Colic 101: What's "Normal" and What's a Red Flag?

If you’re pacing the floor at midnight with a crying newborn, you’re not alone. Colic is a common challenge for newborn babies and parents alike. Unfortunately, this means you will experience an indefinite period of unexplained crying, but within a few months, it will come to an end. 

Research by the American Academy of Pediatrics (AAP) reveals that up to 1 in 5 babies are affected. The team at Our Birthing Center in NJ knows how distressing this can feel, especially when it is piled on top of exhaustion, radical post-birth hormone adjustments, and the fog of new parenthood. 

We know that while motherhood is an undeniable joy, colic can test the most positive of attitudes. Here is a breakdown of what’s within the normal range and what might signal a red flag.

FAQ: What is colic? 

Colic is typically diagnosed when a baby cries for more than three hours a day, at least three days a week, and for a minimum of three weeks.

The crying often happens around the same time each day, commonly in the late afternoon or evening, and can feel impossible to soothe. Babies with colic may clench their fists, arch their backs, or pull their knees toward their chest, but otherwise appear healthy between episodes.

While the exact cause isn’t clear, theories include gastrointestinal discomfort, immature digestion, or overstimulation. 

The good news? Colic usually peaks at six weeks and resolves by three to four months. 

FAQ: What’s Considered Normal Crying? 

It’s important to understand that all babies cry, being that it is their primary way of communicating their needs. Normal newborn crying can range from one to three hours a day, especially in the early weeks. Crying that eases with feeding, diaper changes, or cuddling is typically part of normal development. 

Patterns may shift as your baby grows, but if your little one is alert, feeding well, and gaining weight, occasional bouts of fussiness are usually nothing to worry about. 

When Crying Could Be a Red Flag

Certain symptoms alongside excessive crying can point to an underlying health issue that requires prompt attention. Contact your pediatric provider right away if you notice:

  • A Fever of 100.4°F or higher in a baby under three months

  • Persistent vomiting, diarrhea, or signs of dehydration

  • Blood in stool or vomit

  • Unusual lethargy or difficulty waking your baby

  • Labored or noisy breathing

  • Rash, swelling, or sudden change in skin color

  • Crying that is sudden, high-pitched, or inconsolable for unusually long periods

These could signal infection, allergic reaction, gastrointestinal issues, or other conditions that need a medical evaluation.

Comfort Strategies That May Help

While there’s no single “cure” for colic, there are some gentle soothing techniques that can make a difference:

  • Try a rhythmic motion such as rocking, walking or stroller rides

  • Use white noise or soft music to calm your baby

  • Offer a pacifier if breastfeeding is established

  • Swaddle snugly (but safely) for comfort

  • Provide tummy time and gentle tummy massages to relieve gas

If one method doesn’t help, try another. Every baby responds differently, and sometimes the best support is simply holding your baby close.

Partnering for Peace of Mind

At Our Birthing Center, we believe parents deserve practical guidance and emotional reassurance. Our nurses and staff work closely with credentialed providers to help you recognize what’s normal, when to seek care, and how to manage the challenging moments. Because when you feel informed and supported, you can focus on what matters most – bonding with your baby.

Do you have a little one on the way and questions about newborn care?

Schedule a tour at Our Birthing Center in NJ today to connect with our fully credentialed midwives.

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