MONDAY, Jan. 14 (HealthDay News) -- Colic is a common problem
for babies, and new research may finally provide clues to its
cause: A small study found that infants with colic seemed to
develop certain intestinal bacteria later than those without the
What the researchers aren't clear on yet is why this would make
some infants go on long crying jags nightly for months. The study
authors suspect that without the right balance of intestinal flora,
the babies may experience more pain and inflammation.
In particular, the study found differences in two types of
bacteria. One is proteobacteria. The other is probiotics, which
"Already in the first two weeks of life, specific significant differences between both groups were found. Proteobacteria were increased in infants with colic, with a more-than-doubled relative abundance. These included specific species that are known to produce gas," said study author Carolina de Weerth, an associate professor of developmental psychology at Radboud University in Nijmegen, the Netherlands.
"On the other hand, bifidobacteriaand lactobacilliwere increased in control infants," she said. "These included species that would induce anti-inflammatory effects. Moreover, samples from infants with colic were found to contain fewer bacteria related to butyrate-producing species. Butyrate is known to reduce pain in adults. These microbial signatures possibly explain the excessive crying."
Results of the study appeared online Jan. 14 and in the February
print issue of
Colic affects up to 25 percent of infants, De Weerth said. It is
defined as crying for an average of more than three hours a day,
generally between birth and 3 months of age, according to
background information in the study.
Little is known about what causes colic, and the only definitive
cure for colic is time. The excessive crying usually stops at
around 4 months of age, according to the study.
"Newborn crying is quite variable, and between 2 weeks and 8 or 10 weeks you can expect at least an hour of crying in a day. There may be some who cry less; some who cry more. But, babies with colic really do cry for three to four hours a day," said Dr. Michael Hobaugh, chief of medical staff at La Rabida Children's Hospital, in Chicago.
In the current study, the researchers tested more than 200 fecal
samples from 12 infants with colic and 12 infants with low levels
of crying (the control group). Colic was determined at 6 weeks of
The fecal samples were tested for more than 1,000 known
intestinal microbes. There were four samples taken during the first
month and then another five samples were collected between three
and five months.
They showed significant differences in the microbial flora
between babies with colic and those without. The researchers say
these findings might lead to early screening tests for colic, or
possibly for a treatment for colic.
De Weerth said it's "possible to make positive changes to the
microbiota of babies with colic with the use of probiotics." She
also said that the mother's diet in pregnancy and while
breast-feeding could have an influence, and that adding probiotics
and prebiotics (good bacteria) to infant formula might also
positively influence a baby's intestinal flora.
But, not everyone's convinced that anything should be added to
infant formula just yet.
"This was an interesting, intriguing study, but it's not definitive," said Dr. Peter Belamarich, medical director of the pediatric ambulatory subspecialty service at the Children's Hospital at Montefiore, in New York City.
Hobaugh also said it is too early to make conclusions.
"I would be very cautious about supplementing infants with probiotics. Probiotics are generally safe and don't cause invasive infections generally, but sometimes they do. And, since colic does eventually go away on its own, the risk of potentially doing harm seems too high," he said.
But, Hobaugh said if a mother is breast-feeding, adding yogurt,
which contains beneficial bacteria, to her diet would be OK. He
added that he wasn't sure if it would help, though.
For his part, Belamarich advised parents to work closely with
their babies' pediatrician to come up with a plan for dealing with
colic. He said the first thing that needs to be done is to make
sure the baby is healthy and thriving. Once you know for sure it's
colic, he said the good news is that the condition hasn't been
associated with any long-term problems.
He said that before parents give their babies any new foods or
medicines, they should check with their child's pediatrician
"There are a lot of things that are difficult to treat that are targets for miracle cures. Colic is one of them. Parents should be aware that there's no miracle cure for colic," Belamarich said.
Hobaugh said that swaddling your baby can help, and suggested
that parents sleep when the baby sleeps.
His final piece of advice? "Hang in there. It will get
To learn more about colic, read this from the
U.S. National Institutes of Health.
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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