Choro excessivo na infância: já sabemos qual o manejo ideal?

Abstract

Excessive crying in childhood is one of the most common complaints in consultations at pediatric clinics and emergency rooms, affecting around 20% of infants, and although it resolves spontaneously around 4 months of age, it is reported to cause intense distress to children parents and caregivers, which may result in maternal depression and cessation of breastfeeding. The pathology reported by this study, despite being prevalent and widely studied, does not have a defined etiology. This study proposes to execute a bibliographic review on excessive crying in childhood, through the selection of the most recent and relevant articles on this theme, summarizing the hypotheses about its etiology and highlighting the treatment options used as well as if its effectiveness is supported by the literature existing or not. This work did not find scientific evidence to recommend specific drug therapies. The use of probiotics, although promising, still lacks evidence to support their use in general in all babies with excessive crying in infancy. The first line of treatment remains appropriate support and advice for parents and caregivers.