Colic or Gas? How to Tell What’s Going On With Your Baby (and What You Can Do)

If your baby is crying for hours, turning red in the face, arching their back, or clenching their fists—you’re probably asking the same question many new parents do:

“Is this colic… or is it just gas?”

Let’s break it down with compassion, evidence-based guidance, and a few doula-approved tips to help you survive this phase with your sanity intact.

😫 What Is Colic?

Colic is typically defined as inconsolable crying in a healthy baby for:

More than 3 hours a day More than 3 days a week For at least 3 weeks (This is called the “Rule of Threes”)

Colic tends to start around 2–3 weeks old and often peaks around 6 weeks, improving by 3–4 months.

But the truth is—colic isn’t a diagnosis. It’s a label for a cluster of symptoms when nothing else seems to explain the distress.

💨 Could It Be Gas Instead?

Gas discomfort is extremely common in newborns, especially in the first 8 weeks as their digestive systems mature.

Signs of gas-related discomfort:

Squirming, arching, clenching legs or fists Passing gas with relief Grimacing or straining after feeds Fussiness during or right after feeding Burping brings temporary calm

💡 If the crying comes in short waves and is relieved with burping, movement, or a bowel movement—it may be gas.

🤱 What Causes Colic or Gas?

Colic:

Baby’s immature nervous system Overstimulation Reflux Feeding issues (e.g. fast let-down, tongue tie) Possibly gut imbalance or food sensitivity

Gas:

Swallowing air during feeding Poor latch or bottle angle Not being burped properly Immature digestion Formula intolerance (in some cases)

🧘‍♀️ What You Can Do (Doula-Approved Tips)

1. Try the “5 S’s” (from Happiest Baby on the Block):

✅ Swaddle

✅ Side/stomach position (for holding only)

✅ Shush

✅ Swing

✅ Suck (pacifier, breast, finger)

2. Offer gas relief methods:

🍼 Burp frequently during and after feeds

🧴 Use paced bottle feeding for bottle-fed babies

🦶 Bicycle baby’s legs or do tummy massage

🫧 Try a warm bath or baby-wearing

💧Mylicon gas drops

🌊 Gripe Water

3. Calm your nervous system too:

Colic and gas can test your patience and heart.

If you’re feeling overstimulated or exhausted, it’s okay to step away for a moment, breathe, and reset.

4. Rule out reflux, allergies, or feeding issues:

Talk to your pediatrician if symptoms are persistent, especially if baby:

Isn’t gaining weight Vomits forcefully or often Has blood in stool Has hard stools or severe gas

🚩 When to Call the Pediatrician

Fever over 100.4°F Vomiting (not just spit-up) No wet diapers in 6+ hours Extreme lethargy or high-pitched crying Blood in stool or signs of pain

💛 Final Thought

Whether it’s colic, gas, or just a rough evening—it’s not your fault. You’re not doing anything wrong.

Your baby’s cries don’t mean you’re failing. They mean you have a tiny human adjusting to life outside the womb.

And you?

You deserve support, rest, and encouragement—every step of the way.

– Dawn

Certified Postpartum Doula

Compassionate Care Doula Services

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