Monday, 25 November 2024

Special Feature: Infantile Colic and FODMAPs: Could Your Diet Be the Key to Soothing Your Baby?



Welcome to this special feature about infantile colic and the link to a low-FODMAP diet for breast-feeding mothers.  I am on the last module of my certification, to specialise in supporting IBS sufferers through a Low-FODMAP diet. I wasn't expecting to learn that a low-FODMAP diet may well have it's benefits beyond those for IBS sufferers. This is one of a few other areas where a Low-FODMAP diet may be helpful. Since infantile colic is so prevalent, I was keen to pull out the following information from my study module, and expand on it a little.  I hope interested readers will find it of help. 
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If your baby cries inconsolably despite your best efforts to comfort them, you’re not alone. Infantile colic affects up to 40% of babies, making it a stressful but common phase for many families. While this stage is temporary and not harmful in the long run, new research suggests that a maternal low-FODMAP diet may help soothe colic symptoms in breastfed babies.


What is Infantile Colic?

Colic is a condition where healthy babies cry or fuss excessively without an obvious cause. It often peaks around 6-8 weeks of age and usually resolves by 3-4 months. While colic doesn’t have long-term effects, it can be an emotional and physical challenge for parents during these early weeks.


Why Does It Happen?

No one knows exactly why colic happens, but some experts think it may be linked to normal developmental changes or mild gastrointestinal discomfort. A new area of interest is the role of FODMAPs—fermentable carbohydrates in a mother’s diet that may contribute to gasiness and tummy troubles in breastfed babies.


Could FODMAPs Be the Answer?

Monash University researchers explored whether a low-FODMAP diet in breastfeeding mothers could reduce crying in colicky babies. The study found:

  • Crying reduced by 32% when mothers followed a low-FODMAP diet for 10 days.
  • This was compared to a 20% reduction on a standard diet.

While the exact mechanism isn’t fully understood, this research offers a potential dietary strategy for parents to explore under professional guidance. If you’re considering a low-FODMAP diet, consult a healthcare professional to ensure your nutritional needs are met.


When to See a Doctor

While colic is self-resolving, some crying could indicate a medical issue. Speak to your doctor if your baby has:

  • Sudden, severe crying or irritability.
  • Fever, persistent vomiting, or diarrhea.
  • Blood in stools or poor weight gain.

These symptoms could point to conditions like gastroesophageal reflux disease (GERD), cow’s milk protein allergy, or infections that need attention.


Practical Tips for Parents

Caring for a colicky baby can be exhausting. These strategies can help:

For You:

  • Rest while your baby sleeps.
  • Share responsibilities with your partner or support network.
  • Seek help if you’re feeling overwhelmed—post-natal depression is common and treatable.

For Babies:

  • Use gentle rocking, baby massage, or soothing sounds to calm them.
  • Keep feeding and sleep patterns consistent.
  • Create a low-stimulation environment with soft lighting and minimal noise.

What Not to Do

Some remedies often recommended for colic aren’t backed by science and may even be harmful. These include:

  • Herbal teas: They can displace nutrients or pass harmful compounds into breast milk.
  • Switching to soy formula: Unless your baby has a diagnosed cow’s milk protein allergy, this is unlikely to help.
  • Stopping breastfeeding: Breast milk remains the best option for your baby’s nutrition.

Instead, focus on strategies supported by evidence, like trying a probiotic containing Lactobacillus reuteri DSM17938, which has shown promise in exclusively breastfed babies under 3 months.


A Reassuring Note for Parents

You’re not alone, and you’re doing an amazing job. Colic may feel overwhelming, but it’s temporary. With support, patience, and the right strategies, this stage will pass. 

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