Säuglingskolik
Zuletzt bearbeitet: Zuletzt revidiert:
Zuletzt revidiert von:Monika Lenz
Definition:
Schreiphasen bei Säuglingen in den ersten 3 Lebensmonaten an mehreren Tagen pro Woche über mehrere Wochen bei ansonsten gesunden Kindern mit normaler Gewichtszunahme.
Häufigkeit:
Häufig, betrifft 5–20 % aller Kinder.
Symptome:
Typisch sind langanhaltende Schreiphasen, oft zur gleichen Zeit jeden Tag, wiederholt an vielen oder allen Tagen der Woche, mehrere Wochen hindurch.
Befunde:
Bei einer Untersuchung sind keine Krankheitszeichen feststellbar, und die Wachstumskurve entwickelt sich normal.
Diagnostik:
Keine weitere Diagnostik erforderlich.
Therapie:
Beruhigung und Unterstützung der Eltern, selbstlimitierend nach meist 3 Monaten. Kaum Evidenzen für verschiedene Therapieansätze.
- Johnson JD, Cocker K, Chang E. Infantile colic: Recognition and treatment. Am. Fam. Physician. 2015. pubmed.ncbi.nlm.nih.gov
- Perry R, Leach V, Penfold C. et al. An overview of systematic reviews of complementary and alternative therapies for infantile colic. Syst Rev 2019. systematicreviewsjournal.biomedcentral.com
- Wolke D, Bilgin A, Samara M. Systematic Review and Meta-Analysis: Fussing and Crying Durations and Prevalence of Colic in Infants. J Pediatr 2017 Jun; 185: 55-61. pmid:28385295 PubMed
- Reijneveld SA, Brugman E, Hirasing RA. Infantile colic: maternal smoking as potential risk factor. Arch Dis Child 2000; 83: 302-3. PubMed
- Gordon M,Biagioli E,Sorrenti M,Lingua C,Moja L,Banks SS,Ceratto S,Savino F, Dietary modifications for infantile colic. The Cochrane database of systematic reviews. 2018 www.ncbi.nlm.nih.gov
- White BP, Gunnar MR, Larson MC, Donzella B, Barr RG. Behavioral and physiological responsivity, sleep, and patterns of daily cortisol production in infants with and without colic. Child Dev 2000; 71: 862-77. PubMed
- Sezici E,Yigit D, Comparison between swinging and playing of white noise among colicky babies: A paired randomised controlled trial. Journal of clinical nursing. 2018 pubmed.ncbi.nlm.nih.gov
- Howard CR, Lanphear N, Lanphear BP, et al. Parental responses to infant crying and colic: the effect on breastfeeding duration. Breastfeed Med 2006; 1: 146-55. pmid:17661591 PubMed
- Daelemans S, Peeters L, Hauser B, Vandenplas Y.Recent advances in understanding and managing infantile colic.F1000Res. 2018 pubmed.ncbi.nlm.nih.gov
- Szajewska H, Gyrczuk E, Horvath A. Lactobacillus reuteri DSM 17938 for the Management of Infantile Colic in Breastfed Infants: A Randomized, Double-Blind, Placebo-Controlled Trial. J Pediatr 2013. doi:10.1016/j.jpeds.2012.08.004. DOI
- Chau K, Lau E, Greenberg S, et al. Probiotics for infantile colic: A randomized, double-blind, placebo-controlled trial investigating Lactobacillus reuteri DSM 17938. J Pediatr. 2015; 166:74-78. PMID: 25444531 PubMed
- Sung V, D`Amico F, Cabana MD, et al. Lactobacillus reuteri to Treat Infant Colic: A Meta-analysis. Pediatrics 2018 Jan; 141(1): pii: e20171811. pmid:29279326 PubMed
- Sung V, Hiscock H, Tang MLK, et al. Treating infant colic with the probiotic Lactobacillus reuteri: double blind, placebo controlled randomised trial. BMJ 2014; 348: g2107. BMJ (DOI)
- Garrison MM, Christakis DA. A systematic review of treatments for infant colic. Pediatrics 2000; 106: 184-90. PubMed
- Gieruszczak-Białek D, Konarska Z, Skórka A, et al. No Effect of Proton Pump Inhibitors on Crying and Irritability in Infants: Systematic Review of Randomized Controlled Trials. J Pediatr 2014. doi:10.1016/j.jpeds.2014.11.030 DOI
- European Medicines Agency. Public statement on the use of herbal medicinal products containing estragole, 24. november 2014. www.ema.europa.eu
- Dobson D, Lucassen PL, Miller JJ, et al. Manipulative therapies for infantile colic. Cochrane Database Syst Rev. 2012 pubmed.ncbi.nlm.nih.gov
- Landgren K, Kvorning N, Hallstrøm I. Feeding, stooling and sleeping patterns in infants with colic - a randomized controlled trial of minimal acupuncture. BMC Complement Altern Med 2011; 11: 93. PubMed
- Landgren K, Hallström I. Effect of minimal acupuncture for infantile colic: a multicentre, three-armed, single-blind, randomised controlled trial (ACU-COL). Acupunct Med 2017. pmid:28093383 PubMed
- Levitzky S, Cooper R. Infant colic syndrome-maternal fantasies of aggression and infanticide. Clin Pediatr 2000; 39: 395-400. PubMed
- Monika Lenz, Fachärztin für Allgemeinmedizin, Neustadt am Rübenberge