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Colic

What Are the Symptoms?

Colic is not a disease but a pattern of persistent, prolonged crying. Doctors consider it colic if an otherwise healthy infant up to three months old exhibits the following behavior:

  • Loud crying lasting three hours or more for three or more days a week, over a period of more than three weeks.
  • Prolonged crying between 6 p.m. and midnight in a baby that has been fed.
  • While crying, the baby draws his legs to his abdomen and clenches his hands and curls his toes; his face alternately flushes and pales with the effort of crying.
  • Episodes of crying that sometimes begin or end with a bowel movement or the passing of gas.

Call Your Doctor If:

  • Your baby has not had colic before and you suspect he is colicky; your doctor will want to rule out other causes.
  • Bouts of colic are accompanied by fever, diarrhea, vomiting, or constipation - all possible signs of illness.
  • Your baby's crying sounds painful, not fussy - indicating injury or illness is causing the distress.
  • Your baby is older than three months and still acting colicky; behavioral problems or illness may be the cause.
  • Your colicky child fails to gain weight and is not hungry, which suggests illness.
  • You're exhausted or fear stress might lead you to hurt your baby.

Medically reviewed by Steven Spark, MD, June 2005.

Sources: Parker S, Zuckerman, B and Augustyn M. (editors). Developmental and Behavioral Pediatrics: A Handbook for Primary Care, Lippincott, 2005.

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