As a parent, there’s nothing more heart-wrenching than hearing your baby cry uncontrollably or dealing with seemingly endless spit-ups. You might feel helpless, exhausted, and overwhelmed by the never-ending cycle of feeding, crying, and cleaning. But take comfort in knowing that you’re not alone in facing these challenges. Colic and regurgitation and common struggles many parents face, making the beginning of your journey with your little one especially tough. The good news is that there are proven solutions to help you both through this challenging phase.
Based on extensive research and expert insights, this article explores the causes of colic and regurgitation, dispels common myths, and provides evidence-based tips. Whether you're a first-time parent or experienced, our expert-backed advice will guide you toward restoring restore peace and comfort for both you and your baby.
What is colic?
Colic is characterised by prolonged episodes of crying and fussiness, often in the late afternoon or evening. Unlike normal crying, which varies in pitch and intensity based on a baby’s needs, colic crying is more intense, high-pitched and persistent. It often comes in sudden outbursts, with a piercing or screech-like quality, and can last for hours despite efforts to soothe. Colicky babies may also clench their fists, arch their backs, and appear gassy or tense, making it even harder to calm them. Though its exact cause isn’t fully understood, and it’s generally linked to your baby’s developing nervous and digestive systems. Typically, colic begins within the first few weeks, peaks around six weeks, and fades by three to four months.
EXPERT INSIGHT
Dr Mythili shares that food in a breastfeeding mother’s diet rarely triggers colic-like symptoms, unless there’s a sensitivity or allergy. Ensuring effective nursing with a proper latch and managing the mother’s milk supply especially if there’s oversupply, can aid in the baby’s digestion.
What is regurgitation?
Regurgitation, commonly known as spitting up, occurs when your baby’s underdeveloped lower oesophageal sphincter allows milk to flow back up after feeding. While it can be messy and concerning, this behaviour is normal for infants. Most babies naturally outgrow frequent regurgitation as their digestive systems mature.
Are colic and regurgitation interrelated?
While both colic and regurgitation stem from an immature digestive system, they are distinct challenges. Colic involved prolonged crying and discomfort, whereas regurgitation is a physical response due to an underdeveloped valve in the digestive tract.
That said, there can be a subtle connection, as regurgitation may occasionally cause discomfort that can intensify colic symptoms. This overlap doesn’t imply that one directly causes the other, but it does highlight the complexity of early development.
DID YOU KNOW?
“Breastfeeding technique plays a significant role in managing colic and regurgitation. A proper latch minimises air intake, leading to a more efficient feeding session. We recommend allowing your baby to feed on one breast until they are fully satisfied, offering the second breast only if needed. The unfed breast should be reserved for the next feeding without the need to express milk,” as mentioned by Dr Mythili.
Practical lactation techniques
Many experts consistently point to effective lactation techniques as a key factor in alleviating these early challenges. Here are some practical tips to try:
1. Optimise feeding techniques
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Ensure a good latch
A proper latch is key for breastfeeding. It minimises air intake, which in turn reduces the risk of both colic and regurgitation. If you’re unsure about your baby’s latch, consider a session with a lactation consultant.
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Adopt an upright feeding position
Whether you’re breastfeeding or bottle-feeding, try to feed your baby in a more upright or semi-upright position. This position helps gravity do its work, reducing the likelihood of milk flowing back up.
DID YOU KNOW?
For bottle-fed babies, we recommend paced feeding, which lets your baby decide how much they need rather than having us to control the feed. I call it respectful feeding. In this approach, your baby sits upright while the bottle teat is half-filled with milk and half with air, allowing them to control the flow. Halfway through the feed, give your baby a break to release gas before switching sides, encouraging balanced neck muscle development. A relaxed feed should last at least 20 minutes.
2. Perfect the art of burping
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Burp early and often
Make it a habit to burp your baby halfway through a feeding session and again once the feed is finished. This routine helps release trapped air before it builds up and causes discomfort.
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Effective burping techniques
Experiment with different burping techniques such as holding your baby over your shoulder, seating them on your lap, or laying them on their tummy, to see which one works best for your baby.
3. Create a calming feeding environment
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Minimise distractions
A quiet, calming feeding area can help your baby focus on feeding and reduce the chances of swallowing extra air due to over-stimulation.
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Consistent routine
A predictable routine helps soothe your baby. Over time, your little one may come to associate calm environments with feeding and relaxation, reducing stress-related regurgitation and crying.
4. Soothing techniques beyond feeding
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Gentle baby massage
A light, clockwise tummy massage can help relieve gas and soothe your baby’s digestive discomfort. Always use gentle pressure and watch for cues from your baby.
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White noise and swaddling
Soft background music, white noise and snug swaddling can create a calming environment that soothe your baby’s nervous system, potentially reducing colic episodes. White noise, such as a gentle fan or a dedicated sound machine, mimics the womb’s familiar sounds, helping to comfort your baby.
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Skin-to-skin contact
Holding your baby close, especially after feeding, not only strengthens your bond but can also help settle their digestive system and calm their crying.
EXPERT INSIGHT
Skin-to-skin (STS) contact is a powerful, evidence-based method to sooth all babies, not just the breastfed ones. It recreates comforting environment of the womb, where your baby once heard your heartbeat, breathing, and your voice, while also helping to regulate temperature and heart rate. Dr Nils Bergman has also highlighted that Kangaroo Mother Care harnesses the benefits of STS, promoting co-regulation and building resilience in your baby.
5. Monitor and adapt
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Keep a feeding diary
Track feeding times, positions, and any episodes of regurgitation or colic. This diary can help you identify patterns or triggers and provide useful information for your paediatrician or lactation consultant.
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Watch for other symptoms
While colic and regurgitation are generally normal, be alert for signs such as poor weight gain, fever, excessive vomiting, or persistent discomfort. These may indicate an underlying medical issue that requires prompt evaluation by a doctor.
EXPERT TIP
If you’re experiencing discomfort with breastfeeding, seek help from an experienced International Board Certified Lactation Consultant (IBCLC) as soon as possible, rather than trying to troubleshoot on your own. Since babies typically feed 8-12 times a day, ongoing pain during each session can make breastfeeding less enjoyable and relaxing than you’ve hoped for. Act early to address any issues and improve your experience.
Professional guidance can help ensure that your baby’s needs are met and provide you with tailored advice for your situation.
We know that early months with a newborn can be filled with uncertainty and sleepless nights, but every challenge is a step towards more confident and joyful parenting. By refining your feeding techniques, creating a calm environment, and leaning on both professional and community support, you can significantly ease your baby’s discomfort.
Every parent’s journey is unique. Trust your instincts, be patient with yourself, and celebrate the small wins along the way. With the right strategies, those tearful nights can slowly make way for brighter, more peaceful days.
Your determination to find solutions is the first step toward a happier, healthier experience for both you and your baby. Remember, you’re doing an amazing job, even on the toughest days.
This article has been written by Healthful For You and does not represent the opinions, views, or endorsements of the Expert Contributor of this article. The Expert Contributor has solely provided expert insights, tips, and “Did You Know” information for informational purposes. Any interpretations, conclusions, or statements beyond these contributions are those of the author and do not reflect the views of the expert contributor. This content is intended for informational purposes only and should not be considered as medical, legal, or professional advice.
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