Overview

Defined as crying >3 hours/day, >3 days/week, for >3 weeks. Exact cause is unknown; possible contributors include gas, immature gut, or sensitivity.

Causes

• Gas or intestinal discomfort
• Overfeeding or underfeeding
• Cow's milk protein sensitivity
• Parental stress, overstimulation

Symptoms

• Intense crying episodes (often evening)
• Clenched fists, arched back, bloated abdomen
• Difficulty consoling the baby
• Normal growth and feeding

Treatment: Modern Medicine

• Diagnosis: Based on clinical history (rule out other causes)
• Treatment:
  • Reassurance and parental support
  • Anti-gas drops (Simethicone)
  • Probiotics (e.g., Lactobacillus reuteri)
  • Avoid cow’s milk (if allergy suspected)

Treatment: Traditional Medicine

• Ayurveda: Gripe water with Ajwain, Hing paste on abdomen
• Siddha: Omam water, Elumichai thylam massage
• Unani: Arq-e-Badian, mild carminatives
• TCM: Fennel, Ginger decoctions (for mothers)
• Homeopathy: Chamomilla, Colocynthis, Mag phos
• Nutraceuticals: Probiotics, Vitamin D (as per pediatric advice)

Caution

• Rule out reflux, infection, or milk allergy
• Avoid giving honey to infants <1 year

Prevention

• Burp baby after feeds
• Avoid overfeeding
• Reduce maternal dairy intake (if breastfeeding and baby is sensitive)