
Colic, Reflux & Infant Allergies - Level 4
OCN-accredited, Cochrane-informed Level 4 training in colic, reflux, lactose intolerance and CMPA. Taught by Shel Banks, the leading UK expert in the field.
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What you’ll work through
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Course introduction
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Module 01 - Understanding the infant gut
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Module 02 - Colic, reflux and regurgitation
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Module 03 - Lactose intolerance and cows' milk allergy
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Module 04 - Medications and specialist infant formula
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Module 05 - Supporting families and managing symptoms
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Podcast Version: Listen to the Whole Course
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Assessment: Earn Your OCN Level 4 Accreditation
Pick up where you left off
Your next lesson is marked Up next in the course list below, and everything you have already finished carries a green tick.
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- Listen instead The whole course as audio
- Submit your work Send us your assignment
- Assignment brief Your essay questions
- Support sheet How to structure it
- Student group Ask the cohort
- Get help Admin query? Course question? Find the right door
Your certificate and your accreditation
There are two separate awards on this course, earned in different ways.
- Your certificate of completion Pass all twelve quizzes, whether you read the lessons or listen to the podcast. That finishes the course and your certificate of completion follows. Please also complete the evaluation at the end of your course list. It takes two minutes and shapes what we build next.
- Your OCN Level 4 accreditation Answer the essay-based questions in your assignment and submit them as a Word document. You have seven weeks. Tutors mark your work within 21 working days. Your OCN accreditation is usually issued around four to six weeks after successful marking and verification.
What’s in the course
Course introduction
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1 Welcome to the course
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Your starting point: how the course works, your tutor, assessment guidance and where to get support.
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2 Course outline
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Your map for the course: what you will be able to do by the end, and what each module covers.
Module 01 - Understanding the infant gut
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3 Module 01: Understanding the infant gut
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Start here. What this module covers, what you will be able to do by the end, and your companion document.
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4 01.1: Human evolution and baby survival
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Why human babies are born so early and so dependent, and why that shapes everything about how they need to be fed.
- 5 Quiz 1: Human evolution and baby survival Knowledge check
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6 01.2: Babies and milk
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How milk making actually begins, why it is delayed, and why that delay is not a problem.
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7 01.3: The magic of milk
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Why every mother's milk is unique, and how her body samples the world to protect her baby.
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8 01.4: Milk and the microbiome
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How the gut is colonised in the first months, why it is set by age three, and why prebiotics in formula are not the same thing.
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9 01.5: How babies benefit from breast milk
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Why a baby's body is built differently from an adult's, and why the newborn gut is deliberately leaky.
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10 01.6: Feedback loops between mother's and baby's bodies
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How a mother's body samples her baby's world and answers it in her milk, within days.
- 11 Quiz 2: Babies and milk Knowledge check
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12 01.7: The infant immune system
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The baby's own defences: mucus, stomach acid, fast gut transit and fever, and why suppressing a symptom without finding its cause is unwise.
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13 01.8: Epigenetics, the microbiome and infant feeding
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Why family history matters, how gene expression is inherited and can revert, and what to tell a bottle feeding parent about protein levels.
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14 01.9: Additional resources about the gut, the microbiome and infant feeding
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Where this module comes from, and where to go next on the gut, the microbiome and infant feeding.
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15 01.10: Envoi: a thought on the role of the carer
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Your own attitude to breastfeeding is part of the care you give. A short closing thought before the quiz.
- 16 Quiz 3: The infant immune system Knowledge check
Module 02 - Colic, reflux and regurgitation
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17 Module 02: Colic, reflux and regurgitation
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Start here. What this module covers on colic, reflux and regurgitation, what you will be able to do by the end, and your companion document.
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18 02.1: How to support parents with a crying baby
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How colic has been defined from the rule of three to Rome IV, why it is a symptom rather than a diagnosis, and how to support exhausted carers.
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19 02.2: Causes of gut-related excessive crying
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Trapped gas as the most common culprit: how air gets into the gut through crying, feeding and poor teat fit, and how to help it out.
- 20 Quiz 1: Infantile colic Knowledge check
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21 02.3: Reflux and regurgitation
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Why almost every baby refluxes, how being laid down for long periods makes it more likely, and when it actually matters.
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22 02.4: GOR with regurgitation
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Posseting that is noticed but harmless, the red flag signs that point to reflux disease, and why reassurance often beats a prescription.
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23 02.5: Silent reflux
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Reflux without the posseting: what distress can look like when milk is swallowed back, and the stepped care NICE recommends for each feeding method.
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24 02.6: Reflux as a symptom of feeding issues
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When poor attachment, swallowed air or lactose overload sit behind the symptoms, and why projectile vomiting should always raise the question of pyloric stenosis.
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25 02.7: Other causes of GOR and GORD
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Tongue tie claims examined, the two-way loop between reflux and lactose intolerance, and the quarter of severe cases triggered by cows' milk protein.
- 26 Quiz 2: Reflux and regurgitation Knowledge check
Module 03 - Lactose intolerance and cows' milk allergy
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27 Module 03: Lactose intolerance and cows' milk allergy
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Start here. What this module covers on lactose intolerance and cows' milk allergy, what you will be able to do by the end, and your companion document.
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28 03.1: Lactose and lactase in the maturing gut
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Why lactase production naturally declines after weaning, why only some populations retain it, and why primary lactose intolerance is never the explanation in a young infant.
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29 03.2: Lactose, lactase and lactose intolerance
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How the villi produce lactase to split lactose into glucose and galactose, what flattens them and causes secondary intolerance, and why congenital galactosaemia is vanishingly rare.
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30 03.3: Lactase insufficiency (just not enough enzyme for the moment)
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Recognising the transient form most babies meet, its frothy explosive stools and acid nappy rash, the dehydration signs to watch, and why vomiting points elsewhere.
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31 03.4: The breastfed lactose intolerant baby
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Lactose overload rather than intolerance is usually the issue at the breast, why maternal diet cannot alter milk lactose, and why feeding should continue, not stop.
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32 03.5: The formula fed lactose intolerant baby
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Checking feed preparation, water and volume first, confirming the diagnosis by improvement within two to three days, and why low-lactose formula should not become permanent.
- 33 Quiz 1: Lactose and lactase in the maturing gut Knowledge check
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34 03.6: Cows' milk protein allergy (CMPA)
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What allergy actually means, how IgE, non-IgE and non-immune reactions differ, why early formula exposure and family history raise risk, and why single food elimination matters.
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35 03.7: What are the symptoms of cows' milk allergy?
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Telling IgE from non-IgE symptoms, recognising Minchin's picture of the crying, miserable baby, and taking an allergy-focused history when non-IgE allergy has no validated test.
- 36 Quiz 2: Cows' milk protein allergy Knowledge check
Module 04 - Medications and specialist infant formula
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37 Module 04: Medications and specialist infant formula
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Start here. What this module covers on medications and specialist infant formula, what you will be able to do by the end, and your companion document.
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38 04.1: Medications and other products for colic
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What Infacol, Colief, gripe water, comfort formulas and infant probiotics actually do, and why each only addresses one possible cause of colicky symptoms.
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39 04.2: Dietary modifications for colic
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What the Cochrane review on dietary change for colic really found, and why finding the cause matters more than reaching for a hydrolysed or soy formula.
- 40 Quiz 1: Medications and other products for colic Knowledge check
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41 04.3: Medications and other products for reflux
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The NICE stepped-care approach for reflux, why a feeding assessment comes first, and what acid-suppressing drugs and alginates do to a baby's gut.
- 42 Quiz 2: Medications and other products for reflux Knowledge check
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43 04.4: Management of babies with CMPA, lactose intolerance and other allergies
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How CMPA and lactose intolerance are managed in practice, from extensively hydrolysed and amino acid formulas to the milk ladder, and why soy is not recommended.
- 44 Quiz 3: Management of babies with CMPA, lactose intolerance and other allergies Knowledge check
Module 05 - Supporting families and managing symptoms
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45 Module 05: Supporting families and managing symptoms
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Start here. What this module covers on supporting families with crying, refluxy and colicky babies, what you will be able to do, and your companion document.
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46 05.1: Supporting families with crying babies
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What it really feels like to care for a refluxy baby, and why listening to parents and believing them comes before offering any solution.
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47 05.2: Supporting families with babies exhibiting reflux symptoms
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Reviewing feeding when a baby refluxes: protecting the dyad, smaller responsive feeds, upright winding and holding, and why breastfeeding should never be stopped to manage symptoms.
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48 05.3: Supporting families with babies exhibiting colicky symptoms
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Finding the root cause behind colicky crying, from swallowed air and feeding technique to gut flora, plus safe winding positions and why cot wedges are unsafe.
- 49 Quiz 1: Supporting families with crying babies Knowledge check
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50 05.4: Items parents can buy
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A clear-eyed look at what parents are sold for colic and reflux, from anti-colic bottles, gripe water and rectal gas devices to slings that genuinely help.
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51 05.5: Making informed choices about managing symptoms
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Using the BRAIN mnemonic, symptom checklists and Minchin's allergy questionnaire to help families weigh benefits, risks and alternatives before deciding how to manage symptoms.
- 52 Quiz 2: Items parents can buy Knowledge check
Podcast Version: Listen to the Whole Course
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53 Start here: the podcast version
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The whole course as audio, one episode per module, with your companion documents and quizzes alongside.
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54 Episode 01: Understanding the infant gut
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Module 01 as audio: how a baby's gut is built to work, what milk does, the microbiome and the infant immune system.
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55 Episode 02: Colic, reflux and regurgitation
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Module 02 as audio: what colic and reflux actually mean, GOR against GORD, silent reflux and what sits behind the symptoms.
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56 Episode 03: Lactose intolerance and cows' milk allergy
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Module 03 as audio: telling lactose intolerance from cows' milk protein allergy, and recognising each in an infant.
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57 Episode 04: Medications and specialist infant formula
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Module 04 as audio: what the products and medications actually do, and when medical management is the right answer.
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58 Episode 05: Supporting families and managing symptoms
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Module 05 as audio: what you actually say and change in a family's front room, and how to help them decide.
Assessment: Earn Your OCN Level 4 Accreditation
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59 06.1: Your Level 4 assignment
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Your OCN Level 4 written assignment: download the assignment and supporting workbooks, answer every question from credible sources, and submit as a Word document.
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60 06.2: Feedback and evaluation
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Complete the end of course feedback and evaluation form, telling us what worked, what we could do better, and which course interests you next.
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