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Firstly, babies who cry excessively are often prescribed proton pump inhibitors, despite evidence that gastro\u2010oesophageal reflux disease is very rarely a cause. The inaccuracy of commonly used explanatory mechanisms, the side\u2010effects of acid\u2010suppressive medications, and the failure to identify treatable problems, including feeding difficulty when the diagnosis of \u2018reflux\u2019 is applied, are discussed. Secondly, crying breastfed babies are still prescribed lactase or lactose\u2010free formula, despite evidence that the problem of functional lactose overload is one of breastfeeding management. The mechanisms and management of functional lactose overload are discussed. These two problems of research translation need to be addressed because failure to identify and manage other causes of cry\u2010fuss problems, including feeding difficulty, may have adverse outcomes for a small but significant minority of families.<\/jats:p>","DOI":"10.1111\/jpc.12153","type":"journal-article","created":{"date-parts":[[2013,3,15]],"date-time":"2013-03-15T20:33:21Z","timestamp":1363379601000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Diagnosing gastro\u2010oesophageal reflux disease or lactose intolerance in babies who cry alot in the first few months overlooks feeding problems"],"prefix":"10.1111","volume":"49","author":[{"given":"Pamela Sylvia","family":"Douglas","sequence":"first","affiliation":[{"name":"The Possums Clinic for Mothers and Babies The Discipline of General Practice The University of Queensland  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,3,15]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2006.1.146"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2010.191312"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.2009.01572.x"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(04)17191-2"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.2009.01317.x"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.d7772"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0b013e31812e0149"},{"key":"e_1_2_7_9_1","doi-asserted-by":"crossref","first-page":"498","DOI":"10.1097\/MPG.0b013e3181b7f563","article-title":"Pediatric gastroesophageal reflux clinical practice guidelines: joint recommendations of the North American Society of Pediatric Gastroenterology, Hepatology, and Nutrition and the European Society of Pediatric Gastroenterology, Hepatology, and Nutrition","volume":"49","author":"Vandenplas Y","year":"2009","journal-title":"J. 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