Why does my baby have colic?

The word colic covers two different things. Ordinary infant colic comes in the evening, the belly softens after a massage and the baby otherwise gains weight well — that one passes on its own. Colic from mechanical tension after birth lasts all day, the belly stays hard and massage does not help. That one does not pass on its own.

How to tell them apart

Ordinary infant colic

  • Typically comes in the evening
  • The belly softens after a massage
  • The baby gains weight well
  • Content between episodes

Colic from mechanical tension

  • Lasts all day, not only evenings
  • The belly stays hard
  • Massage brings no relief
  • Does not respond to usual treatment

Behind the second type there is usually pressure on the vagus nerve around the base of the skull and the neck — mechanics, not digestion. That is why drops and a change of milk make no difference. The tension arises during birth and does not release by itself; it is released manually.

When it is not colic and belongs with a doctor: forceful projectile vomiting, a permanently hard and distended belly together with poor weight gain, or a fever in a newborn. These are not cases for osteopathy or for a questionnaire.

How to find out which one it is

You will not tell the difference by how hard the baby cries, but by what the belly does and what can be done with it. That is exactly what the infant screening questionnaire asks about — it also covers other signs of post-birth tension that often go with colic: the shape of the head, turning to one side only, feeding from one breast only.

A card on this topic — free

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