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Prolonged Infant Crying: Sign of Trouble?

In Rare Cases, Persistent Crying That Is Not Colic May Signal Nervous System Problem
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Oct. 27, 2004 -- The relentless, full-throttle crying of colic is worrisome for parents. But only in rare cases, when crying persists past 3 months old, it may be a sign of trouble, new research shows.

The report appears in the latest issue of Archives of Diseases in Childhood.

Colic is indeed a source of parents' frustration, because nothing seems to relieve it. Doctors say some babies are colicky because of a sensitive temperament, and because their nervous system is immature. As babies grow and develop, they can better control their crying. Within their first eight weeks, the frequency and intensity of their crying gradually decreases.

"Colic is common among infants ... extremely stressful for families ... [but] usually resolves itself within the first three months, with no apparent affect on brain development," writes researcher Malla R. Rao, PhD, an epidemiologist formerly with the National Institute of Child Health and Human Development, now with the National Institute of Allergy and Infectious Diseases.

However, a handful of studies have shown that persistent crying -- longer than three months - may be related to mental and behavioral problems as children get older, Rao says. In a recent study, children who still had unexplained, persistent crying beyond six months tended to be hyperactive when they reached 8-10 years old.

Colic vs. Persistent Crying

In their study, Rao and colleagues in Norway and Sweden investigated this pattern. They tracked the progress of 327 pregnant women and their newborn infants, from the second trimester until the child was 5 years old. All the infants were otherwise healthy babies.

Also, all the mothers were "veterans" having raised at least one infant already. They could easily distinguish between abnormal and normal crying, says Rao.

Public health nurses checked the infants at 6 and 13 weeks old, and at 6 and 9 months old for signs of colic, defined as unexplained daily and prolonged infant crying for at least two weeks reported within the first 12 weeks of life but not beyond. "Prolonged crying" was defined as daily, uncontrolled, prolonged crying without any obvious cause, persisting for at least two weeks but reported at both six-week and 13-week visits. When each child turned 5 years old, the child's mother provided a detailed history of the child's major health problems.

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