Baby colic (Pediatrics - PEDS)

Very low urgency
--
This condition occurs in 20% of infants and is typical in the first 2-5 months of life, in the evening or at night. The baby cries intensely and cannot be consoled. Their legs are often bent, fists closed and abdomen tensed, without an obvious cause. It lasts at least three hours a day, three days per week and for more than three weeks. The cause is unknown but its relationship with an allergy to cows' milk proteins is being studied. Physical examinations between seizures are normal. It is not a medical emergency, although it is a cause of great anxiety for the parents. Your pediatrician can give you advice and osteopathy has sometimes been shown to be effective in reducing the number of episodes. Seek an urgent consultation if your baby loses the sucking reflex and is not eating correctly, is inconsolable even with belly massages, vomits immediately after feeding or has diarrhea or blood in their stool.
Bibliographic references
  1. Teri Lee Turner, MD, MPH, MEd. Shea Palamountain, MD. Infantile colic: Clinical features and diagnosis. UpToDate. May 31, 2016.
  2. Teri Lee Turner, MD, MPH, MEd. Shea Palamountain, MD. Infantile colic: Management and outcome. UpToDate. Oct 18, 2016.
  3. Douglas P, Hill P. Managing infants who cry excessively in the first few months of life. BMJ 2011; 343:d7772.
  4. Benninga MA, Faure C, Hyman PE, et al. Childhood Functional Gastrointestinal Disorders: Neonate/Toddler. Gastroenterology 2016.
Author
Dr. Sara Vitoria
Copyright
© TeckelMedical 2026

Symptoms

    Crying bursts


    Nocturnal crying


    Curled up legs


    Red face


    Frequent crying

Symptoms to watch out for

Loss of suction and failure to feed oneself properly
Irritability and impossibility of comforting them, either with hugs, rocking or a gentle massage on their belly
Vomiting immediately after milk consumption
Dark/black colored stools
Inconsolable crying for more than two hours without stopping

Self-care

Use a baby bottle that does not allow too much air to be swallowed.
Massage the belly.
Sitting the baby down during bottle-feedings.