Fussing and crying are normal for infants, and a fussy baby doesn't necessarily have colic. In an otherwise healthy, well-fed baby, signs of colic include:
- Predictable crying episodes. A baby who has colic often cries about the same time every day, usually in the late afternoon or evening. Colic episodes may last from a few minutes to three hours or more on any given day. Your baby may have a bowel movement or pass gas near the end of the colic episode.
- Intense or inconsolable crying. Colic crying is intense, sounds distressed and is often high pitched. Your baby's face may flush, and he or she is extremely difficult — if not impossible — to comfort.
- Crying that occurs for no apparent reason. It's normal for babies to cry sometimes. But, crying usually means your baby needs something, such as food or a clean diaper. Crying associated with colic occurs with no clear cause.
- Posture changes. Curled up legs, clenched fists and tensed abdominal muscles are common during colic episodes.
Colic is common. It usually starts a few weeks after birth and often improves by age 3 months. By ages 4 to 5 months, the majority of babies with colic have improved.
When to see a doctor
Seek immediate medical attention if your baby's crying could be the result of a fall, injury or illness.
Contact your baby's doctor if:
- You notice a bluish-cast to your baby's lips or skin during a crying episode.
- You're concerned about your baby's crying, especially if you notice changes in your baby's eating, sleeping or behavior.
You can help your baby's doctor by tracking in a diary when your baby cries and for how long. Also record your baby's sleeping and eating patterns.
May 14, 2014
- Drug and Therapeutics Bulletin. Management of infantile colic. BMJ. 2013;347:1.
- Turner TL, et al. Infantile colic: Clinical features and diagnosis. http://www.uptodate.com/home. Accessed Dec. 11, 2013.
- Lucassen P. Colic in infants. Clinical Evidence. 2010;2:309.
- Turner TL, et al. Infantile colic: Management and outcome. http://www.uptodate.com/home. Accessed Dec. 11, 2013.
- De Weerth C, et al. Intestinal microbiota of infants with colic: Development and specific signatures. Pediatrics. 2013;131:1.
- Sung V, et al. Probiotics to prevent or treat excessive infant crying: Systematic review and meta-analysis. JAMA Pediatrics. 2013;167:1150.
- Savino F, et al. New treatments for infant colic. Current Opinion in Pediatrics. 2010: 22:791.
- Thomas DW, et al. Probiotics and prebiotics in pediatrics. Pediatrics. 2010;126:1217.
- Dobson D, et al. Manipulative therapy for infantile colic. Cochrane Database of Systematic Reviews. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD004796/abstract. Accessed Dec. 11, 2013.
- Posadski P, et al. Contamination and adulteration of herbal medicinal products (HMPs): An overview of systematic reviews. European Journal of Clinical Pharmacology. 2013;69:295.
- Perry R, et al. Nutritional supplements and other complementary medicines for infantile colic: A systematic review. Pediatrics. 2011;127:720.