Infant Crying: Is It Related to Hernia Issues? - Pediatrics

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Is it a hernia issue in infants?


Hello doctor, I am the mother of the child.
When my baby brother was born, the doctor said he had a hernia.
After about six months, the doctor mentioned it would resolve on its own.
However, from birth until now, he has been crying a lot for the past three months.
I have changed his diaper, fed him, and his bowel movements are normal, with no signs of bloating.
Even the doctor said everything is normal, but I wonder why he keeps crying.
He cries even when I hold him.
Isn't it typical for newborns to sleep most of the time? Why does my brother cry for about 12 hours a day? My mother-in-law even took him to a temple, but nothing has changed.
Could this still be related to the hernia? I really don’t know how to take care of this child; it’s so exhausting…

Xiangxiang, 0~9 year old female. Ask Date: 2009/12/17

Dr. Xiao Kaiwen reply Pediatrics


Common reasons for a constantly crying baby: 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 (umbilical hernia does not cause this), 6.
Severe diaper rash, 7.
Vaccine side effects, 8.
Infant colic; a pediatrician should be consulted for examination.
Ways 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, hands, feet, head, and back, 7.
Trying to help them pass gas, 8.
Giving a warm bath, 9.
Don’t feel guilty about them crying (a little crying can be concerning), and also don’t ignore them to the point of distress (if no other abnormalities are present, you can observe from a distance without them noticing, to avoid them getting used to crying for attention).

Reply Date: 2009/12/17

More Info


Understanding why infants cry can be a complex issue, especially when there are underlying medical conditions like hernias. As a mother, it’s completely understandable to feel overwhelmed when your baby cries excessively, particularly when you’ve ruled out common causes such as hunger, diaper changes, and discomfort.
Firstly, it’s important to clarify that while hernias can cause discomfort, not all types of hernias are associated with persistent crying. In infants, inguinal hernias (located in the groin) can sometimes lead to pain or discomfort, particularly if they become incarcerated or strangulated, which is a medical emergency. However, umbilical hernias, which are more common and often resolve on their own, typically do not cause pain or discomfort that would lead to excessive crying. If your baby has been diagnosed with an umbilical hernia, it is likely that this is not the cause of his crying, especially if he shows no signs of distress when the area is examined.

Crying in infants can be attributed to a variety of factors beyond physical discomfort. Here are some common reasons for excessive crying in infants:
1. Colic: This is a common condition in infants characterized by excessive crying, often in the late afternoon or evening. It usually resolves on its own by the time the baby is three to four months old.

2. Overstimulation: Babies can become overwhelmed by their environment, leading to crying. This can happen if they are exposed to too much noise, light, or activity.

3. Need for Comfort: Infants often cry to seek comfort and reassurance. They may need to be held, rocked, or soothed to feel secure.

4. Growth Spurts: During growth spurts, babies may feed more frequently and may be more fussy than usual.

5. Discomfort from Gas or Reflux: Even if your baby does not appear to have a bloated stomach, gas or acid reflux can cause discomfort that leads to crying.

6. Illness: While you mentioned that your baby has been checked by a doctor, it's always good to keep an eye out for signs of illness, such as fever, lethargy, or unusual behavior.

7. Teething: Although teething typically starts around six months, some infants may begin to show signs of discomfort earlier.

Given that your baby cries for a significant portion of the day, it may be beneficial to consult a pediatrician again for a thorough evaluation. They can assess whether there are any underlying issues that may not have been identified in previous visits.
In the meantime, here are some strategies you can try to soothe your baby:
- Swaddling: Wrapping your baby snugly in a blanket can provide comfort.

- Gentle rocking or swinging: Movement can be soothing for many infants.

- White noise: Sounds that mimic the womb environment can help calm a crying baby.

- Warm baths: A warm bath can be relaxing for some babies.

- Tummy time: This can help relieve gas and improve comfort.

It's also important to take care of yourself during this challenging time. Caring for a crying infant can be exhausting, and seeking support from family or friends can be invaluable. Remember, it’s okay to take breaks and ask for help when you need it. If the crying persists and you feel overwhelmed, don't hesitate to reach out to a healthcare professional for further guidance and support.

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