Milk allergy may be cause of colic, suggests DTB
Cow’s milk allergy should be ruled out for babies with symptoms of colic and a fully hypoallergenic diet considered, says the January Drug and Therapeutics Bulletin.
The review highlights the lack of evidence available for treatments of infantile colic, the cause of which is largely unknown. However, the symptoms of colic can in some cases be caused by cow’s milk allergy. If this is suspected, a hypoallergenic diet can be tried for the infant. For bottle fed babies fully hydrolysed formula, where the milk proteins are completely broken down for digestion, has been shown to reduce crying. For breast fed babies, the mother can try cutting out cow’s milk products or other possible allergens from her diet, although there is very limited evidence supporting this.
The DTB notes that "currently, there are no effective and safe pharmacological management options available over the counter or by prescription. Simeticone, lactase drops and probiotics are unlikely to be harmful, but there is little evidence to support their use".
Citation: The Pharmaceutical Journal DOI: 10.1211/PJ.2013.11115263
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