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What Are the Symptoms of Colic in Babies? Signs and Causes

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What Are the Symptoms of Colic in Babies?

Colic is a common condition experienced by many babies, especially during the first few months of life. Parents often feel helpless when their little one cries for extended periods with no clear cause. In fact, a baby may be suffering from colic if they cry for more than three hours a day, at least three days a week, for more than three weeks. Recognizing the symptoms of colic in babies is crucial to understanding how to help them during these difficult episodes.

Colic usually begins in babies around two weeks of age and peaks between six weeks and three months. It often resolves by the time the baby reaches four to six months old. Although the exact cause of colic is still unclear, there are several symptoms and patterns that can help parents identify it early on.

Key Symptoms of Colic in Babies

  1. Persistent Crying
    Babies with colic typically cry loudly and persistently for long periods, often for hours at a time. The crying tends to start suddenly, usually during the late afternoon or evening, and it can be incredibly difficult to soothe the baby during these episodes. Despite the inconsolable crying, these babies are generally healthy and continue to grow well.
  2. Clenched Fists and Tight Belly
    Babies experiencing colic often clench their fists and have a tense or tight abdomen. This may be accompanied by grimacing or a “painful” facial expression. These physical signs are sometimes a response to discomfort or gas, which many colicky babies also experience.
  3. Legs Pulled to the Abdomen
    During a colic episode, babies may draw their legs up toward their belly. This action is commonly interpreted as a sign of abdominal discomfort, although the link between colic and digestive issues remains uncertain.
  4. Gassiness
    Many colicky babies seem gassy, passing gas more frequently than other babies. This is often due to swallowing air during prolonged crying. However, while gas is a common symptom, it is not considered a direct cause of colic.
  5. Flushed Face
    A baby suffering from colic may have a flushed or reddened face after crying for an extended period. This can make the crying seem more intense and worrying to parents.
  6. Disrupted Sleep
    Colic can significantly affect a baby’s sleep patterns. Babies may struggle to fall asleep or wake frequently during the night due to discomfort or prolonged crying episodes. Although they may eventually sleep, colicky babies tend to have more restless nights.

How Is Colic Diagnosed?

Doctors often diagnose colic based on the “rule of threes”—crying for more than three hours a day, more than three days a week, for more than three weeks. Pediatricians typically perform a thorough physical exam to ensure there are no underlying health issues, such as infections or digestive problems, that could be causing the excessive crying.

What Causes Colic?

While the exact cause of colic remains unknown, several factors may contribute to the condition. Some theories suggest that colic could be related to an underdeveloped digestive system, overstimulation, or even an early form of migraines in infants. Other potential causes include sensitivities to certain proteins in breast milk or formula, but these are less commonly confirmed.

How to Manage Colic Symptoms

Although colic usually resolves on its own, parents can take steps to help soothe their baby during an episode:

  • Burping the baby frequently during feeding to reduce gas buildup.
  • Holding the baby upright during and after feeding can also aid digestion.
  • Swaddling or rocking the baby gently may provide comfort and security.
  • Using a white noise machine or soft music to create a calming environment.
  • Trying warm baths or gentle tummy massages can offer relief for some babies.

Most importantly, parents should reach out for support when dealing with a colicky baby, as the constant crying can be overwhelming.

Conclusion

Recognizing the symptoms of colic in babies early on can help parents better manage the condition and provide comfort to their baby. While colic can be stressful, it is typically a temporary phase that resolves by the time the baby is a few months old. If you suspect your baby has colic, consult with a healthcare provider to rule out any underlying health conditions and receive guidance on managing the symptoms.


Sources

Intestinal colic in newborn babies: incidence and methods of proceeding applied by parents:

https://apcz.umk.pl/JEHS/article/view/4503

Infantile Colic in Infants Aged One-Six Months and the Practices of Mothers for Colic:

https://www.jpedres.org/articles/infantile-colic-in-infants-aged-one-six-months-and-the-practices-of-mothers-for-colic/doi/jpr.galenos.2019.72687

Infantile Colic:

https://www.aafp.org/pubs/afp/issues/2004/0815/p735.html

Colic in infants nih.gov:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2907620

Evidence of Lactobacillus reuteri to reduce colic in breastfed babies: Systematic review and meta-analysis:

https://www.sciencedirect.com/science/article/pii/S0965229921001229

A crying baby: not simply infant colic:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4544391

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