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.
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.
Analogs
Level 4 ATC code matches:
Disflatil
Mint tablets
Kuplaton
Espumisan
Espumisan L
Espumisan 40
Bobotik
Dill water
Pepsan-R
Sub Simplex
Infacol
Plantex
Bebinos
Dicetel
Meteospasmil
Romazulan
Analogue for children:
- Bobotik
- Sub Simplex
- Baby Calm
- Happy Baby
- Plantex
Bobotik is approved for children from 28 days of age, contains raspberry flavor and citric acid, and does not contain milk sugar.
Simplex suspension is used from birth. The suspension is not viscous, separates and requires careful shaking. Should be used with caution in children prone to allergic reactions. Espumisan for children is also used from birth, but the emulsion is more viscous in consistency compared to the suspension.
Which is better: Plantex or Espumisan for newborns?
These are drugs with different active ingredients. Plantex are granules for making tea, containing fennel fruit extract. It has a carminative effect (prevents the formation of gases), improves digestion, eliminates spasms. It can be given to newborns from 2 weeks of age as a drink. Diluted tea does not change its properties during the day. The drug contains lactose, so tea should not be given to children with lactase deficiency. Pediatricians note that children are often allergic to the drug. Parents also report this in their reviews.
What is better than Espumisan for children? First of all, it is physiologically inert, not absorbed, and does not contain lactose. It can be used for a long time without fear of addiction and the appearance of any side effects.
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.
Indications for use
Drops are prescribed in the following cases:
- when the first symptoms of infant colic occur;
- when the first symptoms of flatulence occur in children (including during the period after surgery);
- with bloating as a result of dyspeptic disorders;
- during preparation for diagnostic studies of the abdominal and pelvic organs;
- in case of acute poisoning with detergents that contain foam-forming tensides. In this situation, Espumisan Baby acts as an antifoaming drug.
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.
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!
Pharmacodynamics and pharmacokinetics
Pharmacodynamics
The mechanism of action of simethicone is based on reducing the surface tension of gas bubbles formed in the intestines, which leads to their rupture. Simethicone acts on the surface of gas bubbles without affecting the mucous membrane and is not absorbed, therefore it is harmless to the child’s body. The released gas is removed from the intestines naturally, while digestion is normalized and nutrients are better absorbed.
The drug does not affect gastric secretion. There is no habituation to it. In terms of pharmacological treatment, colic is considered one of the most effective carminatives. Prescribed during the onset of pain (pain disappears within 10 minutes) or for the purpose of prevention with each feeding.
Pharmacokinetics
After oral administration, it is not absorbed from the intestine and is excreted unchanged.
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.
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.
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.
Active components
The active substance is simecticone, a carminative defoaming agent. It passes through the baby’s gastrointestinal tract, collapses the gas bubbles resulting from fermentation and comes out unchanged.
1 milliliter of the drug contains 100 milligrams of simecticone. Macrogol stearate, glyceryl monostearate, sorbic acid, water, sodium chloride, sodium citrate, and natural hypoallergenic Banana flavor are used as additional components.
Espumisan Baby is sold in dark glass bottles. It is a viscous milky-white liquid with a banana aroma.
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.
Price, where to buy
The price of children's Espumisan is about 600 rubles for 50 ml drops.
- Online pharmacies in RussiaRussia
ZdravCity
- Espumisan Baby drops for internal use.
approx. 100mg/ml vial. 50ml Berlin-Chemie AG RUB 629 order - Espumisan Baby drops for internal use. approx. 100mg/ml 30mlBerlin-Chemie AG
RUB 477 order
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
Registration number: LP-003044-291020 Trade name: Espumisan® baby International nonproprietary or generic name: simethicone Dosage form: drops for oral administration |
Compound:
1 ml (25 drops) of the drug contains:
Active substance
: simethicone* - 100.00 mg.
Excipients
: macrogol stearate 40, glyceryl monostearate 40-55, carbomer, banana flavor, acesulfame potassium, liquid sorbitol (non-crystallizing), sodium chloride, sodium citrate, sodium hydroxide, sorbic acid, purified water.
*Simethicone consists of dimethicone (polydimethylsiloxane (PDMS)) and silica in a ratio of 96:4
Description: slightly viscous milky-white liquid with a banana odor.
Pharmacotherapeutic group: carminative
ATX code: A03AX13
Pharmacological properties
Pharmacodynamics
The active ingredient simethicone reduces the amount of gases in the gastrointestinal tract (GIT): it has surface-active properties and the ability to reduce surface tension at the liquid/gas interface, which promotes the fusion of gas bubbles and the destruction of foam in the intestines, as a result of which the released gas is absorbed or is excreted naturally under the influence of intestinal peristalsis. The use of simethicone in preparation for diagnostic examinations of the abdominal organs is aimed at preventing the occurrence of image defects caused by gas bubbles.
Pharmacokinetics
Simethicone is chemically inert, after oral administration it is not absorbed from the gastrointestinal tract and acts only in its lumen. Does not interact with microorganisms and enzymes and does not affect digestion processes. It is excreted unchanged by the intestines.
Indications for use
- symptoms of intestinal colic in infants;
- symptoms of excessive formation and accumulation of gases in the gastrointestinal tract (including flatulence, increased gas formation in the postoperative period);
- symptoms of excessive gas formation caused by functional dyspepsia;
- preparation for diagnostic studies of the abdominal and pelvic organs (ultrasound, radiography, esophagogastroduodenoscopy, etc.), including as an additive to suspensions of contrast agents to obtain images using the double contrast method;
- acute poisoning with detergents containing foaming agents (tensides) as defoamers.
Contraindications
Hypersensitivity to the components of the drug, intestinal obstruction, hereditary fructose intolerance.
Use during pregnancy and breastfeeding
Since simethicone is not absorbed from the gastrointestinal tract, no negative effects are expected when using the drug during pregnancy and breastfeeding.
However, as with the use of any other medicines, the drug should be prescribed with caution during pregnancy and breastfeeding.
Directions for use and doses
Inside. The bottle of emulsion must be shaken before use. The drug is dosed in drops, holding the bottle vertically with the opening down. For convenience, you can also dose in milliliters using the measuring cap.
25 drops are equivalent to 1 ml (or 100 mg of simethicone).
The drug is taken before/during or after each meal and, if necessary, before bedtime.
The frequency of administration and duration of use depend on the severity of symptoms.
If necessary, Espumisan® baby can be taken for a long time.
After surgery, Espumisan® baby should be taken under medical supervision.
For complaints related to infant colic and excessive gas formation
Children under 1 year: 5-10 drops of Espumisan® baby (added to a bottle of baby food or given with a small spoon before/during or after feeding).
Children from 1 year to 6 years: 10 drops of Espumisan® baby 3-5 times a day.
Children from 6 to 14 years old: 10-20 drops of Espumisan® baby 3-5 times a day.
Children over 14 and adults: 20 drops of Espumisan® baby 3-5 times a day.
In preparation for diagnostic studies (radiography, ultrasound, etc.)
Take 1 ml of Espumisan® baby 3 times a day after meals the day before the study and 1 ml of Espumisan® baby in the morning on the day of the study.
To obtain a double contrast image
Add 2 - 4 ml of Espumisan® baby per 1 liter of contrast suspension.
In preparation for esophagogastroduodenoscopy
Take 2 - 3 ml of Espumisan® baby orally before the study.
During endoscopy, if necessary, a few milliliters of emulsion can be injected through the endoscope channel to eliminate gas bubbles that interfere with the examination.
In case of acute poisoning with detergents containing tensides
Children: 1 - 4 ml of Espumisan® baby; adults - 4-8 ml of Espumisan® baby is prescribed by a doctor depending on the severity of the poisoning.
Side effect
No side effects were observed when using Espumisan® baby.
It is possible to develop allergic reactions to the components of the drug.
If you experience the side effects listed in the instructions or they get worse, or you notice any other side effects not listed in the instructions, tell your doctor.
Overdose
There are no known cases of overdose.
Interaction with other drugs
Clinically significant interactions of simethicone with other drugs have not been established.
special instructions
If gastrointestinal symptoms persist for a long time (more than 14 days of therapy) or new symptoms occur, a medical examination is necessary.
The drug Espumisan® baby contains sorbitol (sorbitol), therefore its use in patients with hereditary fructose intolerance is contraindicated.
Information for patents with diabetes
: 1 ml of emulsion (25 drops) contains 199.17 mg of sorbitol, which corresponds to 0.017 bread unit (XE).
Impact on the ability to drive vehicles and machinery
The use of the drug does not affect the ability to perform potentially hazardous activities that require increased concentration and speed of psychomotor reactions (driving vehicles, working with moving mechanisms, working as a dispatcher, operator).
Release form
Drops for oral administration, 100 mg/ml.
30 ml or 50 ml in a dark glass bottle, equipped with a dropper dispenser, a screw cap with a first-opening control system and a measuring cap.
1 bottle with instructions for use in a cardboard box.
Storage conditions
Store at a temperature not exceeding 25 °C. Do not freeze!
Keep out of the reach of children!
Best before date
3 years.
Do not use after the expiration date.
After opening the bottle for the first time, use the drug within 6 months.
Vacation conditions
Available without a prescription.
Registration Certificate Holder
Berlin-Chemie AG, Germany
Manufacturer
Berlin-Chemie AG Glinker Weg 125 12489 Berlin Germany
Organization receiving complaints from consumers:
LLC "Berlin-Chemie/A. Menarini", Russia 123112, Moscow, Presnenskaya embankment, building 10, BC "Tower on the Naberezhnaya", Block B, tel., fax.
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.
Reviews
Infantile colic begins to bother the child at 2–3 weeks of life and continues until 3–6 months. To eliminate them, there is children's Espumisan. Questions often arise: can it be given to a newborn and how to give it to an infant? Let's look at these questions. A child under 28 days of age is considered a newborn. Espumisan L and Espumisan 40 are approved for use in children from birth. They do not contain lactose. For ease of dosing, they have a measuring spoon or pipette. These drugs can be given to a newborn without fear, and the dosage is the same as for infants (from 1 month to a year). For newborns and infants, the drug is prescribed 1 scoop or 25 drops. Give directly from a spoon, mixed with a small amount of milk, added to milk mixture or water.
How often can Espumisan be given to newborns? The drug is given after each feeding. How many times can you give to an infant? In the same way - after each feeding, up to 5 times a day. This drug intake is preventive. Can only be given during colic. Some pediatricians believe that these drugs are best given during colic, and not for the purpose of preventing it. It has been reliably proven that this drug does not cause side effects and long-term use is possible without harm.
Reviews about Espumisan for newborns are varied. There are reviews that parents tried all the drugs, and only Espumisan helped. Some people are helped by this drug, others by Plantex, and some by dill water, massage, a warm heating pad on the tummy and removal of gases using a gas tube. Sometimes children refuse to drink Espumisan (they spit out the medicine), but Baby Calm and Sub Simplex are taken with pleasure. You need to choose the drug that brings relief to your child. You can try everything together. For example, any drug based on simethicone and Baby Calm.
Consult your pediatrician about taking Bifidumbacterin . In addition, a nursing woman needs to exclude from her diet foods that cause gas (kvass, legumes, cabbage in any form, apples, grapes, sweets, baked goods) and take a decoction of chamomile with dill and fennel seeds.