Management of<unk>  is generally conservative and involves the reassurance of parents. Calming measures may be used and include soothing motions, limiting stimulation, pacifier use, and carrying the<unk>  around in a carrier, although it is not entirely clear if these actions have any effect beyond placebo. Swaddling does not appear to help. Medication No medications have been found to be both safe and effective. Simethicone is safe but does not work, while dicyclomine works but is not safe. Evidence does not support the use of cimetropium bromide, and there is little evidence for alternative medications or techniques. While medications to treat reflux are common, there is no evidence that they are useful. Diet Dietary changes by infants are generally not needed. In mothers who are breastfeeding, a hypoallergenic diet by the mother—not eating milk and dairy products, eggs, wheat, and nuts—may improve matters, while elimination of only cow's milk does not seem to produce any improvement. In formula-fed infants, switching to a soy-based or hydrolyzed protein formula may help. Evidence of benefit is greater for hydrolyzed protein formula with the benefit from soy based formula being disputed. Both these formulas have greater cost and are not as palatable. Supplementation with fiber has not been shown to have any benefit. A 2018 Cochrane review of 15 randomized controlled trials involving 1,121 infants was unable to recommend any dietary interventions. A 2019 review determined that probiotics were no more effective than placebo although a reduction in crying time was measured. Complimentary and alternative medicine No clear beneficial effect from spinal manipulation or massage has been shown. Further, as there is no evidence of safety for cervical manipulation for<unk> , it is not advised. There is a case of a three-month-old dying following manipulation of the neck area. Little clinical evidence supports the efficacy of "gripe water" and caution in use is needed, especially in formulations that include alcohol or sugar. Evidence does not support lactase supplementation. The use of probiotics, specifically Lactobacillus reuteri, decreases crying time at three weeks by 46 minutes in breastfeed babies but has unclear effects in those who are formula fed. Fennel also appears effective.
Baby colic
Hernia
Devon colic
Testicular torsion
Meconium peritonitis
Hair tourniquet
Nipple discharge
Corneal abrasion