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Severe infantile colic and food intolerance: a long-term prospective study.
J Pediatr Gastroenterol Nutr 1991; 12(3):332-5JP

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.

Authors+Show Affiliations

IV Divisione Lattanti, Ospedale G. Di Cristina, Universita' Di Palermo, Italy.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

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 -