What is infantile colic?

    Last Updated: October 25, 2023

    Infantile colic is the incessant, inconsolable, and unexplained crying or discontent of an infant within its first 5 months of life. It is very common, affecting from 10% to 40% of all infants.[1][2][3][4][5]

    Excessive infant crying is the most frequent reason for pediatric consultations and hospital emergency department visits in the first few weeks of life.[1]

    Fortunately, only about 5% of infants without a fever presenting to hospital with colic have a serious underlying condition.[6] In fact, due to the low risk of serious conditions plus the possibility of infants picking up an infection in the hospital,[7] it’s recommended that infants suspected of colic first be assessed in a non-hospital setting, when safely possible.[8] If there is any possibility of an emergency, the infant should, of course, be seen as soon as possible in whatever setting is immediately available.

    Infantile colic is most likely to occur within the first 6 weeks of life, and to resolve by 3–4 months of age.[9][10][11][12]

    Infantile colic can also affect caregivers: it is associated with caregiver exhaustion, depression, anxiety, and breastfeeding cessation, as well as with severe infant injury or death as a result of abuse.[1]

    References

    1. ^Ellwood J, Draper-Rodi J, Carnes DComparison of common interventions for the treatment of infantile colic: a systematic review of reviews and guidelines.BMJ Open.(2020-Feb-25)
    2. ^Landgren K, Hallström IParents' experience of living with a baby with infantile colic--a phenomenological hermeneutic study.Scand J Caring Sci.(2011-Jun)
    3. ^Gordon M, Gohil J, Banks SSParent training programmes for managing infantile colic.Cochrane Database Syst Rev.(2019-Dec-03)
    4. ^Benninga MA, Faure C, Hyman PE, St James Roberts I, Schechter NL, Nurko SChildhood Functional Gastrointestinal Disorders: Neonate/Toddler.Gastroenterology.(2016-Feb-15)
    5. ^Johnson JD, Cocker K, Chang EInfantile Colic: Recognition and Treatment.Am Fam Physician.(2015-Oct-01)
    6. ^Freedman SB, Al-Harthy N, Thull-Freedman JThe crying infant: diagnostic testing and frequency of serious underlying disease.Pediatrics.(2009-Mar)
    7. ^Savino F, Pelle E, Castagno E, Palumeri E, Oggero RMust infants with colic really be hospitalized?Acta Paediatr.(2007-Jul)
    8. ^Savino F, Tarasco VNew treatments for infant colic.Curr Opin Pediatr.(2010-Dec)
    9. ^Lucas A, St James-Roberts ICrying, fussing and colic behaviour in breast- and bottle-fed infants.Early Hum Dev.(1998-Nov)
    10. ^Camilleri M, Park SY, Scarpato E, Staiano AExploring hypotheses and rationale for causes of infantile colic.Neurogastroenterol Motil.(2017-Feb)
    11. ^Gordon M, Biagioli E, Sorrenti M, Lingua C, Moja L, Banks SS, Ceratto S, Savino FDietary modifications for infantile colic.Cochrane Database Syst Rev.(2018-Oct-10)
    12. ^Wolke D, Bilgin A, Samara MSystematic Review and Meta-Analysis: Fussing and Crying Durations and Prevalence of Colic in Infants.J Pediatr.(2017-Jun)