Is Your Baby Crying Excessively? When to Seek Medical Advice

Q: Is Your Baby Crying Excessively? When to Seek Medical Advice

Hello, Mom： When a baby cries continuously, it is often due to discomfort. <br>Therefore, when your baby is crying and cannot be soothed, you should check for any sources of discomfort. <br>There are many potential causes, including colds, bloating, abdominal pain, teething, diap

Crying and fussing?

Hello: Our baby is 5 months old.
This week, he/she has been crying continuously both day and night, and the amount of milk he/she drinks has decreased significantly.
This has been going on for 3 days.
Each time he/she cries, his/her body twists and turns.
The elders in the family believe this is normal and that every child goes through this.
They are reluctant to take the baby to the hospital, fearing that he/she might catch another illness.
Should we take him/her to the hospital for an examination? Is seeking traditional remedies a viable option? We would appreciate your valuable advice.
Thank you!

Amy, 20~29 year old female. Ask Date: 2004/05/13

Dr. Chen Qianyi reply Pediatrics

Hello, Mom: When a baby cries continuously, it is often due to discomfort.
Therefore, when your baby is crying and cannot be soothed, you should check for any sources of discomfort.
There are many potential causes, including colds, bloating, abdominal pain, teething, diaper rash, formula allergies, or other illnesses.
If your child has recently started exhibiting these symptoms, consider whether there has been a recent change in formula or the introduction of solid foods, or if there have been significant changes in the environment.
Additionally, observe if your child has any rashes, fever, diarrhea, or constipation.
Generally, a decrease in appetite is often a sign of illness, so it is advisable to have your child examined by a pediatrician.

Reply Date: 2004/05/13

More Info

When it comes to a 5-month-old baby crying excessively, it’s essential to understand that while crying is a normal part of infant behavior, persistent crying can sometimes indicate an underlying issue that may require medical attention. Here are some considerations and recommendations based on the situation you've described.

Understanding Infant Crying
Crying is a primary means of communication for infants. Babies cry for various reasons, including hunger, discomfort, tiredness, or the need for attention. However, if your baby has started crying excessively and has reduced their milk intake over the past three days, it could be a sign of something more serious.

Possible Causes of Excessive Crying
1. Hunger or Feeding Issues: If your baby is drinking less milk, they may be hungry or experiencing feeding difficulties. This could be due to a variety of reasons, such as teething or gastrointestinal discomfort.

2. Discomfort or Pain: Excessive crying can often indicate that a baby is in pain or discomfort. This could be due to gas, colic, or even an ear infection. Babies often squirm or arch their backs when they are uncomfortable.

3. Illness: If your baby is crying more than usual, it could be a sign of illness. Look for other symptoms such as fever, vomiting, diarrhea, or unusual lethargy. These could indicate a need for medical evaluation.

4. Developmental Changes: At around five months, babies undergo significant developmental changes. They may be learning new skills, such as rolling over or sitting up, which can sometimes lead to frustration and increased crying.

5. Environmental Factors: Sometimes, external factors such as noise, temperature, or changes in routine can cause a baby to cry more than usual.

When to Seek Medical Advice
Given that your baby has been crying excessively for three days and is drinking less milk, it is advisable to consult a pediatrician. Here are some signs that warrant immediate medical attention:
- Persistent Crying: If the crying is continuous and you cannot soothe your baby.

- Changes in Feeding: A significant decrease in milk intake can lead to dehydration and should be evaluated.

- Other Symptoms: If your baby exhibits any additional symptoms such as fever, vomiting, diarrhea, or unusual lethargy.

- Signs of Pain: If your baby seems to be in pain, such as crying when touched or showing signs of discomfort.

Home Remedies and Support
While waiting for a medical appointment, you can try some soothing techniques:
- Swaddling: Wrapping your baby snugly in a blanket can provide comfort.

- Gentle Rocking: Holding your baby and gently rocking them can help soothe them.

- White Noise: Some babies respond well to white noise, which can mimic the sounds they heard in the womb.

- Warm Bath: A warm bath can sometimes help relax a fussy baby.

Cultural Beliefs and Practices
You mentioned the idea of "收驚" (shou jing), which is a cultural practice in some communities aimed at calming a distressed child. While cultural practices can provide comfort, it is crucial to prioritize medical advice when there are signs of potential health issues.

Conclusion
In summary, while crying is a normal part of infant behavior, excessive crying, especially when accompanied by reduced feeding, should not be ignored. It is important to consult a pediatrician to rule out any underlying health issues. Your baby's health and well-being are paramount, and seeking professional advice is the best course of action.

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