As certified breastfeeding counselors, we are frequently asked about colic and fussy babies. Many parents assume fussing is related to feeding. While there are times feeding impacts colic or colic like symptoms, and fussing, feeding is not always the culprit. Regardless of the cause, parents are desperate for solutions to help their baby settle. You and your clients may wonder, do probiotics help colic?
There’s not a complete understanding of why some babies suffer from colic, and at times the colic like symptoms may be related to a medical issue, allergy, etc. Not knowing the exact cause can make it difficult to pinpoint an overall solution. That said, some research does exist to support the use of probiotics to help with colic and colic like symptoms.
What is Colic?
Colic is the type of crying every new parent fears. It is a difficult and strenuous cry that can seem relentless. Babies tend to squirm and grimace and are simply unable to settle. Colic can be exhausting.
Colic is typically only potentially colic if it occurs within the first 3 months of life. Signs and symptoms include:
- Frequent, intense, and prolonged crying
- Rarely settles easily to sleep, if ever
- Frequent cluster feeding
- Red or “purple” crying
- Brings knees to chest and arches back
- Seem very gassy
Some of these signs, alone and occasionally, are typical newborn adjustment behavior. It is important to remember that babies were never cold, hungry, tired, gassy, hot, etc., while in utero. As they begin to feel these sensations outside, it takes time to adjust to coping.
Do Probiotics Help Colic?
Research published by the American Academy of Pediatrics (AAP) shows a promising aid in managing the most difficult symptom of colic, all the crying.
In 2018, the AAP published a meta-analysis regarding the impact of the probiotic Lactobacillus reuteri on symptoms of colic. The one advantage to looking at probiotic use is they are relatively safe and with little risk. When looking at solutions for infant challenges, this is important.
The researchers found Lactobacillus reuteri reduced the length and frequency of colic cries in exclusively breastfed infants. As a CBC, this is important information as our breastfeeding clients are often encouraged to try alternative feeding (which is rarely evidenced-based) such as sensitive formulas. In breastfed infants, breast milk and feeding patterns are often the scapegoat for common infant issues unrelated to feeding.
Should Certified Breastfeeding Counselors Recommend Probiotics?
As CBCs, we are not qualified to provide specific health, supplement, or medical advice. However, we can educate and inform clients about possible signs of colic, possible options for managing which they can discuss with their doctor, and share evidenced-based information about current recommendations.
It is important we refer clients back to their doctors when there are concerns about colic. Colic is a condition which is diagnosed in otherwise healthy infants. However, colic symptoms can overlap symptoms of other medical conditions such as true GERD (reflux) as well as potentially serious conditions. Only a doctor should rule out other concerns and give a tentative diagnosis of colic.
If a child has been diagnosed with colic and clients come to you for support, then you can share general information such as sending information about this study. They can then ask their doctors and make an informed decision about whether they want to try a probiotic with their infant.
It is also important to note that the researchers looked at a specific probiotic. There are many supplements on the market and parents may want to ensure they get the appropriate probiotic.
As a CBC, you can reassure parents that colic, though intense, is a temporary issue. Their baby will eventually settle and adjust. It is important you offer lots of reassurance and support.
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