Behavior & Social

Baby Colic and Excessive Crying

Medically reviewed by Dr. Emily Torres, PhD, CCC-SLP · Pediatric Speech-Language Pathologist

Content reviewed against published AAP, AAP, CDC, NIH guidelines

Editorial policy

Last reviewed:

Behavioral development varies greatly from child to child. If you have noticed baby colic and excessive crying, here is what you need to know.

The short answer

Colic is defined by the Wessel criteria or "rule of 3s" - crying for more than 3 hours per day, more than 3 days per week, for more than 3 weeks in an otherwise healthy, well-fed infant. It affects about 1 in 5 babies, typically begins around 2-3 weeks of age, peaks at 6-8 weeks, and almost always resolves by 3-4 months. It is not caused by anything you are doing wrong.

Key takeaways

  • Colic is defined by the Wessel criteria or "rule of 3s" - crying for more than 3 hours per day, more than 3 days per week, for more than 3 weeks in an otherwise healthy, well-fed infant. It affects about 1 in 5 babies, typically begins around 2-3 weeks of age, peaks at 6-8 weeks, and almost always resolves by 3-4 months. It is not caused by anything you are doing wrong.
  • Usually normal when: Your baby cries for extended periods but is otherwise healthy, feeding well, gaining weight, and having normal wet and dirty diapers
  • Call your doctor if: Your baby has a fever (100.4F/38C or higher rectally) in addition to crying, especially if under 3 months - this always needs same-day evaluation
  • Varies by age — see the age-by-age breakdown below

Thousands of parents search for this exact thing. You are not alone.

What Parents Should Know

According to AAP, CDC, NIH guidelines, colic is defined by the Wessel criteria or "rule of 3s" - crying for more than 3 hours per day, more than 3 days per week, for more than 3 weeks in an otherwise healthy, well-fed infant. It affects about 1 in 5 babies, typically begins around 2-3 weeks of age, peaks at 6-8 weeks, and almost always resolves by 3-4 months. It is not caused by anything you are doing wrong. At 0-2 weeks, newborns generally cry 1-2 hours per day, which is normal. Colic has not typically set in yet at this stage. If your newborn seems to cry excessively in the first two weeks, it is important to rule out hunger, pain, illness, or feeding difficulties. Contact your pediatrician if your newborn seems inconsolable, especially if they have a fever, are not feeding, or seem unwell. It is generally considered normal when your baby cries for extended periods but is otherwise healthy, feeding well, gaining weight, and having normal wet and dirty diapers. However, you should contact your pediatrician promptly if your baby has a fever (100.4F/38C or higher rectally) in addition to crying, especially if under 3 months - this always needs same-day evaluation.

Sources: [1], [2], [3], [4]

Normal vs. Concerning

Usually Normal
Worth Discussing
Your baby cries for extended periods but is otherwise healthy, feeding well, gaining weight, and having normal wet and dirty diapers
Your baby has a fever (100.4F/38C or higher rectally) in addition to crying, especially if under 3 months - this always needs same-day evaluation
Crying follows a predictable pattern, often peaking in the late afternoon or evening
Your baby is vomiting forcefully (not just spitting up), has a distended or hard belly, or has blood in their stool
Your baby is between 2 weeks and 4 months old and the crying fits the "rule of 3s" pattern
You feel you might harm your baby or yourself - call your pediatrician, a crisis line (988 Suicide and Crisis Lifeline), or go to your nearest emergency room immediately. Putting your baby in a safe place and walking away is always okay.
Your baby can be briefly soothed by motion, white noise, swaddling, or a pacifier, even if the crying returns
You are struggling to cope with the crying and need support or reassurance - your well-being matters too, and your pediatrician wants to help

By Age

What to expect by age

0-2 weeks

Newborns generally cry 1-2 hours per day, which is normal. Colic has not typically set in yet at this stage. If your newborn seems to cry excessively in the first two weeks, it is important to rule out hunger, pain, illness, or feeding difficulties. Contact your pediatrician if your newborn seems inconsolable, especially if they have a fever, are not feeding, or seem unwell.

2-6 weeks

This is when colic typically begins. Crying often follows a pattern - it tends to worsen in the late afternoon and evening (sometimes called the "witching hour"), is intense and high-pitched, and your baby may clench their fists, pull up their legs, or become red in the face. The baby is healthy, feeding well, and gaining weight normally between crying episodes. This is the hallmark of colic.

6-12 weeks

Peak colic territory. Crying may reach 3 or more hours per day. This period is genuinely one of the hardest things parents go through, and it is okay to feel overwhelmed, frustrated, or even angry. If you feel you are reaching your limit, it is always safe to put your baby down in a safe place (like their crib) and step away for a few minutes to collect yourself. This is not failure - it is smart parenting.

3-5 months

The vast majority of colic resolves by 3-4 months of age, and almost all cases resolve by 5 months. You may notice that the evening crying episodes gradually become shorter and less intense. If excessive, inconsolable crying persists beyond 4-5 months, or if your baby seems to be in pain during crying, talk to your pediatrician to explore other possible causes such as reflux, food intolerance, or other medical conditions.

What to Tell Your Pediatrician

  • Describe when you first noticed baby colic and excessive crying and how it has changed over time.
  • Note your baby's current age and which age-specific patterns you are seeing.
  • Mention if you are struggling to cope with the crying and need support or reassurance - your well-being matters too, and your pediatrician wants to help.
  • Mention if crying is accompanied by frequent spitting up, arching the back, or refusing to feed, which could suggest gastroesophageal reflux.
  • Bring a list of any questions or observations you want to discuss at the appointment.

What Should You Do?

When to take action

Probably normal when...
  • Your baby cries for extended periods but is otherwise healthy, feeding well, gaining weight, and having normal wet and dirty diapers
  • Crying follows a predictable pattern, often peaking in the late afternoon or evening
  • Your baby is between 2 weeks and 4 months old and the crying fits the "rule of 3s" pattern
  • Your baby can be briefly soothed by motion, white noise, swaddling, or a pacifier, even if the crying returns
  • Between crying episodes, your baby is calm, alert, and behaving normally
Mention at your next visit when...
  • You are struggling to cope with the crying and need support or reassurance - your well-being matters too, and your pediatrician wants to help
  • Crying is accompanied by frequent spitting up, arching the back, or refusing to feed, which could suggest gastroesophageal reflux
  • Your baby has signs of a possible food sensitivity such as blood or mucus in stools, especially if breastfed
  • Colic-like crying continues beyond 4-5 months without improvement
Act now when...
  • Your baby has a fever (100.4F/38C or higher rectally) in addition to crying, especially if under 3 months - this always needs same-day evaluation
  • Your baby is vomiting forcefully (not just spitting up), has a distended or hard belly, or has blood in their stool
  • You feel you might harm your baby or yourself - call your pediatrician, a crisis line (988 Suicide and Crisis Lifeline), or go to your nearest emergency room immediately. Putting your baby in a safe place and walking away is always okay.

What You Can Do at Home

  • Keep track of when you notice baby colic and excessive crying — noting the time of day, duration, and any triggers can help your pediatrician.
  • Remember that your baby cries for extended periods but is otherwise healthy, feeding well, gaining weight, and having normal wet and dirty diapers — this is generally within the range of normal.
  • At 0-2 weeks, focus on observation rather than intervention unless your pediatrician advises otherwise.
  • Respond consistently and calmly to your baby's behavior. Maintain predictable daily routines.
  • While monitoring at home, seek immediate care if your baby has a fever (100.4F/38C or higher rectally) in addition to crying, especially if under 3 months - this always needs same-day evaluation.

Frequently asked questions

Is baby colic and excessive crying normal?
Colic is defined by the Wessel criteria or "rule of 3s" - crying for more than 3 hours per day, more than 3 days per week, for more than 3 weeks in an otherwise healthy, well-fed infant. It affects about 1 in 5 babies, typically begins around 2-3 weeks of age, peaks at 6-8 weeks, and almost always resolves by 3-4 months. It is not caused by anything you are doing wrong.
When should I call the doctor about baby colic and excessive crying?
Your baby has a fever (100.4F/38C or higher rectally) in addition to crying, especially if under 3 months - this always needs same-day evaluation Your baby is vomiting forcefully (not just spitting up), has a distended or hard belly, or has blood in their stool You feel you might harm your baby or yourself - call your pediatrician, a crisis line (988 Suicide and Crisis Lifeline), or go to your nearest emergency room immediately. Putting your baby in a safe place and walking away is always okay.
When is baby colic and excessive crying normal?
Your baby cries for extended periods but is otherwise healthy, feeding well, gaining weight, and having normal wet and dirty diapers Crying follows a predictable pattern, often peaking in the late afternoon or evening Your baby is between 2 weeks and 4 months old and the crying fits the "rule of 3s" pattern
What causes baby colic and excessive crying?
Colic is defined by the Wessel criteria or "rule of 3s" - crying for more than 3 hours per day, more than 3 days per week, for more than 3 weeks in an otherwise healthy, well-fed infant. It affects about 1 in 5 babies, typically begins around 2-3 weeks of age, peaks at 6-8 weeks, and almost always resolves by 3-4 months. It is not caused by anything you are doing wrong. Common explanations include: Your baby cries for extended periods but is otherwise healthy, feeding well, gaining weight, and having normal wet and dirty diapers. Crying follows a predictable pattern, often peaking in the late afternoon or evening.
What should I mention to my pediatrician about baby colic and excessive crying?
You should mention baby colic and excessive crying at your next visit if: You are struggling to cope with the crying and need support or reassurance - your well-being matters too, and your pediatrician wants to help. Crying is accompanied by frequent spitting up, arching the back, or refusing to feed, which could suggest gastroesophageal reflux. Your baby has signs of a possible food sensitivity such as blood or mucus in stools, especially if breastfed.
Is baby colic and excessive crying normal at 0-2 weeks?
Newborns generally cry 1-2 hours per day, which is normal. Colic has not typically set in yet at this stage. If your newborn seems to cry excessively in the first two weeks, it is important to rule out hunger, pain, illness, or feeding difficulties. Contact your pediatrician if your newborn seems inconsolable, especially if they have a fever, are not feeding, or seem unwell.
Is baby colic and excessive crying normal at 2-6 weeks?
This is when colic typically begins. Crying often follows a pattern - it tends to worsen in the late afternoon and evening (sometimes called the "witching hour"), is intense and high-pitched, and your baby may clench their fists, pull up their legs, or become red in the face. The baby is healthy, feeding well, and gaining weight normally between crying episodes. This is the hallmark of colic.
Should I go to the ER for baby colic and excessive crying?
Seek emergency care if your baby has a fever (100.4F/38C or higher rectally) in addition to crying, especially if under 3 months - this always needs same-day evaluation, or if your baby is vomiting forcefully (not just spitting up), has a distended or hard belly, or has blood in their stool. When in doubt, call your pediatrician's after-hours line for guidance.
Does baby colic and excessive crying go away on its own?
In many cases, baby colic and excessive crying resolves on its own, especially when your baby cries for extended periods but is otherwise healthy, feeding well, gaining weight, and having normal wet and dirty diapers. By 3-5 months, the vast majority of colic resolves by 3-4 months of age, and almost all cases resolve by 5 months. You may notice that the evening crying episodes gradually become shorter and less intense. If excessive, inconsolable crying persists beyond 4-5 months, or if your baby seems to be in pain during crying, talk to your pediatrician to explore other possible causes such as reflux, food intolerance, or other medical conditions.

References

  1. [1]American Academy of Pediatrics. Colic. HealthyChildren.org. AAP
  2. [2]Wessel MA, Cobb JC, Jackson EB, et al. Paroxysmal fussing in infancy, sometimes called colic. Pediatrics. 1954;14(5):421-435. AAP
  3. [3]Centers for Disease Control and Prevention. Concerned About Your Child's Development? Learn the Signs. Act Early. CDC
  4. [4]National Institute for Health and Care Excellence. Colic in Infants. NICE Clinical Knowledge Summary. NIH

Doctor Visit Checklist

Bring this checklist to your next pediatrician visit to discuss Baby Colic and Excessive Crying.

Things to mention

  • Describe when you first noticed baby colic and excessive crying and how it has changed over time.
  • Note your baby's current age and which age-specific patterns you are seeing.
  • Mention if you are struggling to cope with the crying and need support or reassurance - your well-being matters too, and your pediatrician wants to help.
  • Mention if crying is accompanied by frequent spitting up, arching the back, or refusing to feed, which could suggest gastroesophageal reflux.
  • Bring a list of any questions or observations you want to discuss at the appointment.

Observations to share

  • You are struggling to cope with the crying and need support or reassurance - your well-being matters too, and your pediatrician wants to help
  • Crying is accompanied by frequent spitting up, arching the back, or refusing to feed, which could suggest gastroesophageal reflux
  • Your baby has signs of a possible food sensitivity such as blood or mucus in stools, especially if breastfed

Urgent signs to report immediately

  • Your baby has a fever (100.4F/38C or higher rectally) in addition to crying, especially if under 3 months - this always needs same-day evaluation
  • Your baby is vomiting forcefully (not just spitting up), has a distended or hard belly, or has blood in their stool
  • You feel you might harm your baby or yourself - call your pediatrician, a crisis line (988 Suicide and Crisis Lifeline), or go to your nearest emergency room immediately. Putting your baby in a safe place and walking away is always okay.

My notes

From ismybabyalright.com — free, evidence-based baby health guides

All content follows our editorial policy and is reviewed against published clinical guidelines.

2,705 evidence-based guides6 authoritative medical sources5 medical advisory board members

Bottom line

Most cases of baby colic and excessive crying are normal. Talk to your pediatrician if your baby has a fever (100.4f/38c or higher rectally) in addition to crying, especially if under 3 months - this always needs same-day evaluation.

Trust your instincts. If something feels wrong, reach out to your pediatrician. Worrying about your baby means you care — that is a good thing.

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