There are few things more draining than holding a screaming baby for the third hour in a row, having tried every soothing technique you can find. Colic is the name given to excessive crying in an otherwise healthy baby - and the most honest thing the medical profession will tell you is that nobody fully understands what causes it.
What counts as colic?
The NHS defines colic as crying for more than three hours a day, three days a week, for at least one week, in a baby who is otherwise healthy and feeding well. It typically starts at a few weeks old and usually stops by three to four months. The crying often peaks in the afternoon and evening, which is exactly when parents are at their most depleted.
During episodes, babies may clench their fists, go red in the face, bring their knees up to their tummy, or arch their back. Their tummy may rumble and they may be very windy.
What helps
The NHS recommends holding or cuddling your baby, sitting them upright during feeds to reduce swallowed air, winding them regularly during and after feeds, gently rocking them over your shoulder, bathing them in warm water, and playing gentle white noise.
You do not need to change your diet if you are breastfeeding - there is no good evidence that maternal diet causes colic in most cases, though in some babies the symptoms may be related to cow's milk allergy, which your GP can investigate if suspected.
What doesn't help
The NHS warns against spinal manipulation (cranial osteopathy or chiropractic treatment for babies) - there is little evidence it works and it may cause harm. Anti-colic drops, herbal supplements, and probiotic products are widely sold but the NHS does not recommend them, stating there is no evidence they help.
The emotional toll
Hours of inconsolable crying can trigger feelings of frustration, helplessness, and guilt. If you are finding it hard to cope, that is a completely normal response to an extremely difficult situation. Cry-sis (0800 448 0737, open 9am to 10pm, seven days a week) is a free helpline specifically for parents struggling with a crying or restless baby.