Is colic in babies safe in infants?

Colic is a pattern of prolonged or repeated crying in a baby who otherwise appears well between episodes. The baby may clench their fists, draw up their legs, turn red or seem difficult to settle. Crying can have many causes, including hunger, trapped wind, reflux, constipation, infection or discomfort, so the pattern and the baby’s general health matter.

Colic can leave parents feeling helpless and sleep deprived. It is safe to place the baby on their back in a clear cot and take a brief pause if you feel overwhelmed. Never shake, hit or handle a crying baby roughly.

Check feeding cues, nappy comfort, clothing, temperature and whether the baby needs burping. Try holding the baby upright during and after feeds, gentle rocking, a calm voice or a quieter room. Keep a short record of crying, feeds, wet nappies and stools; this can help a clinician identify a pattern.

Arrange a routine assessment if crying is persistent, feeding is becoming difficult, weight gain is a concern or you are unsure whether the symptoms fit colic. Avoid giving drops, herbal products or changing formula without professional advice.

Seek urgent medical help if the baby has difficulty breathing, blue or grey colour, repeated vomiting, green vomit, blood in the stool, a swollen abdomen, marked sleepiness, poor feeding, fewer wet nappies, fever, or a weak or unusual cry. Get help immediately if you are worried that the baby may be seriously unwell.

Does this crying pattern fit colic, or could feeding, reflux or illness be contributing? Is my baby feeding and gaining weight as expected? Which signs mean I should seek urgent care? What soothing methods are suitable for my baby?