and Managing Excessive Crying in Newborns: Tips for Parents

Crying incessantly?

Hello, doctor.
My baby was just born not long ago, and is under one month old.
For some unknown reason, he cries frequently, almost every half hour.
His diaper has been changed, and he has been fed.
Each feeding lasts about an hour, but he only consumes around 30 to 40 ml.
Even after feeding, he still exhibits rooting behavior.
When I offer him the bottle again, he only takes a few sips before refusing to drink.
He seems to have shallow sleep and wakes up crying continuously, and he has difficulty passing gas.
When I hold him to comfort him, he stops crying, but as soon as I put him down, he cries loudly again.
I have tried using a pacifier, but he spits it out.
Throughout the day, I have to hold and comfort him constantly.
What can I do to improve these issues? I am almost sleep-deprived.

YouLiU DMmM, 20~29 year old female. Ask Date: 2009/10/27

Dr. Xiao Kaiwen reply Pediatrics

Common reasons for a baby under one month old to cry continuously include: 1.
Hunger, wet diaper, or needing comfort; 2.
Fever; 3.
Oral ulcers or severe thrush; 4.
Foreign objects in the eyes, ears, or nose; 5.
Inguinal hernia; 6.
Severe diaper rash; 7.
Vaccine side effects; 8.
Infant colic, which can be discussed with a pediatrician.
Methods to soothe the baby include: 1.
Gentle patting, rocking, and rhythmic movements and sounds; 2.
Speaking softly or singing to the baby; 3.
Playing soft music; 4.
Distracting with toys; 5.
Taking a drive; 6.
Massaging the stomach, shoulders, arms, legs, head, and back; 7.
Trying to help them pass gas; 8.
Giving a warm bath; 9.
Not being overly concerned about a little crying (as it can be normal), but also not ignoring them if they are crying excessively.

Reply Date: 2009/10/27

More Info

Excessive crying in newborns can be a distressing experience for both the baby and the parents. Understanding the reasons behind this behavior and implementing effective strategies can help alleviate the situation. Here are some insights and tips for managing excessive crying in newborns.

Understanding the Causes of Excessive Crying
1. Hunger: While you mentioned that your baby has been fed, it's important to note that newborns have small stomachs and may need to feed frequently. If your baby is showing signs of hunger, such as rooting or sucking on their hands, they may need more frequent feedings.

2. Discomfort: Babies can cry due to discomfort from a wet diaper, tight clothing, or even being too hot or too cold. Regularly check the diaper and ensure that the baby is dressed appropriately for the environment.

3. Gas or Colic: Many newborns experience gas, which can cause discomfort and lead to crying. If your baby seems to be in pain, especially after feeding, they may be experiencing gas. Gentle tummy massages, bicycle leg movements, or holding them in an upright position can help relieve gas.

4. Overstimulation: Newborns can become overwhelmed by their environment. Loud noises, bright lights, or too much handling can lead to crying. Creating a calm and quiet environment can help soothe your baby.

5. Need for Comfort: Babies often cry for comfort and reassurance. They may feel secure when held close, and skin-to-skin contact can be particularly soothing. If your baby calms down when you hold them, they may simply need that physical closeness.

6. Sleepiness: Newborns have irregular sleep patterns and may cry when they are tired but unable to fall asleep. Establishing a calming bedtime routine can help signal to your baby that it’s time to sleep.

Tips for Managing Excessive Crying
1. Swaddling: Swaddling can provide a sense of security for newborns. Wrapping your baby snugly in a soft blanket can mimic the feeling of being in the womb and help them feel more secure.

2. Soothing Techniques: Experiment with different soothing techniques, such as rocking, gentle bouncing, or using a baby swing. Some babies respond well to white noise or soft music, which can help drown out other sounds and create a calming atmosphere.

3. Feeding Position: If your baby is having difficulty feeding, try different feeding positions. Sometimes, a change in position can help them latch better and consume more milk.

4. Burping: Ensure that you are burping your baby adequately during and after feedings. This can help release any trapped air and reduce discomfort.

5. Routine: Establishing a consistent daily routine can help your baby feel more secure. Predictability can be comforting for newborns, as they thrive on routine.

6. Seek Support: If you find that your baby’s crying is excessive and you are feeling overwhelmed, don’t hesitate to seek support. Talk to your pediatrician about your concerns. They can help rule out any underlying medical issues and provide additional guidance.

7. Self-Care for Parents: Caring for a crying baby can be exhausting. Make sure to take breaks when needed. If you feel overwhelmed, it’s okay to place your baby in a safe space, like their crib, and take a moment to breathe and regroup.

Conclusion
Excessive crying in newborns is a common challenge that many parents face. By understanding the potential causes and implementing soothing strategies, you can help your baby feel more comfortable and secure. Remember, it’s essential to be patient and compassionate with both your baby and yourself during this time. If the crying persists or you have concerns about your baby’s health, consult your pediatrician for further evaluation and support.

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