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Excessive crying in infants

Infants - excessive crying; Well child - excessive crying

 

Crying is an important way for infants to communicate. But, when a baby cries a lot, it may be a sign of something that needs treatment.

Considerations

 

Infants normally cry about 1 to 3 hours a day. It is perfectly normal for an infant to cry when hungry, thirsty, tired, lonely, or in pain. It is also normal for a baby to have a fussy period in the evening.

But, if an infant cries too often, there might be a health problem that needs attention.

 

Causes

 

Infants may cry because of any of the following:

  • Boredom or loneliness
  • Colic
  • Discomfort or irritation from a wet or dirty diaper, excessive gas, or feeling cold
  • Hunger or thirst
  • Illness
  • Infection (a likely cause if the crying is accompanied by irritability, lethargy, poor appetite, or fever. You should call your baby's health care provider)
  • Medicines
  • Normal muscle jerks and twitches that disturb the sleep
  • Pain
  • Teething

 

Home Care

 

Home care depends on the causes. Follow your provider's advice.

If the infant seems constantly hungry despite short, frequent feedings, talk to your provider about normal growth and feeding times.

If crying is due to boredom or loneliness, it may be helpful to touch, hold, and talk to the infant more and place the infant within sight. Place baby-safe toys where the child can see them. If crying is due to sleep disturbance, wrap the baby firmly in a blanket before putting the infant to bed.

For excessive crying in infants due to cold, dress the infant warmly or adjust the temperature of the room. If adults are cold, the baby is also likely cold.

Always check for possible causes of pain or discomfort in a crying baby. When cloth diapers are used, look for diaper pins that have become loose or loose threads that have become tightly wrapped around fingers or toes. Diaper rashes also can be uncomfortable.

Take your baby's temperature to check for fever. Check your baby head-to-toe for any injuries. Pay particular attention to the fingers, toes, and genitalia. It is not uncommon for a hair to get wrapped around part of your baby, such as a toe, creating pain.

 

When to Contact a Medical Professional

 

Call the provider if:

  • A baby's excessive crying remains unexplained and does not go away in 1 day, despite attempts at home treatment
  • The baby has other symptoms, such as fever, along with the excessive crying

 

What to Expect at Your Office Visit

 

The provider will examine your baby and ask about the child's medical history and symptoms. Questions may include:

  • Is the child teething?
  • Is the child bored, lonely, hungry, thirsty?
  • Does the child seem to have a lot of gas?
  • What other symptoms does the child have? Such as, difficulty waking up, fever, irritability, poor appetite, or vomiting?

The provider will check the infant's growth and development. Antibiotics may be prescribed if the baby has a bacterial infection.

 

 

References

American Academy of Pediatrics. Responding to your baby's cries. Healthychildren.org Web site. Updated November 21, 2015. www.healthychildren.org/English/ages-stages/baby/crying-colic/Pages/Responding-to-Your-Babys-Cries.aspx. Accessed January 13, 2017.

Pomeranz AJ, Sabnis S, Busey SL, Kliegman RM. Irritable infant (fussy or excessively crying infant). In: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, eds. Nelson Textbook of Pediatrics. 20th ed. Philadelphia, PA: Elsevier; 2016:chap 79.

 
  • Crying, excessive (0-6 months)

    Crying, excessive (0-6 months) - illustration

    Infants instinctively cry to communicate hunger, thirst, discomfort, tiredness, or loneliness. However, excessive crying may suggest a disorder that requires treatment.

    Crying, excessive (0-6 months)

    illustration

    • Crying, excessive (0-6 months)

      Crying, excessive (0-6 months) - illustration

      Infants instinctively cry to communicate hunger, thirst, discomfort, tiredness, or loneliness. However, excessive crying may suggest a disorder that requires treatment.

      Crying, excessive (0-6 months)

      illustration

    A Closer Look

     

      Self Care

       

        Tests for Excessive crying in infants

         

           

          Review Date: 12/9/2016

          Reviewed By: Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

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