A Conversation About Gut Immaturity, Feeding, Fussiness, and Colic

This education is about:

• Definition of excessive crying in infancy (ie, infant colic)
• Short- and long-term consequences of infant colic
• Connections between gut immaturity, dysbiosis, and colic
• Clinical management of infant colic
• Support for caregivers of infants with colic

Why it matters: 
Infant colic is a relatively common, self-limited condition that is nonetheless distressing to caregivers, increasing the risk of postpartum depression, anxiety, and abusive head trauma. The management of colic focuses largely on providing counseling and support to caregivers, tasks that often fall to pediatric healthcare providers. Knowledge about colic diagnosis, management, and caregiver support is critically important for clinicians who provide care for infants.

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  Flavia Indrio, MD

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  Flavia Indrio, MD, is a professor of pediatrics at the at the University of Salento in Lecce, Italy. She received her medical degree from the University of Bari and completed postgraduate degrees in pediatric nephrology at the University of Bari and in neonatal ultrasound at the University of Chieti.

  Dr. Indrio is director of the pediatric gastroenterology and motility unit and a professor at the University of Bari School of Medicine. She serves as a member of the ESPGHAN Nutrition Committee, secretary of the organization’s working group on gut microbiota, and as a member of the International Pediatric Association’s working group on food safety. Dr. Indrio is president of the World Scientific Association of Probiotics, Prebiotics, Postbiotics in Pediatrics, an international nonprofit organization of scientific experts dedicated to enhancing understanding and collaboration among researchers and healthcare providers on evidence-based recommendations for the use of biotics in pediatrics.

  Dr. Indrio is a member of the Italian Society of Pediatrics, the Italian Society of Pediatric Gastroenterology, the Italian Society of Neonatology and the European Society of Pediatric Gastroenterology. She has published more than 100 peer reviewed papers and is a reviewer for several pediatric journals.

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  Flavia Indrio, MD

  Full Professor of Pediatrics
  University of Salento
  Lecce, Italy

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  Michael J. Wilsey, Jr., MD

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  Michael J. Wilsey, Jr, MD, is a clinical professor in the Department of Pediatrics at the University of South Florida Morsani College of Medicine in Tampa, Florida, associate professor of clinical pediatrics in the Department of Medicine at Johns Hopkins University School of Medicine in Baltimore, Maryland, and vice chair in the Division of Pediatric Gastroenterology at Johns Hopkins All Children’s Hospital in St. Petersburg, Florida. He earned his medical degree from the University of Miami School of Medicine and completed his pediatric residency at Baylor College of Medicine and Texas Children’s Hospital, followed by fellowship training in pediatric gastroenterology, hepatology, and nutrition at Baylor College of Medicine and Texas Children’s Hospital.

  Dr. Wilsey is an advanced therapeutic endoscopist specializing in endoscopic retrograde cholangiopancreatography (ERCP) for infants and children. He is recognized as one of a select group of gastroenterologists with this expertise both in the United States and internationally, and he has developed and implemented multiple clinical innovations related to therapeutic endoscopy in pediatric patients.

  Dr. Wilsey has published more than 90 peer-reviewed research articles, consensus statements, and book chapters. He is an associate editor of the Journal of Pediatric Gastroenterology and Nutrition and serves on the editorial boards of the International Journal of Pediatric Gastroenterology, Hepatology, Transplantation and Nutrition, and Frontiers in Pediatrics.

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  Michael J. Wilsey, Jr., MD

  Clinical Professor of Pediatrics
  University of South Florida Morsani College of Medicine
  Associate Professor of Clinical Pediatrics
  Johns Hopkins University School of Medicine
  Vice Chair, Division of Pediatric Gastroenterology
  Johns Hopkins All Children’s Hospital
  St. Petersburg, Florida