Colic in Newborns: What It Is, Why It Happens, and How to Survive It
Dr. Fatima Macaraig
Pediatric Dermatology · Chinese General Hospital · Medically reviewed · March 22, 2026
Colic — defined as inconsolable crying for more than three hours a day, more than three days a week, for more than three weeks — affects one in five Filipino newborns and is one of the most exhausting experiences of new parenthood. Understanding it does not make the crying quieter, but it makes it survivable.
1What Causes Colic and What Doesn't
Colic is not caused by bad parenting, spoiling, or anything you did wrong. Research suggests causes include an immature nervous system that overstimulates easily, gut microbiome immaturity causing gas and discomfort, and developing pain sensitivity. In the Philippines, many families blame colic on supernatural causes (usog) or cold exposure — these beliefs are not medically supported. A minority of colicky babies have true cow's milk protein allergy, which can be identified if colic resolves on a hypoallergenic formula trial.
2Techniques That Help Most Colicky Babies
The five S's method (Dr. Harvey Karp) has strong evidence: Swaddle tightly in a light muslin cloth; place on Side or Stomach (only while held — never for sleep); Shush loudly near the ear (white noise louder than the cry); Swing with small rapid jiggling motions; Suck on a clean finger or pacifier. In Filipino culture, the traditional kundiman rocking while singing works on the same neurological principle — rhythmic motion and sound calms the immature nervous system. Walking outside after sunset can help when indoor stimulation is too much.
3Protecting Parental Mental Health During Colic
Colic peaks at six weeks and almost always resolves completely by four months. Knowing the end point is crucial for mental health. When you have done everything — fed, changed, burped, swaddled, shushed — and the baby still cries, it is safe to place your baby in the crib and step out of the room for five to ten minutes to decompress. This is not neglect; it is preventing parental exhaustion that can lead to much worse outcomes. Tag-team with your partner if possible and accept every offer of help from family.
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When to See a Doctor
See your pediatrician if crying is accompanied by fever, vomiting, blood in stools, poor weight gain, arching of the back during feeds, or if you notice your baby seems in genuine pain rather than just frustrated. Also speak with a doctor if you feel you might hurt your baby or yourself — postpartum support is available and seeking help is strength.
Key Takeaways
Colic peaks at six weeks and almost always resolves completely by four months — you will get through this.
The five S's (Swaddle, Side, Shush, Swing, Suck) is the most evidence-supported method for calming colicky babies.
When you have done everything and the baby still cries, it is safe to place them in the crib and take a five-minute break.
What I Learned
"Our son cried for five hours every evening for seven weeks. I thought I was failing as a mother. Our pedia explained colic is neurological, not my fault. That information alone made it survivable. The five S's got us through the worst nights." — Joanna, mom of baby Nathan
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When to start, first Filipino foods, allergen intro
500+ questions answered by Philippine pediatricians
Browse All FAQsDoctor's Perspective
Pediatric Dermatology · Chinese General Hospital
"I always tell colic parents: this is not forever. Write the date on the calendar four months from birth and circle it. In twenty years of practice I have never seen true colic last past that date. Hold on."
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