Sunday, October 26, 2014

Special Training for Doctors Specializing in Pediatric Medicine: A Northern, Southern, Eastern and Western Medical Perspective on Infant Colic



Until every pediatric medical problem has been resolved, there is still a need for special training for doctors specializing in pediatric medicine. One example of a pediatric medical concern that remains unresolved is that of "baby colic (also known as infant colic, three-month colic, infantile colic and colic)." (1)

Why use this example?

For infant colic, there is still no known cure.

Has there been sufficient research done, with regard to this particular pediatric, medical problem? No. Has the pediatric medical research about infant colic been advanced enough? No. Has it included every possible realm of pediatric medical research? No, it has not. This is not suggesting that there has never been any work done in that area.

Important medical advances continue to be the direct result of the work carried out by pediatric researchers. Pediatric specialists have approached the topic of infant colic, from many different directions.

Obviously, some factor is still missing or the issue of infant colic would have been resolved, long ago. Perhaps this is a genetic factor. Maybe it has something to do with a fluid, chemical, hormonal or electrolyte imbalance. No one really seems to know.

What is infant colic?

Colic is "a condition in which an otherwise healthy baby cries or screams frequently and for extended periods of time, without any discernible reason. The condition typically appears within the first three weeks of birth and almost invariably disappears, often very suddenly, before the baby is three to four months old." (2)

One might suggest that doctors and pediatricians, as well as other medical professionals from the northern, southern, eastern and western hemispheres, have already tried to resolve this particular area of medical concern. While there are many possible answers, no one appears to have found the perfect answer yet.
In the meantime, babies with colic continue to cry all around the world, at least until they move beyond this developmental stage in their lives.

Medical professionals have suggested that colic in infants is the result of acute, paroxysmal, bowel spasms, stating "...traditionally colic was ascribed to abdominal pain resulting from trapped gas in the digestive tract." (3)

If that is the case, then the question becomes one of whether bowel spasms cause the gas or the gas causes the bowel spasms, that in turn lead to the incessant crying of infants.

This becomes a circular question. "Which came first, the chicken or the egg?" 

These kinds of questions have no immediate answers, except perhaps in terms of medical theories. There are no cures either, although cures can sometimes arise out of theories.

Is there going to be a cure for infant colic, in the future?

When is a cure, actually considered a cure?

It can only be a cure, when a problem like infant colic finds an effective resolution, in all properly diagnosed cases. When there are no longer any symptoms present, a cure may be evident, as long as there is no recurrence of the symptoms.

Is the age of the infant, one factor in the cure of infant colic? That may be something to take into consideration. There are self-resolving medical conditions, as the human body can heal itself over time, depending upon the situation at hand.

Will the infants in the next generation have the same symptoms?

At best, pediatric medical specialists have come up with suggestions that appear to offer some degree of hope for the distraught parents of colicky infants. Are any of them a cure for infant colic? No. 

At the same time, there is reluctance on the part of the western world to accept or allow anything other than traditional, western treatment for infant colic. That limits the diagnosis and treatment of infant colic to traditional, western medical approaches and at the same time, attempts to rule out possible options offered by eastern, northern and southern realms of medical treatment usually associated with alternative health care.

When the issue is not resolved in infants, it ultimately places the problem of infant colic back into the hands of the infants' parents. As a last resort, almost every family or global community has some ancient folk remedy that may be effective in the treatment of infant colic, at least some of the time.

One has to agree that the medical problem we refer to as colic in infants, exists in every hemisphere. Pediatricians, doctors and other pediatric medical researchers, as well as parents, are trying to deal with this problem everywhere. Many parents resort to turning to grandparents for help. Sometimes parents are simply at their wit's end, with no apparent resolution in sight and the infants cry regardless of what anyone attempts to do.

There is something the matter with this picture.

Pediatric medical specialization should be able to open the door for other, non-traditional or alternative approaches to the treatment of infant colic, because they may prove to offer a cure. Additional research in these areas could lead to finding an effective resolution.

Perhaps the entire emphasis with regard to infant colic has been wrong.

Consider the following: the infant cries; the infant has gas; gas causes bowel spasms and bowel spasms cause the infant to cry.

In the western world, the traditional focus of treatment has been on the gas and the bowels, rather than on the infant's cry. Is it perhaps time to shift the focus?

Here is a thought to consider. Acupressure links the bowels to the sinuses, via the energy flow through the meridians. Is there a blockage of the meridian?

Perhaps the focus of current research regarding the treatment of infant colic, should be different? Should it focus on the infant's brain, as the origin of the cry of the infant and relate it to the function of the brain, instead of the bowel?

Chiropractors are suggesting spinal manipulation is another possibility, as it may be a factor related to 
blockage of the nerves and interference with the nervous system.

The International Colic Pediatric Association - Research foundation, on the website 

http://www.icpa4kids.org/research/chiropractic/colic.htm, documents a number of case studies referring to the chiropractic treatment of infant colic.

Note the article entitled, "Chiropractic Found Effective for Infantile Colic: Randomized Controlled Trial Shows Manipulation More Effective than Drug." (4)

The article begins with this statement. "A randomized, controlled clinical trial on colic in Denmark that compared chiropractic adjustments to daily doses of dimethicone has concluded: "Spinal manipulation has a positive short-term effect on infantile colic." ... (5)

It concludes in this way. "Spinal manipulation is normally used in the treatment of musculoskeletal disorders, and the results of this trial leave open two possible interpretations. Either spinal manipulation is effective in the treatment of the visceral disorder infantile colic or infantile colic is, in fact, a musculoskeletal disorder, and not, as normally assumed, visceral." (6)

Medicalization of infant colic may not be the best possible answer to the problem. In fact, one might ask whether insistence on medicalization, as the preferred treatment methodology for infant colic, might be preventing medical pediatric specialists from finding the real cause or cure.

Special training for doctors specializing in pediatric medicine has barely begun. In fact, every hemisphere shows evidence of the need for increased special training for doctors specializing in pediatric medicine.

There should be open doors for medical professionals everywhere, in every possible realm of special training for doctors specializing in pediatric medicine, whether or not they are of northern, southern, eastern and western hemisphere orientation.


2. Ibid.

3. Ibid.


5. Ibid.


6. Ibid.

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