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Severe infantile colic and food intolerance: a long-term prospective study.

Abstract

To determine the relationship between infantile colic and cow's milk protein intolerance (CMPI) in formula-fed infants, 70 infants (38 male, 32 female) were selected, with mean age 30.2 +/- 21.4 days, with severe colic (duration of crying greater than 4 h per day for 5 days per week). In 50 of the infants in the study group (71.4%) there was a remission of symptoms when cow's milk protein (CMP) was eliminated from the diet. Two successive challenges caused the return of symptoms in all these 50 infants. There was a positive anamnesis for atopy in 9 of 50 of the patients with CMP-related colic and in 1 of 20 of those with non-CMP-related colic (p greater than 0.05). A follow-up period of 18 months' mean duration showed that 22 of 50 (44%) of the infants with CMP-related colic and 1 of 20 (5%) of those with non-CMP-related colic developed an overt alimentary intolerance (p less than 0.02). We conclude that a considerable percentage of the infants with severe colic also have CMPI and that in these cases, dietetic treatment should be the first therapeutic approach.

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  • Authors+Show Affiliations

    ,

    IV Divisione Lattanti, Ospedale G. Di Cristina, Universita' Di Palermo, Italy.

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    Source

    MeSH

    Colic
    Female
    Follow-Up Studies
    Food Hypersensitivity
    Humans
    Hypersensitivity
    Infant
    Infant Food
    Infant, Newborn
    Male
    Milk Hypersensitivity
    Milk Proteins
    Prospective Studies

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    2072224

    Citation

    Iacono, G, et al. "Severe Infantile Colic and Food Intolerance: a Long-term Prospective Study." Journal of Pediatric Gastroenterology and Nutrition, vol. 12, no. 3, 1991, pp. 332-5.
    Iacono G, Carroccio A, Montalto G, et al. Severe infantile colic and food intolerance: a long-term prospective study. J Pediatr Gastroenterol Nutr. 1991;12(3):332-5.
    Iacono, G., Carroccio, A., Montalto, G., Cavataio, F., Bragion, E., Lorello, D., ... Notarbartolo, A. (1991). Severe infantile colic and food intolerance: a long-term prospective study. Journal of Pediatric Gastroenterology and Nutrition, 12(3), pp. 332-5.
    Iacono G, et al. Severe Infantile Colic and Food Intolerance: a Long-term Prospective Study. J Pediatr Gastroenterol Nutr. 1991;12(3):332-5. PubMed PMID: 2072224.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Severe infantile colic and food intolerance: a long-term prospective study. AU - Iacono,G, AU - Carroccio,A, AU - Montalto,G, AU - Cavataio,F, AU - Bragion,E, AU - Lorello,D, AU - Balsamo,V, AU - Notarbartolo,A, PY - 1991/4/1/pubmed PY - 1991/4/1/medline PY - 1991/4/1/entrez SP - 332 EP - 5 JF - Journal of pediatric gastroenterology and nutrition JO - J. Pediatr. Gastroenterol. Nutr. VL - 12 IS - 3 N2 - To determine the relationship between infantile colic and cow's milk protein intolerance (CMPI) in formula-fed infants, 70 infants (38 male, 32 female) were selected, with mean age 30.2 +/- 21.4 days, with severe colic (duration of crying greater than 4 h per day for 5 days per week). In 50 of the infants in the study group (71.4%) there was a remission of symptoms when cow's milk protein (CMP) was eliminated from the diet. Two successive challenges caused the return of symptoms in all these 50 infants. There was a positive anamnesis for atopy in 9 of 50 of the patients with CMP-related colic and in 1 of 20 of those with non-CMP-related colic (p greater than 0.05). A follow-up period of 18 months' mean duration showed that 22 of 50 (44%) of the infants with CMP-related colic and 1 of 20 (5%) of those with non-CMP-related colic developed an overt alimentary intolerance (p less than 0.02). We conclude that a considerable percentage of the infants with severe colic also have CMPI and that in these cases, dietetic treatment should be the first therapeutic approach. SN - 0277-2116 UR - https://www.unboundmedicine.com/medline/citation/2072224/Severe_infantile_colic_and_food_intolerance:_a_long_term_prospective_study_ L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=linkout&SEARCH=2072224.ui DB - PRIME DP - Unbound Medicine ER -