Colic

Colic is when a baby cries a lot and is hard to soothe, often for no obvious reason. This crying usually happens in the late afternoon or evening and can last for several hours.

Colic typically starts when a baby is a few weeks old and often resolves by the time they are 3 to 4 months old. While the exact cause of colic is unknown, it can be very stressful for both the baby and the mama. Learn more about colic.

What to watch out for

Colic can be challenging, but there are some signs and tips that can help you identify and manage it.

Signs of colic

Your baby might have colic if they cry intensely and inconsolably for more than 3 hours a day, more than 3 days a week, for at least 3 weeks. The crying is often louder, higher-pitched, and more intense than regular crying. Your baby may also clench their fists, arch their back, tighten their belly, and have a red face while crying.

Feeding issues

Sometimes, colic can be related to feeding issues, such as overfeeding, oversupply, or overactive letdowns. Work with a lactation consultant if you’re concerned that baby is struggling to handle milk.

Signs that baby may struggling with an oversupply of milk:

unlatching, choking, screaming during a letdown
green, frothy, explosive poops
finishes a full feed in 5 minutes, does not nurse for comfort

Other causes

Some babies struggle with belly discomfort related to gut dysbiosis or not having enough good bacteria in their gastrointestinal system. Consider speaking with your pediatrician about starting a probiotic containing the strain L. reuteri which has been shown to reduce crying time in breastfed babies.

How to soothe a colicky baby during a crying episode

Here are some tips to help soothe a baby with colic:

Hold your baby: Holding your baby close, either in your arms or in a baby carrier, can provide comfort. Skin-to-skin contact or baby-wearing can be especially soothing. Consider using the colic hold to relieve baby’s belly discomfort.
Movement: Walking with a soft bounce or patting their bum can help calm your baby. Try different variations such as gentle rocking, swaying, or using a baby swing.
White noise: Sounds like a vacuum cleaner, hairdryer, or white noise/brown noise machine can be calming for some babies.
Warm bath: A warm bath can help relax your baby and provide some relief from colic symptoms.
Check for other issues: Make sure your baby isn’t hungry, has a clean diaper, and isn’t too hot or cold.

If your baby's crying persists and you are concerned, consult your healthcare provider to rule out any other potential issues.

Physical limitations or health circumstances

Certain conditions might make colic more pronounced or harder to manage.

Digestive issues

Babies with digestive issues like reflux or food sensitivities may experience more colic symptoms. Discuss any concerns with your healthcare provider, who may suggest dietary changes or medications to help. Learn more about managing colic.

Allergies or intolerances

Some babies might be sensitive to certain foods in mama’s diet if breastfeeding, or to certain formulas if bottle-feeding. Eliminating potential allergens from your diet or switching formulas can sometimes reduce colic symptoms.

Other terms

Understanding related terms can help you better manage colic and identify potential solutions.

Gas: Excess gas can cause discomfort and contribute to fussiness. Burp baby after feedings and ensure you have a deep latch at the breast if breastfeeding to prevent excessive air intake.
Lactose overload: Some babies might be sensitive to drinking large volumes of milk too fast, leading to digestive issues and colic. This is different than lactose intolerance.
Elimination diet: For breastfeeding mamas, eliminating certain foods from your diet if you notice lots of mucus and blood in baby’s poops can help relieve their discomfort.
Pediatrician: A healthcare provider specializing in the care of babies and children who can help diagnose and manage colic.

colic