Why does infant colic occur?
The exact picture of why colic occurs remains unclear. The main reasons are:
- Delayed work of the enzymatic system of the gastrointestinal tract. Enzymes act as catalysts in body reactions. They speed up the digestibility of incoming food. If the system fails, food is not digested and fermentation occurs.
- Immaturity of the autonomic nervous system. It is the ANS that controls the functioning of internal organs, is responsible for digestive processes, and sends signals to the gastrointestinal tract. If the nervous system is not functioning well, transmission is poorly adjusted, which is why colic occurs.
- Hydrochloric acid deficiency. It activates the functioning of the stomach and participates in the formation of hormones.
- Intestinal dysbiosis. The baby is born with sterile intestines. It takes time to colonize it with beneficial bacteria, which is often accompanied by flatulence.
- Impaired intestinal motility.
- Feeding a baby with mother's milk and the presence of gastrointestinal diseases. Since milk is formed from blood substances, the mother’s diet directly affects its composition. When toxins enter the bloodstream, they irritate the intestines.
- Incorrectly selected formula feeding.
- Allergy to Espumisan in newborns and pseudo-allergy.
- Changing natural feeding to artificial feeding.
- Overheating, in which the child sweats and loses moisture, intestinal juices become thicker, and the functioning of the stomach deteriorates.
If we combine the above indicators, then increased gas production plays a key role in the development of colic. It leads to bloating of the small intestine and impaired intestinal motility.
IMPORTANT: Premature infants are more likely to experience colic when compared with large and full-term infants. Symptoms are more prolonged and pronounced.
Does Espumisan help with constipation in newborns?
Espumisan itself cannot directly help a child cope with constipation. However, the drug still has a positive effect on the intestines. If a child is constipated, doctors often prescribe lactulose-based medications. Lactulose, in turn, can provoke increased gas formation in the intestines, which Espumisan combats.
IMPORTANT: This drug eliminates discomfort and allows the baby not to suffer from colic. For constipation, Espumisan should be given to a child during meals and at night so that sleep does not deteriorate.
Baby has colic
Espumisan for newborns: quick help for colic?
Gas flows down the esophagus in a thick foam, which is covered with mucus. The drug plays the role of a damper; it removes accumulated bubbles. The product lowers the pressure at the site of separation of liquid and gas, as a result, a foam-like mass is released into liquid and free gas, which is quickly absorbed by the surface of the esophagus or excreted through the rectum.
Babies gradually adapt to the new environment, the stomach reacts sensitively to everything unusual. The baby is often capricious and behaves restlessly. Sometimes it’s difficult to calm him down, mom starts using different methods:
- wrapping the tummy with a warm diaper;
- taking dill water;
- medicines.
IMPORTANT: There is no guarantee that Espumisan for children will completely relieve a baby from colic. The manufacturer himself writes about this.
At what age can a newborn be given Espumisan “baby” or Espumisan L for colic?
Espumisan (in any release except capsules) is approved for use by children from the first days and months of birth. As a rule, parents resort to it when the baby’s intestinal colic reaches its “peak”. This period occurs at 3-4 weeks from birth.
At this time, the baby experiences severe colic, which cannot be completely relieved with massage or exercise. The drug is given to the child with a small dose before or during meals. So, it enters the stomach with milk and prevents the formation of gas bubbles.
IMPORTANT: Do not exceed the dose and number of doses of the substance per day specified in the instructions. If the baby does not experience discomfort after eating (it does not matter: breast milk or artificial nutrition), the drug can be skipped. As a rule, for newborn babies who feed on mother's milk, the drug is administered with a pipette or measuring spoon into the mouth. Formula-fed children take Espumisan dissolved in a bottle.
Indications
The instructions for using the product indicate the following ailments:
- the occurrence and accumulation of a large volume of gases in the esophagus, called flatulence, as well as Roemheld syndrome;
- intestinal colic in infants;
- symptoms of increased gas formation, which are formed due to functional dyspepsia;
- preparatory process for ultrasound examinations, x-rays, computed tomography;
- severe intoxication with cleaning solutions that include foaming ingredients such as detergents.
Why does my baby have colic? The reasons for this condition
The causes of colic in newborns are poorly understood, but they are thought to be related to the following:
- baby's intestinal spasms;
- air entering the esophagus during feeding or crying;
- allergies;
- lack of nutrition;
- digestive problems;
- lactose intolerance.
Foods that cause gas formation should be excluded from the child’s diet: chocolate, cocoa, coffee, legumes, fresh vegetables and fruits, sauerkraut, bananas, baked goods, muffins. A newborn baby may experience abdominal colic if a nursing mother consumes the listed products. Source: N.I. Ursova Infantile intestinal colic. Modern data // Issues of modern pediatrics, 2011, v. 10, no. 2, p. 125-131
Operating principle
The action of Espumisan for newborns is as follows. The main substance helps to destroy accumulated bubbles and remove air masses. You should find out how quickly Espumisan works. The result is achieved after 15-20 minutes after the mother gives the child the medicine. The baby quickly calms down as the pain disappears. How behavior changes:
- the baby stops being capricious;
- stops pressing the legs;
- bloating decreases, gas comes out;
- the child smiles and begins to play.
The medicine acts on the gastrointestinal tract for 2-7 hours. The duration is directly related to the characteristics of the body and the degree of the disease. The age category of the patient also plays an important role. In a four-month-old baby, the intestines react more calmly to gases than after birth.
pharmachologic effect
The mechanism of action of the drug is due to simethicone, which reduces the tension of the surface of the interface between two media: gas and liquid. Simethicone promotes the union of gas bubbles, the destruction of foam in the small and large intestines. The released gas molecules are eliminated from the child's body naturally.
The active substance acts only on the surface of gas bubbles; it has no effect on the intestinal mucosa. Also, the drops do not affect digestive function, since they do not affect the intestinal flora. The medication is excreted from the body unchanged. The effect of the drug begins on average after 5 minutes.
Contraindications and side effects
The drug has virtually no contraindications. There is only individual immunity to the ingredients. An allergic reaction to Espumisan in a newborn is revealed by rashes of small pimples that form on the face, back, and legs.
If a parent detects a negative reaction from the baby, you should stop giving the medicine and consult a doctor. No specific treatment will be required. Therapy consists of removing symptoms. Drinking plenty of fluids and taking sorbents helps. Constipation from Espumisan in a newborn occurs when there are no gases in the esophagus, and the medication adsorbs water.
IMPORTANT : It is strictly contraindicated to drink Espumisan for colic if the newborn suffers from intestinal obstruction.
Necessarily! Consult your pediatrician before use. Do not prescribe the drug yourself!
Side effects, interactions with other drugs
The manufacturer indicates that no negative effects on the body have been established when Espumisan is used simultaneously with other medications. Drops are often used in the complex treatment of poisoning and intoxication, as they eliminate excess gas formation, improving the absorption of other medications in the treatment of intestinal pathologies.
Side effects are extremely rare, since the drug does not have a systemic effect. Only individual intolerance to the components in the drops is possible, manifested by the occurrence of an allergic reaction in the form of itching or rash.
Compound
The ingredient present is simethicone. One ml of medication contains 100 mg of the element. The remaining complementary ingredients are a natural preservative, banana flavor, artificial sweetener, pure water, macrogolustearate. The composition of the drug Espumisan includes elements that do not provoke adverse effects on the baby; they only allow the drug to pass through the digestive organs and improve the taste of the suspension.
IMPORTANT: The medication does not contain glucose or lactose. The absence of dangerous ingredients makes the drug harmless even for patients with high blood sugar and lactose intolerance.
What is better: Plantex or Espumisan for newborns?
First of all, it is worth noting that these two substances are completely different in their pharmacological form. Plantex are special granules that are usually dissolved in water to produce a drink. The composition of plantex is fennel extract (this component is often present in such carminative preparations as “dill water”).
Fennel extract, unlike synthetic simethicone, is natural. It is also able to act on the intestines, naturally removing accumulated gases from it. Drinking a drink such as “Plantex” is allowed from 2 weeks of a baby’s life.
What Plantex does:
- Makes the digestion process easier
- Removes spasms
- Eliminates colic
- Facilitates the process of defecation
IMPORTANT: Espumisan may be better than Plantex only because fennel extract can provoke an allergic reaction and intolerance in the body.
Peculiarities
Like other medications, the product has special instructions. You need to wait more than three hours between uses. Espumisan drops for newborns are contraindicated in hot juices, compote or tea. When heated, the ingredient loses its healing properties. The solution temperature should be no more than 37°C.
Parents ask how to take Espumisan Baby for a newborn. If the child is given sorbents at the same time, then the suspension is treated 1 hour before taking the drops or 60 minutes after completion. Before using the medication, parents should read the instructions carefully.
The tool has the following features:
- the drops do not contain sugar, so they are approved for use by patients with type 1 and type 2 diabetes;
- the ingredient does not impair concentration and does not cause inhibition of the autonomic system;
- the mixture combines well with other remedies;
- taking the medicine does not provoke addiction; the pediatrician will answer the question of how long Espumisan can be given to a newborn, based on the symptoms.
If during the period of therapy a young patient experiences a deterioration in health, it is necessary to immediately stop taking the medication and visit a pediatrician.
How many times a day can a newborn be given Espumisan “baby”, Espumisan L for colic?
As already mentioned, the drug should be taken as needed: i.e. when the baby experiences severe colic and cannot sleep or play normally because of it. If the baby feels well, you can skip taking Espumisan as a preventative measure. The permissible norm per day is 5 doses, most often this amount corresponds to the number of meals.
Taking medication
Emulsion, capsules
All types of espumisan reach the market in several packages:
- Espumisan 40, where 40 is the accumulation of the active ingredient per 1 tsp, that is, 5 mg;
- Espumisan L for newborns – 40 mg of raw material per 1 ml;
- For children, espumizan baby – add 100 mg of the component per 1 ml;
- Espumisan capsules for adults, where 40 mg of simethicone is measured per 1 tablet.
It is worth analyzing Espumisan baby and Espumisan L. The first drug is more adapted. It specifically fights digestive disorders, improves bowel movements, and relieves pain. The medicine is sold with a measuring spoon, which simplifies the calculation of the required amount of liquid.
IMPORTANT: Espumisan baby for newborns consists of a larger volume of simethicone, so it provides better and faster relief from pain than Espumisan L.
What to do if espumizan does not help the newborn, what to replace: analogues
And in the case of long-term use of Espumisan, many parents noticed that the child ceased to feel the effect. In another case, the child may have an individual intolerance to this medicine, or an allergy to other components. To alleviate the baby’s condition, you should find worthy analogues of Espumisan, the choice of which is large:
Analogue No. 1
Analogue No. 2
Analogue No. 3
Analogue No. 4
Analogue No. 5
Dosage: how many times and how often can the drug be given to infants?
Babies are supposed to dilute the mixture no more than five times a day. Women are interested in how many drops of Espumisan to give to a newborn. The doctor prescribes up to 10 if the patient is under 1 year of age. The last use of the product is at night. The baby will fall asleep without problems and sleep well.
One of the main rules is to observe the interval. Between each use of the suspension you need to pause for at least 3 hours. If an ultrasound or x-ray is required, pediatricians recommend giving the infant Espumisan Baby during the day.
The dosage of Espumisan for newborns remains the same. Only the number of applications is reduced - up to 3 times. The last time was in the morning before the examination.
If a baby is poisoned by detergents, the dosage will be 20 drops. The maximum volume to be taken for therapy of a newborn is 23-25 drops.
Analogs
Drugs that can replace Espumisan drops:
- Bobotik is the active ingredient simethicone. Drops are given to infants from 28 days old for flatulence and colic.
- Sab Simplex is the active component of the suspension - simethicone. Indicated for excessive gas formation and poisoning with detergents in children from birth.
- Baby Calm is a dietary supplement made from dill, anise, and mint oils, which has antispasmodic, carminative, anti-inflammatory and soothing effects. Effective for colic, flatulence, and anxiety in children from birth.
- Plantex is a herbal preparation, has the form of granules, contains oil and fennel fruits. Plantex stimulates digestive function, enhances peristalsis, and has an antispasmodic effect. The components of the product help prevent and remove gases. Indicated for children from two weeks of age.
- Happy Baby is a drug in the form of drops for children from birth to eliminate intestinal colic. Contains mint, anise, fennel oil.
Only a doctor should select replacement drugs for children.
Analogues: what can be replaced?
At network points there are similar compositions. The same pharmacological classification includes:
- Baby cadm;
- Bobotik;
- Plantex;
- SubSimplex.
It’s worth finding out which is more effective, Bobotik or Espumisan for newborns.
Bobotik
An analogue of Espumisan for newborns was produced by a Polish pharmaceutical company. The main difference between the medications is reflected in the fact that Bobotik is prohibited from treating an infant who is under 28 days old. Also, the 2 medications differ in the list of auxiliary ingredients and shelf life. Bobotik must be kept in the first aid kit at a temperature of 15 to 25°C. For 30 ml the buyer will pay 250 rubles. Prices are for 2021.
Plantex
Plantex contains completely harmless ingredients:
- fennel ether;
- dry fennel extract;
- acacia gum;
- dextrose;
- lactose.
The drug relieves increased gas formation and accompanying symptoms. It helps to improve the process of bowel movement and relieves the baby from pain. A contraindication to use was found - the presence of galactosemia, glucose absorption and individual perception of the components.
Two drugs provide good relief from increased gas levels and abdominal pain. They belong to different pharmacological groups and include different active ingredients. Plantex contains many natural ingredients, fruits and extracts of fennel. It is described as relieving spasms. Espumisan is a carminative drug.
Despite the fact that two medications are prescribed for the same diseases, their action and indications are slightly different. Plantex is prescribed for colic, constipation and flatulence, and the second drug is aimed at reducing the increased concentration of gases. If an infant is allergic to Espumisan, it is recommended to replace it with Plantex.
You can give Plantex and Espumisan to your baby at the same time. But the main thing is to follow the recommended dosage.
IMPORTANT: When deciding whether to give preference to Plantex or Espumisan, you need to remember that the first medication is made using plant extracts and extracts, and the active substance of Espumisan is a synthetic compound.
Sub simplex
The medicine comes from the USA. The drug is based on simethicone, which bursts blisters accumulated in the intestines. Prescribing a mixture is relevant for flatulence, colic, and intoxication with household chemicals.
Doses of Espumisan are selected based on the age category. The cost at pharmacy outlets for 30 ml of suspension is about 280 rubles.
Dill water
Some mothers and fathers are perplexed what to do if Espumisan does not help the newborn, what to replace it with. Doctors advise taking a closer look at dill liquid. It has useful qualities, namely:
- removes decay and putrefaction products from the body, often leading to colic;
- makes blood vessels wider, improves blood circulation;
- increases appetite.
Dill liquid is recommended for use by nursing women. Medicinal elements are absorbed into milk, which makes it useful and irreplaceable. Water can reduce inflammation through its antimicrobial effects.
Experienced mothers share a secret. They use compresses - a warm diaper is soaked in dill water. Apply to the baby's stomach and hold for several minutes.
IMPORTANT: In addition to its effect on the stomach, water has a beneficial effect on the child’s nervous system, improves the quality and duration of sleep.
You can determine that a baby has colic by the following signs:
- strong and prolonged crying after eating food, lasting 1 or more hours;
- the baby pulls his legs towards his stomach;
- the face turns red, the baby groans;
- the tummy is inflated.
Cheap analogues of Espumisan baby for newborns:
- Kolikod helps eliminate flatulence, is prescribed before checking the abdominal cavity;
- Pepphysis consists of digestive enzymes that improve the functioning of the gastrointestinal tract;
- Dinolak is a combination product that has a laxative effect.
You can combine the drug and bifidumbacterin. It will populate the intestines with beneficial organisms.
IMPORTANT: the use of cheap analogues does not always give the desired effect; before use, you must consult a doctor.
Espumisan Baby drops for oral administration 100mg/ml 30ml
ATX Code:
A03AX13 (Silicones)
Active substance:
simethicone
Dosage form
Drops for oral administration
Release form, packaging and composition of the drug
Drops for oral administration are milky-white, slightly viscous, with the smell of banana.
1 ml (25 drops):
Simethicone – 100 mg
Excipients: macrogol stearate 40 - 6.17 mg, glyceryl monostearate 40-55 - 3.78 mg, carbomer - 5.98 mg, banana flavor - 3.98 mg, acesulfame potassium - 0.3 mg, liquid sorbitol (non-crystallizing) - 199.17 mg, sodium chloride - 0.67 mg , sodium citrate - 4.19 mg, sodium hydroxide - 0.67 mg, sorbic acid - 1.06 mg, purified water - 732.25 mg.
Clinical and pharmacological group:
A drug that reduces flatulence
Pharmacotherapeutic group:
Carminative
pharmachologic effect
A remedy that reduces flatulence. It is obtained by incorporating 4-7% silicon into a dimethicone (dimethylpolysiloxane) molecule with a degree of polymerization between 20 and 400. Reduces the surface tension of gas bubbles in the intestines, causing their collapse. The released gases are partially absorbed by the intestinal walls and are also eliminated from the body due to intestinal peristalsis.
Pharmacokinetics
Due to physiological and chemical inertness, it is not absorbed into the body; after passing through the gastrointestinal tract, it is excreted unchanged.
Indications of the active substances of the drug
Flatulence (including in the postoperative period), aerophagia, gastrocardial syndrome (as symptomatic therapy); preparing patients for endoscopic, radiological and sonographic examinations of the stomach and/or intestines.
Dosage regimen
The method of administration and dosage regimen of a particular drug depend on its release form and other factors. The optimal dosage regimen is determined by the doctor. The compliance of the dosage form of a particular drug with the indications for use and dosage regimen should be strictly observed.
Individual, depending on the indications and age of the patient.
Side effect
Possible: allergic reactions.
Contraindications for use
Intestinal obstruction, hypersensitivity to simethicone.
Use during pregnancy and breastfeeding
Due to the lack of absorption of the active substance, the risk to the fetus and the penetration of simethicone into breast milk are unlikely.
Traditional methods of helping with colic
Among traditional methods of treatment, medicinal herbs have proven themselves to be excellent. Mothers brew chamomile. 15 g of plant flowers are poured into 400 ml of boiling water. The liquid is heated over a fire and brought to the appearance of bubbles. Then the broth is taken to the kitchen closer to the heat source and allowed to brew for 1 hour. After this, the drug is filtered. The baby is given 1 small spoon three times a day.
Fennel is effective against colic. To prepare the medicine you will need 10 g of fruit and 200 ml of boiling water. The product is filled with water, the jar is taken to a warm place, having previously been wrapped. The drink should steep for 1-2 hours. Then the broth is filtered. The baby is given about 10 ml before meals three times a day.
A dill-based solution is not only purchased at the pharmacy, but also brewed yourself at home. Place one small spoon of seeds in 200 ml of water and set to cook. Keep on low heat for 20 minutes. Remove from the burner and let stand for half an hour. The child is given 10 ml of solution 2 times a day.
Espumisan is practically harmless. It reduces gas levels, fights pain, and is not addictive. How much Espumisan to give to a newborn depends on age and degree of disease. The drug is diluted after feeding if the mother notices constant bloating. Before taking, shake the bottle or bottle so that the active ingredients do not settle at the bottom.
Espumisan baby and Espumisan L for newborns: reviews
Ekaterina: “As soon as we turned one month old, I learned that a child’s colic can be relieved with Espumisan. We started taking it and I felt relief (the child became calmer, and I was able to relax and rest while he slept). Dill water, massage and a warm diaper were not a problem for us. We took Espumisan until 3-4 months, then the colic went away.”
Victoria: “I gave Espumisan from 2 weeks from birth. I started small - 2-3 drops. When the baby suffered greatly, she increased the dose to the permissible maximum. Additionally, she massaged the tummy and pressed his legs so that he could fart.”
Yulia: “We periodically took Espumisan and sometimes replaced it with analogues. For example, a jar of Espumisan and a jar of Kolykid later. I was just afraid that it would become addictive, I was playing it safe.”