Understanding Infant Colic

A Comprehensive Guide for Parents

Pediatrics

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Last updated: Mar 24, 2025

What is Colic?

Colic is a common condition in infants characterized by excessive, prolonged crying in an otherwise healthy baby. It typically begins around 2-3 weeks of age and can last until about 3-4 months.

Key Characteristics

  • Crying for more than 3 hours per day
  • Episodes occurring at least 3 days per week
  • Condition lasting for at least 3 weeks
  • Typically occurs at predictable times, often in the evening

Signs and Symptoms

  • Intense crying that seems like pain
  • Redness in the face during episodes
  • Clenched fists
  • Legs pulled up to the abdomen
  • Difficulty being consoled
  • Passing gas and having a hard abdomen

Causes

The exact cause remains unknown, but potential factors include:

  • Digestive system development
  • Overstimulation
  • Developing nervous system
  • Food allergies or sensitivities

Management Strategies

Feeding Techniques

  • Feed in an upright position
  • Ensure proper burping
  • Consider smaller, more frequent feeds

Soothing Methods

  1. Gentle rocking or swaying
  2. White noise or soft music
  3. Warm bath
  4. Infant massage
  5. Swaddling

Environmental Adjustments

  • Reduce stimulation
  • Maintain consistent routine
  • Create calm environment

When to See a Doctor

Seek medical attention if:

  • Fever develops
  • Crying is extremely high-pitched
  • Baby isn't feeding normally
  • You notice significant changes in behavior

Support for Parents

  • Take breaks when needed
  • Share caring duties
  • Join support groups
  • Discuss concerns with healthcare provider

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