Colic is excessive crying in a baby with no obvious cause. During these episodes, it is very hard to console the baby. This intense crying occurs regularly over at least a few weeks. It is more common at night.
Colic can start as early as 2 weeks of age. It is the worst at 6 weeks. Colic often disappears by age 5 months.
The exact cause of colic is not known.
Colic-like crying can be caused by certain common problems, including hair or thread becoming tightly wound around an infant's toe or finger. Your doctor will look for
Colic is most common in babies 2 weeks to 4 months old. Other factors that increase your baby's chance for colic include: Mother smoking during pregnancy or after birthSensitive temperament
These symptoms may be caused by colic or other discomforts. Some may not require medical care. Talk to your doctor if your baby is having symptoms such as: Loud crying that may last for several hoursInability to be consoledTurning red from cryingPulling arms and legs toward body and then stretching limbs outPassing gas or burping due to swallowing air while crying
You will be asked about your baby's medical history and symptoms. A physical exam will be done. Your baby's weight or weight change will also be checked. Let the doctor know how your baby acts during colic, how long colic lasts, and when it occurs.
The doctor will consider other conditions that may cause inconsolable crying, such as:
Allergic reactions or hypersensitivity to certain formulas, lactose intolerance, or gasFeeding problemsProblems with sleep cycles or processing things in the environmentConstipationIllness such as an ear infectionGastroesophageal reflux disease
HerniaBlockage of the intestinal tract
To help determine if your baby has colic or another condition, your doctor may ask: Is your baby eating well?Is your baby producing 5 to 8 very wet diapers each day?Is your baby producing stool normally?Is your baby having colic-free periods?Does your baby have a fever?
A treatment plan will be chosen based on your baby's condition. Unfortunately, there is no specific treatment that cures colic. There are steps you can take to help reduce the discomfort your baby feels.
Make changes during feeding time: If breastfed, consider making changes to the mother's diet. This may include avoiding cow's milk, eggs, peanuts, tree nuts, wheat, soy, and fish.If bottle-fed, consider using a whey hydrolysate formula. Make sure to warm the formula before giving it to your baby.Bottle feedings may need to be slowed down. Try using a nipple with a smaller hole.Burp your baby well after feeding.Feed your baby in a more upright position. This position will keep gas in your baby's stomach. Gas in the stomach is more easily burped up.
Talk to the doctor about alternative treatments. Certain supplements that may be helpful include: Fennel
Herbal combination of
licorice, and balm mint
Friendly bacteria known as
probiotics—talk to your doctor about which probiotic may be right for your child
To keep your baby safe, check with the doctor before using any herbs or supplements.
Other strategies that may help include: Take your baby for a walk or for a ride in the car. Try a baby safe swing.Position your baby on the tummy, across your lap. Gently rub your baby's back.Consider learning baby massage.Swaddle your baby in a soft blanket.Rock your baby in a rocking chair or in your arms. Hold your baby close and bounce or walk gently.Bathe your baby in warm water.Let your baby use a pacifier.Make sure your baby isn't too warm or cold.Try skin-to-skin contact.
It is upsetting to see your baby crying and not being able to help. The high-pitched crying of a colicky baby is also difficult for anyone to listen to. Try to keep in mind that most babies with colic are healthy. Most will outgrow colic by 3-4 months of age. Know that it is not your fault that the baby does not stop crying. To help you get through this period consider: Taking some time to distract yourself from the intensity of the crying. Place your baby in a safe crib and go to a nearby room to watch television or listen to music.Taking a break. Ask your family members, friends, or a sitter to help care for your baby.
If you ever feel angry or violent towards the baby, put your baby in a safe place and step out of the room. Call someone for help right away, like your doctor. There are many services available to help you deal with your emotions. The doctor can refer you to these services.
Probiotics may help to prevent colic in some infants. Talk to the doctor about whether this is an option for your baby.
Colic. Family Doctor—American Academy of Family Physicians website. Available at:
http://familydoctor.org/familydoctor/en/diseases-conditions/colic.html. Updated July 2013. Accessed March 9, 2016.
Colic. Healthy Children—American Academy of Pediatrics website. Available at:
http://www.healthychildren.org/English/ages-stages/baby/crying-colic/Pages/Colic.aspx. Updated November 21, 2015. Accessed March 9, 2016.
Infantile colic. EBSCO DynaMed website. Available at:
http://www.ebscohost.com/dynamed. Updated October 14, 2015. Accessed March 9, 2016.
5/14/2010 DynaMed's Systematic Literature Surveillance
http://www.ebscohost.com/dynamed: Aviner S, Berkovitch M, et al. Use of a homeopathic preparation for "infantile colic" and an apparent life-threatening event.
8/23/2010 DynaMed's Systematic Literature Surveillance
http://www.ebscohost.com/dynamed: Savino F, Cordisco L, et al. Lactobacillus reuteri DSM 17 938 in infantile colic: a randomized, double-blind, placebo-controlled trial.
4/7/2014 DynaMed's Systematic Literature Surveillance
http://www.ebscohost.com/dynamed: Indrio F, Di Mauro A, et al. Prophylactic use of a probiotic in the prevention of colic, regurgitation, and functional constipation: A randomized clinical trial. JAMA Pediatr. 2014;168(3):228-233.
Last reviewed March 2016 by Kari Kassir, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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