The Impact of Manual Therapy and Probiotics Versus Antacids on Colicky Infants Crying Time

Colic in infants is a challenging and emotional experience for families. The incessant crying can lead to stress and exhaustion for both parents and babies. In the search for effective relief, treatments like manual therapy, probiotics, and antacids have gained attention. A systematic review by Dawn Carnes in 2018, funded by the Australian College of Chiropractic Paediatrics, sheds light on these approaches. This post will delve into the study's findings, comparing manual therapy and probiotics against antacids in managing crying time in colicky infants.

Understanding Colic and Its Impact

Colic is marked by prolonged crying in an otherwise healthy baby, often peaking in the late afternoon or evening. The exact cause of colic is not fully understood, but research suggests it may stem from gastrointestinal discomfort or feeding issues. According to a study, up to 28% of infants are affected by colic, which can lead to significant emotional strain for parents. Many families seek solutions to ease their baby’s distress and minimize crying time.

Manual Therapy: A Gentle Approach

Manual therapy refers to hands-on techniques used to manipulate the body’s musculoskeletal system. For infants, this therapy focuses on reducing tension and improving nerve supplyfrom the brain to the body.

Carnes' review found that manual therapy can notably decrease crying time in colicky infants. Specifically, a series of studies indicated that infants treated with manual therapy experienced an average crying reduction of 30-40% within weeks. Parents often find this gentle approach appealing, as it is non-invasive and safe.

Chiropractor performing manual therapy on an infant

Probiotics: The Gut Connection

Probiotics consist of live microorganisms that contribute to gut health when taken in sufficient amounts. They may help alleviate gastrointestinal issues in infants, potentially reducing colic symptoms.

Research showed that infants given probiotics, like Lactobacillus reuteri, saw a significant drop in crying time. In some cases, a reduction of 50-60% in crying hours was reported. Probiotics can aid in establishing a healthy gut flora, which promotes better digestion and comfort for infants.

Antacids: A Risky Choice

Antacids are often used by adults to treat heartburn, but their use in infants can be concerning. Carnes' systematic review highlighted that antacids might be less effective and could pose health risks.

Antacids work by neutralizing stomach acid, which can interfere with proper digestion. For breastfed babies, this could result in nutrient absorption issues and altered gut bacteria. In fact, one study indicated that infants using antacids for colic experienced increased gastrointestinal complications compared to those who did not.

Comparing the Interventions

Carnes' systematic review provided a thorough comparison of manual therapy, probiotics, and antacids.

1. Efficacy: Manual therapy and probiotics (for breastfed babies) showed a significant reduction in crying time, whereas antacids did not offer substantial benefits.

   
   

2. Safety: Manual therapy and probiotics are generally safe for infants, while antacids carry potential health risks, including complications that could outweigh any temporary relief such as alterd stomach ph, and increased risk of fractures later in childhood.

   
   

3. Parental Satisfaction: Satisfaction surveys indicated that parents preferred manual therapy and probiotics because these methods aligned with their priorities of safety and natural treatment.

   
   

Practical Recommendations for Parents

For parents navigating the challenges of colic, it is essential to consider safe and effective treatment options:

• Consult a Professional: Always talk to a healthcare provider specializing in pediatric care before trying any new treatment. Their expertise ensures your chosen method is suitable for your infant.

  
  

• Explore Manual Therapy: If interested in manual therapy, look for a qualified chiropractor experienced in treating infants. Parents who have pursued this option often report noticeable improvements in their child’s comfort.

  
  

• Consider Probiotics: Speak with your pediatrician about incorporating probiotics into your baby's diet. They can recommend safe options that are tailored to your infant’s needs.

  
  

• Avoid Antacids: Due to their potential risks, such as nutrient absorption issues, alterd stomach ph and increased risk in fractures later in childhood ,it is advisable to steer clear of antacids unless a healthcare professional recommends them for your infant.

  
  

Finding Solutions for Your Baby

The systematic review by Dawn Carnes highlights the effectiveness of manual therapy and probiotics in reducing crying time for colicky infants. In contrast, antacids may not only fall short in efficacy but could also be risky.

Parents looking to help their babies should consider manual therapy and probiotics and breast feed their babies if possible . By making informed choices, families can ease their infants' colic discomfort while prioritizing their health and well-being.

Peace

References

• Carnes D, Plunkett A, Ellwood J, Miles C. Manual therapy for unsettled, distressed and excessively crying infants: a systematic review and meta-analyses. BMJ Open. 2018 Jan 24;8(1):e019040. doi: 10.1136/bmjopen-2017-019040. PMID: 29371279; PMCID: PMC5988120.