Crying Baby - Before 3 Months Old
Causes of Unexplained Crying
Hungry Baby: The most common reason babies cry is
because they are hungry. They stop crying at the onset of feeding. By the end
of the feeding, they are happy.
Sleepy Baby: The second reason babies cry is they
need sleep. They need their parent to put them in a comfortable position. It
may be swaddled and on their back. Then they fuss a little and fall asleep.
Fed Too Much: Some babies cry because of a bloated
stomach from overfeeding. Unlike gas, too much milk can cause discomfort that
lasts a short time.
Caffeine. Caffeine is a stimulant that can cause
increased crying and trouble falling asleep. Breastfeeding mothers need to
limit their caffeine intake.
Clothing. Being too hot or too cold can make a baby
cry. So can clothing that is too tight.
Dirty Diaper. Stool is very irritating to the skin.
If not cleaned off, it can cause pain and burning.
Colic. Colic is the main cause of recurrent crying
during the early months. All babies have some normal fussy crying every day.
When this occurs over 3 hours per day, it's called colic. When they are not
crying, they are happy.
Pain (Serious). Painful causes include an earache,
mouth ulcers, or a raw diaper rash. An ulcer on tip of penis may also cause
pain and crying. These babies cry a lot and are not happy when they are not
crying. They need to see a doctor to make a diagnosis. Fever in this age group
is serious until proven otherwise. Shaken baby syndrome is a concern.
Myths About Causes of Crying
Not Due to Gas. Gas passing through normal intestines does
not cause pain or crying. All crying babies pass lots of gas. Their stomachs
also make lots of gassy noises. The gas comes from swallowed air. The gas is
normal. It does not become trapped nor cause any pains. That's why burping a
baby doesn't help the crying. Blaming gas is a myth.
Not Due to Spitting Up. Spitting up occurs in half of babies
and is normal. It does not cause crying or colic. Heartburn meds do not help
crying babies. They also have side effects.
Definition of Colic
- A lot of crying once or twice per day.
- Usually consolable when held and comforted.
- Acts normal (happy, contented) between bouts of crying.
- The baby is getting enough to eat and is not hungry.
- The baby is not sick.
- Onset most often before 2 weeks of age
- Usually goes away by 3 months of age (sometimes up to 4 months).
When to Call for Crying Baby - Before 3 Months Old
Call Doctor or Seek Care Now
- Age less than 1 month old and looks or acts abnormal in any way.
- Fever in baby less than 12 weeks old. Caution: do NOT give your baby any fever medicine before being seen.
- Bulging or swollen soft spot.
- Swollen scrotum or groin.
- Vomiting
- Cries when you touch, move or hold your baby.
- Could be an injury.
- Nonstop crying lasts more than 2 hours. Your baby can't be consoled using this Care Advice.
- Will not drink or drinks very little for more than 8 hours.
- You are afraid someone might hurt or shake your baby.
- High-risk child (such as with heart or brain disease).
- Your child looks or acts very sick.
- You think your child needs to be seen, and the problem is urgent.
Contact Doctor Within 24 Hours.
- You should contact your doctor within 24 hours if you start experiencing the following fun your children.
- Not gaining weight or seems hungry.
- New crying, but your baby can be consoled. Your baby will stop crying, but cause of crying not clear.
- You are worn out from all the crying.
- You think your child needs to be seen, but the problem is not urgent.
Contact Doctor During Office Hours.
- · Your baby has never been checked for excessive crying.
- · Crying started after 1 month of age.
- · Crying occurs 3 or more times per day.
- · You have other questions or concerns.
Care Advice for Normal Crying or Colic
What You Should Know About Crying:
Normal Crying: all babies cry when they are hungry.
Also, the normal baby has 1 to 2 hours of unexplained crying each day. It is scattered
throughout the day. As long as they are happy and content when they are not
crying, this is normal.
Colic: Some babies are very hard to comfort. Some
babies also cry a lot (over 3 hours per day). If growing normally and have a
normal medical exam, the crying is called colic. Remind yourself that colic is
due to your baby's temperament. It has nothing to do with your parenting or any
medical disease.

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