Abstract
Infantile colic is one of the main causes of pediatric consultation for parents complaining of the anxiety and vagitus of their baby. Some pediatricians are prone to undervalue this issue mainly because of the lack of evidence based medicine guidelines. Up to now, there is no consensus concerning management and treatment. As a rule, therapy involves dietary approach, usually based on the avoidance of cow’s milk proteins in breast-feeding mothers, and as for bottle-fed infants — the use of special formulas, such as partially hydrolyzed proteins, with low lactose added, with prebiotics or probiotics. Investigated pharmacological agents are simethicone and cimetropium bromide: the first is able to reduce bloating while the second could reduce fussing crying, but it has been tested only for severe infantile colic. The possibility of the intestinal microbiota correction by some strains of probiotics are being studied. The use of alternative treatment (phyto- and manual therapy, acupuncture) is still ill-founded.
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