts I, Alvarez M, Csipke E, Abramsky T, Go-odwin J, Sorgenfrei E. Infant crying and sleeping in London,Copenhagen and when parents adopt a “proximal” form ofcare. Pediatrics 2006; 117 (6): 1146-55. 48.Van Slauwen BE, Engelberts AC, Boere-Boonekamp MM,Kuis W, Schulpen TWJ, L’Hoir P. Swaddling: a systematicreview. Pediatrics 2007; 120 (4): 1097-106. 49.Arikan D, Alp H, Gözüm S, Orbak Z, Cifçi EK. Effective-ness of massage, sucrose solution, herbal tea or hydrolysedformula in the treatment of infantile colic. J Clin Nurs 2008;17 (13): 1754-61.
Klinik Tıp Pediatri Dergisi-Cover
  • ISSN: 1309-0453
  • Başlangıç: 2009
  • Yayıncı: Selen Medya Yayıncılık Tanıtım ve Organizasyon Hizmetleri
Sayıdaki Diğer Makaleler

İnfantil Kolik

Prof. Dr. Mustafa AKÇAM