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What Causes Excessive Crying In An Infant?

Posted on Thu, 3 Nov 2016

Question: I have boy baby, 4 months old and recently been found crying aloud frequently for no reason. Went for doctor consultation and asked to take Urine Test; Report shows pus cells ranging at 68 in the urine sample. Could anyone please help me.

Answered by Dr. Sumanth Amperayani (44 minutes later)

Brief Answer:
I need more information - please answer my questions

Detailed Answer:
Hi... I understand your concern. But before guiding you further I need more information. Please answer the questions -

Questions -

1. Was there any fever or vomiting or passing very frequent small quantities of urine?

2. Is the baby straining and passing the urine or the flow of urine is normal?

3. Are the crying episodes related to passing of urine or passing of motion or passing of flatus?

4. Does he suck the breast milk very fast?

Please get back to me with your answers so that I can guide you better. Based on your answers I will give you my opinion on the report also.

Regards - Dr. Sumanth

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sumanth Amperayani (11 minutes later)

Hi Doctor,

Please find my responses inline. Kindly provide your opinion based on the same.

Questions -

1. Was there any fever or vomiting or passing very frequent small quantities of urine? No fever nor vomiting(may be mild at times) - But small quantities of urination is observed some times not frequently.

2. Is the baby straining and passing the urine or the flow of urine is normal?
Mild strain is present.

3. Are the crying episodes related to passing of urine or passing of motion or passing of flatus?
Crying can be associated with passing of urine, most time for the two days.

4. Does he suck the breast milk very fast?
Not nowadays, but earlier during 1-3 months he used to suck fast.

Eagerly awaiting your response.

Thanks,

Answered by Dr. Sumanth Amperayani (1 hour later)

Brief Answer:
This is not urinary tract infection - don't worry about report

Detailed Answer:
Hi.... This is not urinary tract infection. As there is no fever, you need not worry about the urinary report. This can be treated as normal report itself.

Now, coming to your question about recurrent crying of the baby, I feel this is evening colic. I will explain you what it is, so that you will be more confident about this issue.

This is called evening colic and is quite common in this age group. This happens when the baby sucks at the breast very fast and in eagerness to drink milk will gulp in air too. Unless the air comes out like burping or flatus this discomfort will be there and next time check if the baby is sucking too fast and gulping in air too. You will be more convinced. Usually I don't advice any medicines for this as they give only temporary relief.
The two best ways to relieve this distress is -
1. Do not put the baby in lying position after feeding till the baby burps out the swallowed air.
2. If still crying - put the baby in prone position and keep patting the back gently so that the baby passes off the flatus and gets relieved.

Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.
Dr. Sumanth MBBS., DCH., DNB (Paed).,

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sumanth Amperayani (12 hours later)

Thanks for the reply doctor..Our son often sleeps while drinking milk at night...and even in mid night he drinks milk lying on bed...that time burping disturbs his sleep and he wakes up crying if we try for burping...what should I do that time? And is there any diet restrictions for my wife to prevent this colic issue in baby,as we give him only mother's feed..?? Please help

Answered by Dr. Sumanth Amperayani (1 hour later)

Brief Answer:
Suggestions on technique of breastfeeding and Evening Colic

Detailed Answer:
Hi.... coming to your queries directly one by one -

1. Please do not feed the baby while the baby is in lying position, sometimes it can get aspirated and cause respiratory problems.

2. There are no specific dietary restrictions for the mother.

3. Colic is caused by swallowed air and it is not related to the contents of the breast milk. It is related to the technique of breastfeeding. Actually when the baby is breastfed in lying down position, the chances of swallowing the air increase and the chances of colic also increase.

Hope this helps.

I wish your kid a speedy recovery. If you need any future medical consultation and suggestions, I will be glad to help. You can approach me at the following link.

Once the page opens there will be an option below my image as – ASK ME A QUESTION – click on it.

In this way even in health care magic you can follow up always with a single doctor who knows the history of your kid completely. Please find the link below -

www.healthcaremagic.com/doctors/dr-sumanth-amperayani/67696

Regards - Dr. Sumanth

Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar