Treatment of the child suffering from intestinal colic,you must start with a non-drug measures, which include simple tools. During and after feeding the baby should be kept in an upright or semi-erect position to eliminate aerofagii (accidental ingestion of air during feeding). When you need to make bottle feeding the baby tightly grasps the nipple, it is convenient for him, and the diameter of the hole is not too large. At the first signs of colic should be put on the child's stomach warmed flannel diaper or a warm heating pad, you can make a warm bath, or with a simple decoction of herbs that have antispasmodic effect (chamomile, sage, oregano). When placing your baby to sleep, it is useful to include a quiet relaxing music. When breastfeeding should be limited in the diet of the mother or completely eliminate dairy products and blowing - cabbage, especially sauerkraut, onions, tomatoes, pickled vegetables, fruit (pears, watermelons), mushrooms, black bread, kvass. If the baby is bottle-fed, you should check whether the correct mixture prepared. When artificial feeding is recommended to choose a mixture containing no iron, and in the child's daily diet to include about 1/3 of the total dairy food mixture.
Drug therapy for functional intestinal colic
Drug therapy in functionalintestinal colic is based on the emulsion Espumizan. Espumizan is a non-prescription product. It is not absorbed in the intestine, thus no effect on either intestinal mucosa or the child's body as a whole. Its action is that it, breaking the shell of gas bubbles formed in the intestines, prevents stretching of the intestinal wall and prevents the development of pain. On the other hand, it facilitates the passage of gases and reduces their accumulation of all the manifestations of flatulence (gas formation increased).
The dose of the emulsion is 1 dimensional Espumizanspoon 3-5 times a day depending on the severity of intestinal colic. Espumizan emulsion can be added to baby food or drink. The effect of the drug is observed in functional intestinal colic usually immediately.
I would like to draw attention to the fact thatlack of effect of treatment Espumizan emulsion or similar drugs for 3 days, indicates a condition in which the intestinal colic is just one of its manifestations. This is an additional reason for the examination of the child, because the main focus in the treatment of secondary intestinal colic make the power correction and treatment of the abnormalities that underlie the formation and maintenance of intestinal colic.
Colic Treatment with lactase deficiency
When lactase deficiency therapeutic usepower, replaceable fermentoterapii emulsion Espumizan. Severe lactase deficiency requires the appointment power with limitation lactose or completely devoid of it. Babies with the erased form of lactase deficiency who are bottle-fed, as well as children who are breastfed, it is advisable first to combine the use of low-lactose mixtures or breastfeeding with the appointment of the enzyme lactase, which is presented in the form of medicines and food enzyme supplements - lactase, lactase solushen, tilaktazy, laktaida and others. Assign pancreatic enzyme preparations. Only when the ineffectiveness of this therapy is necessary to move to alaktoznye mixture in combination with enzyme preparations. The effect of the treatment appears in the first week of treatment and up to the complete disappearance of colic in 3-4 weeks. During this time the child receives Espumizan emulsion.
It should be emphasized that in case of intolerancelactose in children is always secondary impaired intestinal biocenosis. But these violations are not critical in the pathogenesis of intestinal dysfunction. Therefore, all the attempts to restrict the treatment of such patients is only the appointment of probiotics not only lead to success, but also exacerbates the condition of children, because they do not address the underlying cause of the disease.
Colic Treatment of food allergy
In the treatment of food allergies shows the assignment of the following therapies:
- nutritional care
- Espumizan emulsion
- by indications - conducting fermentoterapii and correction of intestinal disbiotsenoza
At intolerance of cow's milk protein frommild sensitization is possible in the early stages of treatment to increase the share in the daily diet of dairy products to ½ or even? volume, and try to replace cow's milk in the baby's diet on milk of other animals (goat, mare, camel). In the absence of a positive result from the use of fermented milk products, as well as a pronounced sensitization to cows' milk proteins (highest antibody titers) if complete elimination of milk and milk-based products from the sick child nutrition. In this case shown in clinical nutrition and soy-based hydrolyzate, based on cow's milk.
Allergy to soy proteins and multivalent foodAllergy is an absolute contraindication for appointment of soy mixtures on the basis, as mentioned above. When combined intolerance of cow's milk protein and soy illustrates the use of therapeutic compounds based on cow's milk protein hydrolyzate.
The correct choice of therapeutic feeding givesfairly quick results. The child in 1.5-2 weeks is beginning to improve well-being and the state, reduced symptoms of flatulence and intestinal cramps. But if at that time to appoint an emulsion Espumizan, the manifestations of intestinal colic disappear by the end of the first week of treatment.
When intestinal colic, accompanyinginflammation of the intestine caused by conditionally pathogenic microflora, the main importance is given to the normalization of microbial relationships in a child's intestines. To this end use therapeutic food, prescribed chelators, prebiotics (drugs that promote the restoration of normal intestinal biocenosis), probiotics (products containing indigenous microflora of the intestine), and for the relief of the main symptoms of intestinal colic - Espumizan emulsion. Drugs with anti-bacterial action, including antibiotics, are used only if there is an acute intestinal infection.
Thus, intestinal colic seemsmultilateral problem that occurs in a significant number of infants. It occurs in almost every period of life of the infant. If it occurs at the age of 3-4 weeks, then most likely, it is a functional one. If it occurs after 4 months of life, or up to 3 weeks, it is in most cases is secondary and is a symptom of the underlying disease. That is why intestinal colic, despite its seemingly simple, is a condition in infants that require individual approach in each case, careful, detailed diagnosis and treatment.