Rosalyn Carson-DeWitt, MD
Colic is excessive crying in a baby with no obvious cause. During these episodes, it is very hard to console the baby. This intense crying occurs regularly over at least a few weeks. It is more common during the night.
Colic can start as early as 2 weeks of age. It is the worst at 6 weeks. Colic often disappears by age 5 months.
The exact cause of colic is not known.
Colic-like crying can be caused by certain common problems. Your doctor will look for
Colic is most common in babies 2 weeks to 4 months old. Other factors that increase your baby's chance for colic include:
These symptoms may be caused by colic or other discomforts. Some may not require medical care. Talk to your doctor if your baby is having symptoms such as:
The doctor will ask about your baby's medical history and symptoms. A physical exam will be done. Your baby's weight or weight change will also be checked. Let the doctor know how your baby acts during colic, how long colic lasts, and when it occurs.
The doctor will consider other conditions that may cause inconsolable crying, such as:
To help determine if your baby has colic or another condition, your doctor may ask:
A treatment plan will be chosen based on your baby's condition. Unfortunately, there is no specific treatment that cures colic. There are steps you can take to help reduce the discomfort your baby feels.
Make changes during feeding time:
Talk to the doctor about alternative treatments. Certain supplements that may be helpful include:
To keep your baby safe, check with the doctor before using any herbs or supplements.
Other strategies that may help include:
It is upsetting to see your baby crying and not being able to help. The high-pitched crying of a colicky baby is also difficult for anyone to listen to. Try to keep in mind that most babies with colic are healthy. Most will outgrow colic by 3-4 months of age. Know that it is not your fault that the baby does not stop crying. To help you get through this period consider:
If you ever feel angry or violent towards the baby, put your baby in a safe place and step out of the room. Call someone for help right away, like your doctor. There are many services available to help you deal with your emotions. The doctor can refer you to these services.
Probiotics may help to prevent colic in some infants. Talk to the doctor about whether this is an option for your baby.
Healthy Children—American Academy of Pediatrics
Nemours Kid's Health
About Kids Health—The Hospital for Sick Children
Caring for Kids—Canadian Paediatric Society
Colic. American Academy of Family Physicians Family Doctor website. Available at:
http://familydoctor.org/familydoctor/en/diseases-conditions/colic.html. Updated July 2013. Accessed February 17, 2014.
Colic. American Academy of Pediatrics Healthy Children website. Available at:
http://www.healthychildren.org/English/ages-stages/baby/crying-colic/Pages/Colic.aspx. Updated October 31, 2013. Accessed February 17, 2014.
Infantile colic. EBSCO DynaMed website. Available at:
http://www.ebscohost.com/dynamed. Updated February 14, 2014. Accessed February 17, 2014.
5/14/2010 DynaMed's Systematic Literature Surveillance
http://www.ebscohost.com/dynamed: Aviner S, Berkovitch M, et al. Use of a homeopathic preparation for "infantile colic" and an apparent life-threatening event.
8/23/2010 DynaMed's Systematic Literature Surveillance
http://www.ebscohost.com/dynamed: Savino F, Cordisco L, et al. Lactobacillus reuteri DSM 17 938 in infantile colic: a randomized, double-blind, placebo-controlled trial.
4/7/2014 DynaMed's Systematic Literature Surveillance
http://www.ebscohost.com/dynamed: Indrio F, Di Mauro A, et al. Prophylactic use of a probiotic in the prevention of colic, regurgitation, and functional constipation: A randomized clinical trial. JAMA Pediatr. 2014;168(3):228-233.
Last reviewed January 2015 by Kari Kassir, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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