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Colic is the word used to describe when babies cry a lot or have long periods of time where they fail to settle. Colic can be very demanding on parents, and very exhausting.
The crying and fussing with colic can happen at any time, but often occurs in the late afternoon and early evening, especially in babies between two weeks and four months of age.
It is very common for young infants to have crying and unsettled times, and the usual soothing techniques just don't seem to work. This type of crying happens in babies in all cultures, all over the world.
Some babies seem to cry more or need more soothing than others. This does not mean there is anything wrong with them – all babies respond differently to their environments.
Sometimes there is a medical reason for a baby's crying, and this may need to be checked by a doctor or nurse. Having a health professional check your baby can be very reassuring, because it is hard for parents to comfort their baby if they are worried that their baby is unwell.
In most babies, no medical cause is found. Crying is a communication from the baby to their caregiver that they are not comfortable or are distressed. This is a normal part of their growth and development.
Newborns have to adapt to a range of new experiences, and every baby differs in how sensitive they are to physical and emotional events inside and outside their bodies.
Sometimes the causes of the discomfort may be a wet nappy, being too hot or cold, wind (gas in their stomach or bowel), hunger, tiredness, feeling anxious or unhappy, or needing company.
Some babies are easily frightened by normal physical sensations, such as digestion or normal reflux. Others take a long time to adapt to the world and cope with changes. Babies are very attuned to the emotional world of their family and can be affected by family distress.
Some parents worry that their baby’s crying is caused by something they have done, and this may affect their confidence in handling and looking after their baby. Parents who have experienced mental health difficulties, family stress, or a difficult time in their own childhood, may
have less confidence when caring for their own baby, which makes it hard to feel responsive or playful with their baby.
If you have a baby who is difficult to soothe, and you are worried about the way you are handling it, rest assured that support is available, and there are many things you can try to help comfort your baby.
The following strategies may help if you are having difficulty soothing your baby:
The demanding evening time may be easier if you plan around it. For example, plan to eat earlier if your baby is often unsettled at dinner time. If possible, have an afternoon nap so that you are better able to cope with the challenging evening hours.
Some babies seem to need to be with their primary carer all the time. If this is the case with your baby, try not to fight this. As your baby develops more confidence, they will learn to self-soothe. In the meantime, keep separations to a minimum, try to remain in view of your baby, for example,
carry them in a sling or move them in a pram when you go from room to room.
Try placing a doll or teddy outside the bassinet or cot that your baby can see when they wake from a sleep so that they do not feel so alone.
Try not to get caught up in a campaign to get your baby to sleep in a rigid routine. As babies get older they become more alert and stay awake for longer periods. Their interest in you and the world can help distract them from what is going on inside their bodies.
When your baby is awake and alert, make the most of this time for some enjoyable interaction for you both.
It is understandable that parents can sometimes feel extremely frustrated when nothing they try seems to help stop their baby’s crying. If you are feeling very frustrated or angry, it is OK to leave your baby in a safe place, such as their cot, for a few moments while you go outside
and calm down. Never shake a baby. Shaking babies, even gently, can cause brain damage and life-long disability.
See your GP or Maternal and Child Health Nurse if:
Should I give my baby medication if they won’t stop crying?
Medication is not recommended. It may mask illness, interfere with feeding or make your baby too sleepy. Medication should only be used on the advice of a doctor and only for a short period of time.
But what about the colic drops and liquids in the pharmacy?
Some babies do seem to benefit from colic relief liquids from the pharmacy. It is difficult to know whether they have improved because of the passage of time, or due to the liquid. Most of these alternatives have been studied extensively and have not been shown to be effective in large trials.
It really looks like my baby is in pain when she is crying in the evenings, but the doctor said there is nothing wrong. Should I get a second opinion?
The persistent crying in babies between two weeks and four months old looks as though they are in pain, but most often there is no medical cause for this. If you are really worried, you can get a second opinion.
Developed by The Royal Children's Hospital Centre for Community Child Health and General Medicine and Infant Mental Health departments. We acknowledge the input of RCH consumers and carers.
Reviewed March 2018.
This information is awaiting routine review. Please always seek the most recent advice from a registered and practising clinician.
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