Children's Hospital Colorado

Crying Child - 3 Months and Older

Urgent or Emergency Care?

If you believe your child needs immediate attention and you have concerns for a life-threatening emergency, call 911. Not sure what counts as urgent and what's an emergency when your child is sick or injured? When it can't wait, know where to take your kids.

Help Me Decide

  • A child more than 3 months old is crying or very fussy
  • You don't know why
  • Your child is too young to tell you why
  • Age: Most of these children are younger than 2 years old
  • Crying is the only symptom
  • For crying with an illness or other symptom, go to that care guide

Causes of Unexplained Crying

  • New Illness. Coming down with an illness is the main physical cause. Young children cry about being sick, even if they don't have any pain.
  • Physical Pain. Painful causes include earache, sore throat, mouth ulcers, or a raw diaper rash. A sore on the penis or constipation may also cause pain or crying.
  • Behavioral Causes. Most crying means the child is upset about something. Crying can occur when a young child is separated from his parents. Other examples are crying with tantrums or when overtired. This guide detects many babies with sleep problems. Crying always occurs during re-training programs for bad sleep habits. Some preverbal children cry any time they want something.
  • Hunger. After the early months, most parents can recognize hunger and feed their child. If they don't, the child may cry.
  • Cold Medicines. Drugs like Sudafed can also cause crying. Note: FDA does not advise cough and cold medicines for children under 4 years.

Myths About Causes of Crying

  • Not Due to Teething. Teething may cause some babies to be fussy. But, in general, it does not cause crying.
  • Not Due to Gas. Gas passing through normal intestines does not cause pain or crying.

Call 911 Now

  • Not moving or very weak
  • You think your child has a life-threatening emergency

Go to ER Now

  • Stiff neck (can't touch chin to chest)
  • Bulging soft spot
  • Swollen scrotum or groin
  • Won't move one arm or leg normally
  • Cries when you touch or move your child
  • Screaming child and can't be consoled

Call Doctor Now or Go to ER

  • Could be an injury
  • Nonstop crying lasts more than 2 hours. (Your child can't be consoled using this Care Advice)
  • You are afraid someone might hurt or shake your child
  • Will not drink or drinks very little for more than 8 hours
  • Not alert when awake ("out of it")
  • Your child looks or acts very sick
  • You think your child needs to be seen, and the problem is urgent

Call Doctor Within 24 Hours

  • You think pain (such as an earache) is causing the crying
  • New crying but your child can be consoled. Cause of crying is not clear.
  • You think your child needs to be seen, but the problem is not urgent

Call Doctor During Office Hours

  • Mild, off-and-on fussiness without a cause lasts more than 2 days
  • Crying is a frequent problem
  • You have other questions or concerns

Self Care at Home

  • Mild fussiness without a cause is present less than 2 days
  • Normal protest crying
  • Temper tantrum crying
  • Sleep problem crying

Care Advice

Mild Fussiness of Unknown Cause

  1. What You Should Know:
    • Your child is crying and fussing more than normal. But, if acting normal when not crying, the cause is probably not serious.
    • He could be coming down with an illness. Most often, that will become clear in a day or so.
    • He could be reacting to some changes in your home or child care setting. See if you can come up with some ideas.
    • At times, children can also go through a "clingy phase" without a reason.
    • If the crying stops with comforting, it's not serious.
    • Here is some care advice that should help.
  2. Comfort Your Child:
    • Try to comfort your child by holding, rocking, or massage.
    • Talk in a quiet, calm voice.
  3. Undress Your Child- Check the Skin:
    • Sometimes, part of the clothing is too tight. Loosen it.
    • Also, check the skin for redness or swelling (such as an insect bite).
  4. Stop Any Over-the-Counter Medicines:
    • If your child is taking a cough or cold med, stop it.
    • The crying should stop within 4 hours.
    • Allergy meds like Benadryl can cause screaming in a small number of children. Also, may cause some children to be more fussy than normal.
    • Drugs that lessen congestion like Sudafed can cause crying.
    • The FDA does not approve any of these drugs for children under 4 years old.
  5. Sleep - Take a Nap:
    • If your child is tired, put him to bed.
    • If he needs to be held, hold him quietly in your arms. Sometimes, lying next to him will comfort him.
    • Some overtired infants need to cry themselves to sleep.
  6. Warning: Never Shake a Baby
    • It can cause bleeding on the brain. Severe brain damage can happen in a few seconds.
    • Never leave your baby with someone who is immature or has a bad temper.
    • If you are frustrated, put your baby down in a safe place.
    • Call or ask a friend or relative for help.
    • Take a break until you calm down.
  7. What To Expect:
    • Most fussiness with illnesses goes away when the illness does.
    • Fussiness may be due to family stress or change (such as new child care). Fussiness due to this cause lasts less than 1 week.
  8. Call Your Doctor If:
    • Nonstop crying lasts more than 2 hours
    • Crying with an illness gets worse
    • Mild crying lasts more than 2 days
    • You think your child needs to be seen
    • Your child becomes worse

Normal Protest Crying

  1. What You Should Know:
    • Normal children cry when they don't get their way.
    • Normal children cry when you make changes in their routines.
    • Crying is how young children communicate in the first years of life.
    • Crying can mean, "I don't want to."
    • This is called normal protest crying and is not harmful.
    • Do not assume that crying means pain.
  2. Call Your Doctor If:
    • Crying becomes worse
    • Your child does not improve with this advice
    • You have other questions or concerns

Temper Tantrum Crying

  1. What You Should Know:
    • Crying is the most common symptom of a temper tantrum.
    • Temper tantrums occur when your child is angry or trying to get his way.
    • This is likely the cause of the crying if it occurs at these times.
    • All kids have some temper tantrums, starting at about 9 months of age.
  2. Tips for Dealing with Temper Tantrums:
    • Ignore most tantrums (such as wanting something the child doesn't need).
    • Don't give your child an audience. Leave the room.
    • For tantrums from frustration (such as when something doesn't work), help your child.
    • For tantrums that involve hitting or throwing objects, put in timeout. Leave your child there until he calms down.
    • Don't give in to tantrums. No means No.
    • Be a good role model. Do not yell or scream at others (adult tantrums).
  3. Call Your Doctor If:
    • Crying becomes worse
    • Your child does not improve with this advice
    • You have other questions or concerns

Sleep Problem Crying

  1. What You Should Know:
    • Sleep problems can cause crying. Suspect this if most of your child's crying occurs in his crib or bed. The crying mainly occurs when you put him down for naps and at night. Also, suspect a sleep problem if your child acts normal during the daytime.
    • Sleep problems are common in childhood.
  2. Tips for Treating the Sleep Problem:
    • Re-train your child to be a good sleeper at bedtime and naptime.
    • Place your child in the crib "sleepy but awake."
    • Once placed in the crib, don't take your child out again.
    • Visit your child as often as needed until asleep.
    • For waking at night, it's fine to hold your child until calm.
    • Do all of this in a loving way with a calm voice.
    • Never feed until asleep. Always stop before asleep.
    • Never sleep in the same bed with your child.
  3. Call Your Doctor If:
    • Crying becomes worse
    • Your child does not improve with this advice
    • You have other questions or concerns

Disclaimer

The information contained in these topics is not intended nor implied to be a substitute for professional medical advice, it is provided for educational purposes only. You assume full responsibility for how you choose to use this information.

Always seek the advice of your physician or other qualified healthcare provider before starting any new treatment or discontinuing an existing treatment. Talk with your healthcare provider about any questions you may have regarding a medical condition. Nothing contained in these topics is intended to be used for medical diagnosis or treatment.

  • Not a Substitute - The information and materials in Pediatric HouseCalls Symptom Checker should not be used as a substitute for the care and knowledge that your physician can provide to you.
  • Supplement - The information and materials presented here in Pediatric HouseCalls Symptom Checker are meant to supplement the information that you obtain from your physician. If there is a disagreement between the information presented herein and what your physician has told you -- it is more likely that your physician is correct. He or she has the benefit of knowing your child's medical problems.
  • Limitations - You should recognize that the information and materials presented here in Pediatric HouseCalls Symptom Checker have the following limitations, in comparison to being examined by your own physician:
    • You can have a conversation with your child's doctor.
    • Your child's doctor can perform a physical examination and any necessary tests.
    • Your child could have an underlying medical problem that requires a physician to detect.
    • If your child is taking medications, they could influence how he experiences various symptoms.

If you think that your child is having a medical emergency, call 911 or the number for the local emergency ambulance service NOW!

And when in doubt, call your child's doctor NOW or go to the closest emergency department.

The search for nearby emergency and urgent care facilities is based upon Google search parameters. You will get results based on how facilities manage their website information.

By using this website, you accept the information provided herein "AS IS." Neither publishers nor the providers of the information contained herein will have any liability to you arising out of your use of the information contained herein or make any expressed or implied warranty regarding the accuracy, content, completeness, reliability, or efficacy of the information contained within this website.

Copyright 1994-2017 Schmitt Pediatric Guidelines LLC. All rights reserved.

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