colic with fatigue
Informed by recognized medical guidance
Overview
Colic is when a healthy baby cries a lot, often for no obvious reason. It usually starts when a baby is a few weeks old and gets better by 4 to 6 months. This constant crying can be very stressful and tiring for parents, which is sometimes called 'parent fatigue'.
Key facts
- Colic is not caused by pain or illness in most cases.
- The crying often follows a pattern, like happening in the evening.
- It usually improves by 4 to 6 months of age.
Yes, colic is very common. About 1 in 5 babies cry more than usual and are described as having colic.
Colic affects babies, usually starting around 2 to 3 weeks old. It affects boys and girls equally, and tends to improve as the baby grows.
Symptoms
- Your baby has difficulty breathing, blue lips, or a seizure.
- Your baby is limp, unresponsive, or not waking up.
- ⚠Your baby is not feeding, has fewer wet nappies than usual, or has a bulging soft spot on the head.
- ⚠You are feeling overwhelmed and worried you might hurt your baby.
Common symptoms
- Frequent, intense crying for more than 3 hours a day, more than 3 days a week, for at least 3 weeks.
- Clenched fists, red face, or arching the back while crying.
- Crying often happens in the late afternoon or evening.
Symptoms in children
- In older children, the term 'colic' is sometimes used for stomach cramps, but infantile colic is specific to babies.
Causes
Main causes
- The exact cause is unknown.
- Possible reasons include a baby's immature digestive system, gas, or overstimulation.
- Sometimes it's a baby's way of coping with the world.
Risk factors
- Being born early (premature) or having a low birth weight.
- Mothers who smoked during pregnancy.
- Parental stress may make colic worse, though it does not cause it.
When to see a doctor
See a doctor urgently if:
- Same-day care if your baby has a fever, is vomiting, has blood in their stool, or is not feeding normally.
- Also if you are struggling to cope and worried about your own emotions.
Book a routine appointment if:
- If you are concerned about your baby's crying or feeding, or if you need reassurance and support.
Diagnosis
A doctor or health visitor will ask about the crying pattern and your baby's general health. They will examine your baby to rule out other causes.
Tests that may be done
- Usually no tests are needed.
- Sometimes the doctor may check urine, blood, or imaging if they suspect another problem.
What to expect at your appointment
The doctor will look at how your baby is feeding and growing. They may ask you to keep a diary of crying times.
Treatment
There is no specific cure for colic. The goal is to comfort your baby and help you cope.
Self-care at home
- Try swaddling, rocking, or a gentle walk with the pram.
- Use white noise or soft music.
- Offer a dummy (pacifier).
- Try a warm bath.
- If you are bottle feeding, try a slower-flow teat and sit the baby upright.
Medical treatments
Your doctor may suggest some over-the-counter remedies for gas, but always check with them first. Some anti-colic medicines are available but should only be used under medical advice. There is no strong evidence that they work.
When is surgery considered?
Surgery is not needed for simple infantile colic.
Living with this condition
Parenting a colicky baby is exhausting. Remember to take breaks and trade off with a partner or friend. Put the baby down in a safe place if you need a moment.
Lifestyle tips
- Try to rest when the baby sleeps.
- Get outside for fresh air.
- Limit visitors to reduce stimulation.
- Accept help from family and friends.
Diet and exercise
If you are breastfeeding, some foods may affect your baby, but there is no strong evidence. A balanced diet is fine. For you as a parent, gentle exercise like walking can boost your mood.
Mental health and emotional wellbeing
Constant crying can lead to frustration, anger, or depression. It's common to feel overwhelmed. Talk to someone you trust and see your doctor if you feel low or have thoughts of harming yourself or the baby.
Prevention
There is no sure way to prevent colic, but early help with soothing techniques and support for parents may help you cope.
Vaccines
Your baby's routine vaccinations are not linked to colic, but they are important for overall health.
Screening programmes
Your baby's growth and development checks are a chance to talk about any concerns.
Complications
If left untreated
- Colic itself doesn't cause long-term harm.
- But extreme stress and exhaustion can lead to parent burnout or, in rare cases, shaking the baby, which is very dangerous.
- Get help if you feel out of control.
Long-term outlook
Colic is temporary. It usually improves by 4 to 6 months. You and your baby will get through this, and asking for help is a sign of strength.
Find support
Helplines
External links open third-party websites. Ruqelo Health is not responsible for external content. Listing an organisation does not imply endorsement.
Always verify with your doctor
Health guidelines vary by country and region. The information in this article is based on international clinical guidelines but may not reflect the specific guidelines, medications, or practices in your country. Always discuss your health concerns with your own doctor or healthcare provider, and refer to your local national health guidelines where available.
Important notice This information is for educational purposes only. It does not replace professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider about your specific situation. If you are experiencing a medical emergency, call your local emergency services immediately.
Related conditions
Sources and guidance
This article is educational and is prepared with reference to recognized health information and clinical guidance sources where available. Specific source links may vary by topic.
Last updated: July 31, 2026
Educational note: This information is for education only and is not a diagnosis.
Use it to support, not replace, advice from a licensed clinician.
If symptoms are severe, worsening, or urgent, call your local emergency number or seek emergency care.