The consequences of Colic

Infant colic is defined by excessive crying behaviour, but can be accompanied by some or all of the following^1-3:

• flushing of the face
• drawing in of the legs
• a rumbling stomach and flatulence
• difficulty sleeping

Crying tends to start in the first few weeks of life and happens mostly in the afternoon and evening, has no obvious cause and the infant appears to be in pain⁴.

When it comes to infant colic, it isn’t just the baby that is suffering - the consequences of colic on the mental health and wellbeing of parents should not be underestimated. Although generally the symptoms of colic will resolve over time, a parent’s decision to seek medical advice arises from a very real concern for the health of their child⁶. 

We interviewed 251 parents and asked them 'On a scale of 1 to 10, where 1 is not at all severe, and 10 is extremely severe, how would you describe your child's colic, when it was at its peak?'. The mean severity score was 7.2⁷.  

The same interviews showed that parents most frequently turn to Health Visitors for information on colic, with almost 2 in 3 parents seeking advice and support⁷. Parents also turn to GPs and Midwives for information, yet 2 out of 3 parents want more support from their Healthcare Professional when it comes to colic⁷.

These interviews also found colic to negatively impact many aspects of parents’ quality of life⁷. At the peak of colic, parents reported feeling helpless, exhausted and lacking in energy⁷.

Other studies have found significant parental anxiety and stress if their baby had colic^6,8, sometimes leading to loss of parental working days⁹ , and feeding changes such as premature breastfeeding cessation¹⁰

Parents should be reassured that colic is a common condition in infancy, and usually resolves by 6 months¹¹. However, parents are likely to be seeking strategies and guidance on how to manage the problem, which has driven them to their Healthcare Professional for advice and support.

First line treatments can involve practical ways to comfort the baby such as³:

• holding or cuddling baby during crying episodes
• keeping them upright after feeds
• frequent winding
• using a gentle rocking movement
• putting baby in a warm bath
• using some gentle white noise in the background

Healthcare professionals can also encourage parents/carers to look after their own wellbeing by¹¹:

• seeking support from friends and family if they can
• sharing experiences with other parents
• trying to sleep whilst baby is sleeping
• taking a short time out if they feel over-whelmed, by putting baby safely in their cot for a few minutes

Recent interviews showed that parents’ feelings of wellbeing were significantly improved once colic symptoms were under control⁷.

NHS recommendations are to continue feeding baby as usual in the case of colic, so breastfeeding parents should be encouraged to continue with it wherever possible³ There is limited evidence for dietary modification for breastfeeding mothers in managing colic¹¹, however, breastfeeding mothers may wish to try avoiding caffeine¹². Breastfeeding mothers can be advised to try emptying one breast before changing, so that baby gets the benefit of the hindmilk which is richer in fat, which may help with digestion¹².

For formula-fed infants, a fast-flow teat can be tried.

Comfort formulas are an option that parents may wish to try. under the guidance of a healthcare professional.

In our interviews with 251 parents, many found comfort formulas useful to reduce crying episodes - reducing colic severity scores from 7.2 to 4 out of 10. 

These parents also reported improvements in their wellbeing as a result of the reduction in Colic severity - ranking comfort milks as one of the most effective management options.⁷.