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Colic

WHAT YOU SHOULD KNOW

A colicky infant cries for hours for no known reason. The cry is often a fussy screaming. Colic begins in infants about 2 to 4 weeks old and can last 5 months. It is more common in boys and first-born children.

Causes

The exact cause of colic is unknown. Tiredness, food allergy, overly warm milk, or overfeeding your baby may play a part. Stress in the home, loneliness, and pain may also have a role. Your colicky infant may simply want to be held or to go to sleep.

Signs/Symptoms

Your infant may cry once or twice a day for 1 to 2 hours. Between these crying spells, the baby may seem fine. Crying often starts in late afternoon or early evening and frequently stops when you hold the child. The crying does no harm.

Care

It is hard to treat colic since its cause is unknown. Holding, cuddling, and rocking your baby usually works best.

WHAT YOU SHOULD DO

  • Burp your infant after each ounce of formula. If you are breastfeeding, burp the baby every 5 minutes. Always hold the child while feeding, and allow at least 20 minutes for each session.
  • Do not give a feeding every time the baby cries. Wait at least 2 hours between feedings. Check to see if the baby is in a cramped position, is too hot or cold, has a soiled diaper or an open diaper pin, or needs to be cuddled.
  • When trying to comfort a crying infant, use soothing gentle motions. Use a rocking chair or cradle, put the baby in a wind-up swing, or carry the child in a front-pack. If the crying continues after more than 20 minutes of gentle motion, let the baby cry himself to sleep.
  • When your baby is having an attack of gas, hold him or her securely and gently massage the lower part of the stomach. You may also apply a heating pad set on low or a warm water bottle to the stomach. Be very careful not to burn the baby. Do not lay the infant on the heating pad.
  • Try not to let your baby sleep more than 3 hours at a time during the day.
  • The baby's constant crying can be very stressful. Try to be patient and stay calm. Ask someone to care for the infant so you can get out for an hour or two. Remember, you did not cause your infant's colic, so don't blame yourself.

Call Your Doctor If...

  • Your baby seems to be in pain or acts sick.
  • Your baby has been crying constantly for more than three hours.
  • Your baby develops a high temperature and is less than 3 months of age.

Seek Care Immediately If...

  • You are afraid that you will hurt the baby.



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