Crying and Illnesses

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Harvey Karp, MD, FAAP
They may not use words. But babies sure know how to get our attention: However, if your baby's cries just won't stop, that may be a sign that the colic is the result of a bigger problem. In babies with persistent fussing, ruling out illness is essential – as we explain step by step.

Don't depend on your touch alone.

A temperature of 98.6 Fahrenheit is considered normal for most of us, but babies run a little warmer. For newborns, fever is defined by a rectal temperature of 100.4 degrees or higher. For older infants, easy-to-read digital oral or ear thermometers are fine. Mercury-filled glass thermometers are no longer recommended. And head strips – while convenient, may not be fully reliable.

If irritability turns to agitation or lethargy – there is vomiting or diarrhea – you see signs of rash – head or body swelling – or notice blood in the urine or stool. Call the doctor right away! Babies don't have strong immune systems and can get very sick, very fast. So it's always better to be safe than sorry. I will turn you over …

They may also recommend you change your baby's formula or change your diet if you are breastfeeding. All of these help your doctor to evaluate your baby for illnesses such as: Infection; Intestinal blockage; Food allergies; Or other conditions – like migraines headaches or even heart problems – that are rare but can be very serious. You don't want to accidentally mask a serious problem, so please never give your baby medications, drops or pain or fever relief without first consulting your pediatrician.

Those are the symphony of sensations that constantly calmed them in the womb. I'll talk about these simple soothing techniques that all babies crave – just ahead step by step.