Gripe Water
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Gripe water is a non-prescription product sold in many countries around the world to relieve
colic Colic or cholic () is a form of pain that starts and stops abruptly. It occurs due to muscular contractions of a hollow tube (small and large intestine, gall bladder, ureter, etc.) in an attempt to relieve an obstruction by forcing content out. ...
and other gastrointestinal ailments and discomforts of infants. No evidence supports the efficacy of gripe water and one limited study in India questions whether the consumption of gripe water is related to vomiting in babies that already showed signs of colic. The original formula contained alcohol and sugar in addition to sodium bicarbonate and
dill oil Dill oil is an essential oil extracted from the seeds or leaves/stems ( dillweed) of the Dill plant. It can be used with water to create ''dill water''. Dill (Anethum graveolens) is an annual herb in the celery family Apiaceae. It is the sole spe ...
. Present-day products do not contain alcohol, and may contain
fennel Fennel (''Foeniculum vulgare'') is a flowering plant species in the carrot family. It is a hardy, perennial herb with yellow flowers and feathery leaves. It is indigenous to the shores of the Mediterranean but has become widely naturalized ...
, ginger,
chamomile Chamomile (American English) or camomile (British English; see spelling differences) ( or ) is the common name for several plants of the family Asteraceae. Two of the species, ''Matricaria recutita'' and ''Anthemis nobilis'', are commonly us ...
or
lemon balm Lemon balm (''Melissa officinalis'') is a perennial herbaceous plant in the mint family and native to south-central Europe, the Mediterranean Basin, Iran, and Central Asia, but now naturalised elsewhere. It grows to a maximum height of . The ...
in addition to or replacement for dill oil. Some gripe water products still contain sugar, while others may contain charcoal. Amounts given are one to several teaspoons (5 ml = one teaspoon) per day.


History

Gripe water was invented in 1851 by William Woodward, an English pharmacist who did his apprenticeship in Lincolnshire and later bought a business in Nottingham. Gripe water was adopted as a prescription by physicians. In the 1840s, babies in Eastern England had a condition known as " fen fever", and during that time there was also an outbreak of
malaria Malaria is a mosquito-borne infectious disease that affects humans and other animals. Malaria causes symptoms that typically include fever, tiredness, vomiting, and headaches. In severe cases, it can cause jaundice, seizures, coma, or death. S ...
in England. Woodward took his inspiration from the treatments for malaria and "fen fever". He noted that the formula used to treat fen fever was an effective "soother of fretful babies and provided relief from gastrointestinal troubles in infants." The original Woodward's Gripe Water contained 3.6% alcohol, dill oil, sodium bicarbonate, sugar, and water. Woodward registered "Gripe Water" as a
trademark A trademark (also written trade mark or trade-mark) is a type of intellectual property consisting of a recognizable sign, design, or expression that identifies products or services from a particular source and distinguishes them from othe ...
in 1876. It was initially marketed with the slogan "Granny told Mother and Mother told me." The modern era formula for Woodward's Gripe Water does not contain alcohol or sugar. Prior to alcohol's removal from the recipe, Woodward's maximum recommended dose of gripe water contained an alcohol content equivalent to five tots of whiskey for an 80kg adult. It was only in 1992 that Britain mandated that alcohol be removed from gripe water, and in 1993 the
United States Food and Drug Administration The United States Food and Drug Administration (FDA or US FDA) is a federal agency of the Department of Health and Human Services. The FDA is responsible for protecting and promoting public health through the control and supervision of food s ...
(FDA) ordered an automatic detention of all shipments of Woodward's Gripe Water into the U.S. on the basis of its being an unapproved drug. In response to the FDA's import alert, gripe water products are sold as dietary supplements.


Use

The formulation now varies according to brand and the country of manufacture. In most countries alcohol is no longer in the product. Sugar may or may not be in the product. Sodium bicarbonate,
dill Dill (''Anethum graveolens'') is an annual herb in the celery family Apiaceae. It is the only species in the genus ''Anethum''. Dill is grown widely in Eurasia, where its leaves and seeds are used as a herb or spice for flavouring food. Growth ...
seed oil,
fennel Fennel (''Foeniculum vulgare'') is a flowering plant species in the carrot family. It is a hardy, perennial herb with yellow flowers and feathery leaves. It is indigenous to the shores of the Mediterranean but has become widely naturalized ...
oil and sometimes ginger extract are the ingredients claimed to be effective. Evidence of gripe water's effectiveness has been limited to anecdotal accounts. Its commercial success has led to imitation brands of varying formulas. Gripe water is recommended by some pediatricians and alternative practitioners as a 'natural' option. It is available in the United States as an over-the-counter dietary supplement. A 2000 review in the ''
Journal of the Royal Society of Medicine The ''Journal of the Royal Society of Medicine'' is a peer-reviewed medical journal. It is the flagship journal of the Royal Society of Medicine with full editorial independence. Its continuous publication history dates back to 1809. Since July 20 ...
'' found that most of the ingredients in Woodward's gripe water are of little value in relieving infantile discomfort and that any benefit may be no more complicated than the baby receiving some sweet-tasting liquid. A 2012 review also came out against the use of these products. Yet, commercial attention has continued to grow as companies have produced product options claiming to provide various digestive benefits, like Wellements who introduced a
probiotic Probiotics are live microorganisms promoted with claims that they provide health benefits when consumed, generally by improving or restoring the gut microbiota. Probiotics are considered generally safe to consume, but may cause bacteria- host ...
gripe water in 2016. In a 2015 study of 350 infants conducted in
Puducherry Puducherry or Pondicherry may refer to: * Puducherry (union territory), a union territory of India ** Pondicherry, capital of the union territory of Puducherry ** Puducherry district, a district of the union territory of Puducherry ** Puducherry t ...
, India, two-thirds of mothers of infants ages 1 to 6 months admitted to administering gripe water to their children at least once a day. The mothers believed that gripe water helps in digestion and prevents stomach ache. However, infant colic, vomiting and constipation were significantly more common in gripe water administered infants compared to those who were exclusively breast fed. The study did not indicate the rate of constipation or vomiting prior to the use of gripe water to compare with during use. Constipation was reported for 19.5% of the infants who were given gripe water compared to 5.8% for those who were not.


References

{{DEFAULTSORT:Gripe Water Traditional medicine