All babies cry, but sometimes a
baby will cry for hours at a time, no matter what you do. This extreme type of
crying in a baby between 3 weeks and 3 months of age is called colic. Although
it is upsetting for parents and caregivers, colic is normal for some babies.
Doctors usually diagnose colic when a healthy baby cries harder
than expected in a "3" pattern: more than 3 hours a day more than 3 days a week
for at least 3 weeks in a row. Colic is usually worst when babies are around 6
to 8 weeks of age and goes away on its own between 8 and 14 weeks of
It is common to feel scared, upset, or frustrated when you
cannot get your baby to stop crying. But remember that colic is normal—and
temporary. Your baby will grow out of it.
Doctors are not sure what
causes colic, but it may be the result of a baby's sensitive
temperament and an immature nervous system. These
things may make a baby cry easily and have trouble stopping. As babies grow and
develop, they are better able to control their crying.
not related to health conditions, such as digestion problems. But having gas in
the belly can make crying worse.
Colic is not caused by pain or
illness. If you think your baby is crying because he or she is hurt or sick,
call your doctor.
Colic is not your fault or your baby's fault.
It doesn't mean that you are a bad parent or that anything is wrong with your
Most babies will cry less
when they are held, fed, and given attention. These things may not work for
babies who have colic. When they are crying, they may clench their fists and
stiffen their stomach and legs. Some babies arch their back, while others pull
up their legs to their stomach.
Vomiting, diarrhea, fever, or
mucus in the stool is not a
symptom of colic. If your baby has any of these symptoms, he or she needs to be
checked by a doctor.
If you are worried about
your baby's crying, see your doctor or talk about it at your baby's next
routine checkup. To make sure that crying is colic, your doctor may do a
physical exam and ask you about your baby's past health, what comforting
techniques you have tried, and whether you have noticed any other symptoms. You
may also be asked about how the crying affects you and to show how you burp
your baby. Your doctor may suggest that you keep track of when and how often
your baby cries.
If your baby has any symptoms that worry you,
such as vomiting or a fever, your doctor may do lab tests or X-rays to find out
what is causing them.
It may help to see if
there is a pattern to your baby's crying. Many babies cry most in the late
afternoon and evening hours. If you notice that your baby cries at certain
times of day, you can try holding your baby more before those times. But during
expected fussy times, limit visitors, keep noise and lights low, and touch your
baby only if needed.
After crying starts, try rocking your baby in
a quiet room, or take him or her out for a walk in a front-pack carrier or
stroller. Some babies are soothed by riding in a car or listening to a droning
sound, like a fan or a clothes dryer.
Do what you can to comfort
your baby, but accept that sometimes nothing works. If you feel stressed or
worn out, ask a friend or family member to give you a break. Take good care of
yourself, and remember that colic will go away soon.
Learning about colic:
Seeing a doctor:
Helping your baby:
Because infants cry more in their first 3 months than at
any other time in their lives, it is often difficult to tell the difference
expected crying behavior. Both types of crying
gradually increase, peaking at about 6 to 8 weeks of age. Most crying episodes
occur in the late afternoon and evening hours, although the timing may vary.
The length and intensity of crying episodes also may change from one day to the
The difference between colic and normal crying behavior is
related to the frequency, duration, and intensity of crying. Babies with colic
typically follow a "3" pattern: they cry for more than 3 hours a day more than
3 days a week for at least 3 consecutive weeks. A colicky baby cries very
loudly, sometimes piercingly, and often continuously. During a colic episode,
babies may clench their fists and stiffen their stomach and legs when crying
hardest. Some babies arch their backs, and others pull up their legs to their
Most babies with typical crying behavior are soothed and
will cry less when they are held, fed, and given attention. But babies with
colic are not easily soothed after they start crying. And their episodes
typically last longer than expected.
Colic is usually worst when
babies are around 6 to 8 weeks of age and goes away on its own between 8 and 14
weeks of age.
definition, colic is not caused by pain or discomfort. Most likely, your baby's
crying is normal. But health problems or injuries can cause a baby to cry or
make a colicky baby's crying worse.
Learn ways to tell the difference between
normal colic and
signs of a medical problem. For example, a baby may cry more when he or she
digestion problem such as
milk protein intolerance or
milk sugar intolerance. Some mothers also say they notice their baby's crying
gets worse after they have had
certain foods or drinks and then
breast-feed. Some foods may affect breast milk, such
as garlic, broccoli, fresh fruits, and caffeine. They may contribute to
intestinal gas or other digestive problems in the baby.
You may prevent some crying episodes
developing a strong emotional bond with your baby,
which helps both of you to feel more secure and calm. After your baby has
started to cry, use comforting and soothing techniques to try to shorten the
episode or decrease its intensity. Certain preventive measures may also help.
Colic gradually goes away on its own, regardless of what you do.
diary to chart your baby's daily activities, including
when he or she cries. The record may help you to notice patterns in your baby's
crying and increase your ability to predict when colic episodes are likely to
occur. You may be able to help prevent or decrease crying episodes during those
Colic is not caused by health problems. But
when your baby doesn't feel good, crying episodes may get worse. You can help
minimize colicky behavior by taking preventive measures to reduce your baby's
risk of illness.
After a colic episode begins, comforting
measures may help.
If you find that you are losing patience or are
afraid that you may hurt your baby, act immediately.
Call your doctor if you frequently feel overwhelmed or
are unable to get adequate support.
Do not use
unproven or dangerous treatments for colic. Get
advice from your doctor before using alternative therapies, which may have
Also, be careful about acting impulsively or
using desperate measures to treat colic. For example, do not:
Some doctors prescribe probiotics, which are bacteria that help maintain the natural balance of organisms (microflora) in the intestines. Studies are being done to find out how helpful probiotics are for babies who have colic.
It is important to
take care of yourself and remember that colic is not caused by poor
parenting. Colic is temporary, and it will not affect a baby's general health
or future development.
If nothing seems to console your baby,
keep trying comforting techniques, but realize that sometimes nothing works. If
you are not successful and you become exhausted by these efforts, ask for
someone else to take over for you.
Call 911 or other emergency services immediately if:
Call your doctor immediately if your
Call your doctor and schedule an appointment if:
Also, think about your own health and well-being. Call your
doctor if you:
The following health professionals can examine your baby and diagnose colic
or other conditions that may be related to excessive crying. They can also help
you handle the common frustrations of having a colicky baby.
You can ask your doctor about your
concerns regarding your baby's crying during regularly scheduled
well-baby visits. But don't hesitate to call and
discuss your concerns at any time. This is especially true if
comfort measures keep failing or if you notice other
symptoms along with the excessive crying.
At the checkup, your
doctor will want to find out whether your baby has
colic or whether crying is possibly related to an
illness, an injury, or a medical condition. To find
out, your doctor:
If the baby cries excessively and has other worrisome
symptoms (such as vomiting, diarrhea, blood or mucus in the stool, or fever),
lab tests or
X-rays may be done to help the doctor find out whether
a condition other than colic is present.
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CitationsLucassen P (2010). Colic in infants, search date September 2009. Online version of BMJ Clinical Evidence. Also available online: http://www.clinicalevidence.com.Other Works ConsultedBrazelton TB (2006). Crying and colic. In Touchpoints, Birth to Three: Your Child's Emotional and Behavioral Development, 2nd ed., pp. 231–237. Cambridge, MA: Da Capo Press.Goldson E, Reynolds A (2011). Colic section of Child development and behavior. In WW Hay Jr et al., eds., Current Diagnosis and Treatment: Pediatrics, 20th ed., pp. 85–86. New York: McGraw-Hill.Perry R, et al. (2011). Nutritional supplements and other complementary medicines for infantile colic: A systematic review. Pediatrics, 127(4): 720–733.Thomas DW, et al. (2010). American Academy of Pediatrics Clinical Report: Probiotics and prebiotics in pediatrics. Pediatrics, 126(6): 1217–1231.
May 10, 2011
John Pope, MD - Pediatrics & Thomas Emmett Francoeur, MD, MDCM, CSPQ, FRCPC - Pediatrics
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