What is Colic in Babies?

Colic can feel overwhelming for new parents. There may be hours of inconsolable crying with little relief in sight. In this article, you’ll learn everything about colic, from symptoms and possible causes to diagnosing and soothing strategies for your fussy baby.

If your baby seems to cry more than a few hours a day and you’re wondering about next steps, Pediatric Associates of Austin is here to help. Contact our friendly providers in Austin, Texas, for support and guidance through this challenging phase.

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Symptoms & Conditions We Treat

Understanding Colic

Colic refers to sudden, intense crying episodes in otherwise healthy infants, typically beginning in newborns around the first few weeks of life. It’s an early form of discomfort often tied to the immature digestive system. While all babies cry, colic episodes usually start at about the same time each day and can last more than three hours, three days a week, and for more than three weeks.

A colic baby in Texas.

Symptoms of Colic

Recognizing colic symptoms is the first step in managing them. Common signs include:

  • Inconsolable crying that might sound like screaming
  • Days when your crying baby seems to cry for hours with no obvious cause
  • A red face or clenched fists during episodes
  • Your baby is pulling their knees toward their abdomen, suggesting abdominal pain or gas
  • Spells typically happen at the same time daily and last several hours

Possible Causes of Colic in Babies

Providers haven’t pinned down a single cause of colic, but the following contributing factors are often involved:

  • An immature digestive system may lead infants to swallow air, creating gas and abdominal pain
  • Sensitivity to certain proteins in breast milk or dairy products
  • Feeding practices that promote gas, such as gulping air during bottle feeding or an uneven latch
  • Emotional stress at home, amplified by postpartum depression in a parent

How is Colic Diagnosed?

Your baby’s provider will begin by ruling out other conditions like infections, stomach issues, or allergies through a gentle physical exam and conversation about the bowel movement, feeding habits, and crying patterns.

To diagnose colic, providers typically look for the “rule of threes”: fussiness or crying for more than three hours per day, for more than three days, over more than three weeks, in an otherwise healthy infant. Additional evaluation may be recommended if symptoms like bright red blood are present in their stools or their growth falters.

Can Colic Be Prevented or Avoided?

Unfortunately, there’s no surefire way to prevent colic. However, these strategies may reduce its severity:

  • Try giving your baby smaller meals more frequently
  • Breastfeeding moms may tweak their diet by reducing dairy or other potential triggers
  • Burp your baby often, mid- and post-feeding, to relieve gas
  • Avoid overfeeding and give your baby time to digest before resuming feeding
  • Maintain a calming environment, such as using dim lights, low noise, and soothing routines
 

Though colic isn’t fully preventable, these techniques often help most babies cope better.

How to Soothe a Baby with Colic

When your colicky baby is crying inconsolably, try these comforting methods:

  1. Hold your baby upright while feeding
  2. Gently rock in a rocking chair or use an infant swing
  3. Envelop your baby with swaddling
  4. Apply a warm towel to the tummy to ease abdominal pain
  5. Play soft music or replicate household background sound to mask disturbances
  6. Use simethicone drops to address gas (discuss with your provider first)
  7. Take a walk outside or drive to offer new sensory stimulation
 

It can be tempting to reach for medications, but non-pharmaceutical options are the best first step. And if relying on formula milk, consider speaking with our providers about switching to a gentler option if baby formula intolerance is suspected.

When Should I Call My Baby’s Healthcare Provider?

Contact your baby’s provider if you notice:

  • Bloody stools or prolonged diarrhea
  • Insufficient weight gain or failure to gain weight
  • Fever, vomiting, or refusal to feed
  • Crying that seems to indicate severe pain beyond typical colic
  • Signs of postpartum depression in yourself, such as helplessness or feeling overwhelmed
 

Always err on the side of caution; your baby’s health is paramount.

Caring for Parents and Babies Together

Colic can be draining, and it affects both the baby and the parent. If you feel overwhelmed or frustrated, know that you’re not alone. Our team is here to offer practical support to new parents and prioritize a baby’s health as a whole.

Intense frustration from unrelenting crying has caused some parents to shake their baby. Shaken baby syndrome (SBS) can cause serious damage to your baby’s health. Seeking proper ways to soothe your child can help prevent frustrations and direct proper care of your little one.

Discover relief for your colicky infants. Our providers at Pediatric Associates of Austin are ready to help you and your child. Whether you suspect colic or need guidance on feeding practices and coping strategies, reach out to our office in Austin, TX, for personalized care.

Medically reviewed by Emily Woodard, MSN, APRN, CPNP