The irritable baby

+How to treat
In print

The irritable baby

By Anne Tait
HTT Irritable baby - Fraser

This article, by Starship Children’s Hospital general paediatrician Anne Tait, looks into the paediatrics conundrum of the crying baby, a common situation that can drive primary care practitioners and paediatricians to despair, and parents even more so. The aim is to provide a systematic approach to the crying baby aged less than six months

This continuing medical education activity has been endorsed by the RNZCGP and has been approved for up to 1 CME credit for continuing professional de
References
  1. Reijneveld SA, van der Wal MF, Brugman E, et al. Infant crying and abuse. Lancet 2004;364(9442):1340–42 .
  2. Sung V. Infantile colic. Aust Prescr 2018; 41: 105–10.
  3. Mai T, Fatheree MY, Gleason W, et al. Infantile colic: new insights into an old problem. Gastroenterol Clin North Am 2018 Dec;47(4):829–44.
  4. Groopman J. The colic conundrum: the crying that doctors can’t stop. The New Yorker Sept 10, 2007. https://www.newyorker.com/magazine/2007/09/17/the-colic-conundrum
  5. Zeevenhooven J, Koppen IJN, Benninga MA. The new Rome IV criteria for functional gastrointestinal disorders in infants and toddlers. Pediatr Gastroenterol Hepatol Nutr 2017 Mar:20(1):1–13.
  6. Johnson JD, Cocker K, Chang E. Infantile colic: recognition and treatment. Am Fam Physician 2015;92(7):577–82.
  7. Ellwood J, Draper-Rodi J, Carnes D. Comparison of common interventions for the treatment of infantile colic: a systematic review of reviews and guidelines. BMJ Open 2020;10:e035405.
  8. Freedman SB, Al-Harthy N, Thull-Freedman J. The crying infant; diagnostic testing and frequency of serious underlying disease. Pediatrics 2009;123:841–48.
  9. Rosen R, Vandenplas Y, Singendonk N, et al. Pediatric gastroesophageal reflux clinical practice guidelines: joint recommendations of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition and the European Society for Pediatric Gastroenterology, Hepatology, and Nutrition. J Pediatr Gastroenterol Nutr 2018;66(3):516–44.
  10. Blank M-L, Parkin L. National study of off-label proton pump inhibitor use among New Zealand infants in the first year of life (2005–2012). J Pediatr Gastroenterol Nutr 2017; 65(2):179–84.
  11. Mitre E, Susi A, Kropp LE, et al. Association between use of acid-suppressive medications and antibiotics during infancy and allergic disease in early childhood. JAMA Pediatrics 2018;172(6):e180315.
  12. Connors L, O’Keefe A, Rosenfield L, et al. Non-IgE-mediated food hypersensitivity. Allergy Asthma Clin Immunol 2008;14:56. doi.org/10.1186/s13223-018-0285-2
  13. Nowak-Wegrzyn A, Katz Y, Mehr SS, et al. Non-IgE mediated gastrointestinal food allergy. J Allergy Clin Immunol 2015;135:1114–24.
  14. Sung V, D’Amico F, Cabana MD, et al. Lactobacillus reuteri to treat infant colic: a meta-analysis. Pediatrics 2018;141(1):e20171811.
  15. Ong TG, Gordon M, Banks SSC, et al. Probiotics to prevent infantile colic. Cochrane Database Syst Rev 2019 Mar; 2019(3): CD012473.
  16. Rafferty J, Mattson G, Earls MF, et al. Incorporating recognition and management of perinatal depression into pediatric practice. Pediatrics 2019 Jan;143(1):e20183260.