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Crying, Age 3 and Younger

Overview

Crying lets others know when a young child is hungry, wet, tired, too warm, too cold, lonely, or in pain. If your child is crying, try to figure out the type of cry. It helps to go through a mental checklist of what might be wrong and to make sure that your child is safe and cared for. But remember that there may be nothing bothering your child. As parents or caregivers respond to the young child's other signals (such as whimpering, facial expressions, and wiggling), the child will usually cry less.

Parents and caregivers become better over time at knowing the cause of a young child's cry. A young child will often have different kinds of cries.

Crying related to normal development and behavior

  • Hungry cries. These cries start with a whimper and become louder and longer. Your hungry child will eagerly accept feeding and stop crying.
  • Upset cries. They are loud and start suddenly. Your young child may be afraid, bored, or lonely. As your child gets older, upset crying may be a reaction to such things as loud noises, frustration with clothing or toys, or fear of strangers.
  • Pain cries. These start with a high-pitched, strong wail followed by loud crying. These cries sound very irritating. They may make you feel anxious. A young child in pain will often have other signs of pain along with crying. In many cases, pain cries may be caused by:
    • A recent immunization. Your child may be fussy, cry more than usual, and have a fever after getting a vaccine, especially diphtheria, tetanus, and pertussis (DTaP) shots. But your child will look well even while crying.
    • Teething, Opens dialog. Teething symptoms may start about 3 to 5 days before a tooth breaks the skin. But symptoms can occur off and on for 1 to 2 months. The most common symptoms of teething include swelling, tenderness, or discomfort in the gums at the site of the erupting tooth; drooling; biting on fingers or toys; crankiness; or trouble sleeping. Teething may cause a mild increase in your child's temperature. But if the temperature is higher than 100.4°F (38°C), look for symptoms that may be related to an infection or illness.
    • Constipation. A crying episode that occurs when the child is trying to pass a stool normally will stop when the stool is passed.
    • Diaper rash, Opens dialog. Irritated skin around the thighs, genitals, buttocks, or belly may make a child cry, especially when a diaper is wet or soiled.
    • Colic, Opens dialog. All babies cry. But sometimes a baby will cry for hours at a time, no matter what you do. This extreme type of crying in a baby who is between 3 weeks and 3 months of age is called colic. While it is upsetting for parents and caregivers, colic is normal for babies. Doctors usually diagnose colic when a healthy baby cries harder than expected in a "3" pattern: more than 3 hours a day at least 3 days a week for at least 3 weeks in a row. The crying is usually worst when babies are around 6 to 8 weeks of age. It goes away on its own between 8 and 14 weeks of age. Doctors aren't sure what causes colic. It may be related to gas in the belly or an immature nervous system.
    • Belly cramps from overfeeding or milk intolerance, Opens dialog. Overeating or swallowing too much air during feeding can cause belly cramps. These cramps can make a baby cry. Crying also may occur if your child is sensitive to milk protein. The baby will often spit up some of the feeding and may have loose stools.
    • A minor illness, such as a cold or stomach flu, Opens dialog (gastroenteritis). Crying related to an illness often starts suddenly. In most cases, there are other signs of illness such as fever, looking sick, and decreased appetite.
    • Minor injuries. Your child is likely to cry when they have an injury, such as an eyelash in the eye, an insect bite, or an open diaper pin in the skin.
  • Overtired or overstimulated cries. Crying can be your young child's way of releasing tension when there is too much noise, movement, or activity in the environment or when they are overtired.

Crying related to a serious illness or injury

In rare cases, crying may point to a serious illness or injury. This type of crying usually lasts much longer than normal, and your baby may not be acting normally.

Crying and abusive head trauma

Crying can be very frustrating for a parent or caregiver. But never shake or harm your child. Shaking a child in anger or playing rough, such as throwing a child into the air, can injure the brain. Abusive head trauma, Opens dialog needs to be reported to your doctor. If you find that you are losing patience or are afraid that you may hurt your child:

  • Place your child in a safe place while you go into another room, relax, and calm yourself.
  • Ask someone to help you. If you can't find someone to take over for you and you still feel out of control, call your doctor.

Crying related to medical conditions

Certain medical conditions can cause a young child to cry. They include gastroesophageal reflux, Opens dialog, inguinal hernia, Opens dialog, and intussusception, Opens dialog.

Current as of: October 24, 2024

Author: Ignite Healthwise, LLC Staff

Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.