Table 9

National guideline recommendations infantile colic

Recommendation/suggestionUK 2013 2017*USA 2015†Ireland 2014‡
Clinician evaluation of mother and baby
Parenting information, advice, support and reassurance
Continue breast feeding
Maternal diet modification
Change formula if formula fed (+unless milk allergy identified)✕+
Probiotic supplements (++breastfed-only infants)✓++
Simethicone (eg, infacol)
Herbal supplements (eg, fennel)
Proton pump inhibitors (eg, omeprazole, Losec)
Lactase (eg, Co-lief drops)
Anitcholinergic medication (including dicyclomine)
Gripe water
Medicine generally
Infant massage
Manual therapy (including spinal manipulation and cranial osteopathy)
Physical contact (eg, holding, rocking)
White noise
Bathing
Winding
Swaddling
Acupuncture
Sleep routine
  • Blank boxes indicate no recommendation or suggestion made not considered or reported. Ticks indicate recommended interventions; cross indicates non-recommended interventions.

  • *UK NICE www.nice.org.uk Clinical Knowledge Summary Infant Colic 2017 and Postnatal care: routine postnatal care of women and their babies (NICE Guideline, 2015).

  • †USA 2015 American Academy of Family Physicians (http://www.aafp.org).

  • ‡Ireland: Irish College of General Practitioners (https://www.icgp.ie).