What is the efficacy of gripe water for infantile colic?

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From the Research

Gripe water is not recommended for infants as there is no scientific evidence supporting its effectiveness for treating colic, gas, or other digestive issues. Most pediatricians advise against using gripe water because it often contains ingredients like alcohol, sugar, sodium bicarbonate, or herbs that may be harmful to babies 1. Instead, for a fussy or gassy infant, try gentle techniques like:

  • Bicycle leg movements
  • Tummy massage
  • Holding the baby upright after feedings Burping frequently during and after feeds can help release trapped gas. For severe discomfort, consult your pediatrician who might recommend simethicone drops (such as Mylicon or Infacol), which are considered safer alternatives 2. These can be given as directed on the package, typically 0.3-0.6 mL before feedings, up to 12 times daily. The reason many parents historically turned to gripe water is that babies naturally go through periods of fussiness, particularly between 2-4 months of age, which typically resolves on its own as their digestive systems mature. A study published in 2015 found that gripe water administration was associated with infantile colic, vomiting, and constipation in infants 1. Another study published in 2004 reported a case of Pseudomonas aeruginosa septic shock secondary to "gripe water" ingestion, highlighting the potential risks of using gripe water in infants 3.

It's also important to note that gastroesophageal reflux disease (GERD) is a common condition in infants, and gripe water is not a recommended treatment for GERD 4, 5. In fact, the American Academy of Pediatrics recommends that infants with GERD be treated with lifestyle changes and medication, such as proton pump inhibitors, rather than gripe water 5. Therefore, it is not recommended to use gripe water in infants, and instead, parents should focus on gentle techniques and consult their pediatrician for advice on managing fussiness and digestive issues in their baby.

References

Research

Gripe Water Administration in Infants 1-6 months of Age-A Cross-sectional Study.

Journal of clinical and diagnostic research : JCDR, 2015

Research

Colic in infants.

BMJ clinical evidence, 2010

Research

Pseudomonas aeruginosa septic shock secondary to "gripe water" ingestion.

The Pediatric infectious disease journal, 2004

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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