#asktheexpert Hello Doctor, Myself Akhil and i have a baby 26 days old. He has been crying frequently at night for the past two days. In the daytime there is no issue. Please advise why the baby is crying at night and is there a solution.

Question

Accepted Answer

Hi Akhil, congratulations on your newborn! It’s common for babies, especially at around 26 days old, to have periods of crying, and it can be more frequent during the night. There are several reasons why your baby might be crying at night, and understanding the potential causes can help you find a solution.

### Possible Reasons for Nighttime Crying

1. **Hunger**: Newborns have small stomachs and need to eat frequently, even during the night. If your baby is crying, it could be a sign that they are hungry and need a feeding.

2. **Gas or Colic**: Gas and colic are common causes of discomfort and crying in newborns, especially at night. Babies often swallow air during feeding or crying, which can cause gas and discomfort. Colic is characterized by prolonged crying episodes, often in the evening or nighttime.

3. **Overstimulation or Overtiredness**: Babies can become overstimulated or overtired, leading to difficulty settling down and increased crying. If your baby is exposed to too much noise, light, or activity, especially before bedtime, it can affect their ability to sleep well.

4. **Need for Comfort**: Babies often cry because they need comfort and reassurance. They might want to be held, swaddled, rocked, or have skin-to-skin contact.

5. **Temperature or Discomfort**: Your baby might be too hot or too cold, or they might have a wet diaper, both of which can cause discomfort and crying.

6. **Sleep Pattern Adjustment**: Newborns are still adjusting to the day-night sleep cycle. It’s normal for babies to have a reversed sleep pattern initially, being more awake and alert at night and sleeping more during the day.

7. **Reflux**: Some babies experience reflux, where stomach contents come back up into the esophagus, causing discomfort, especially when lying down.

### Solutions and Tips

1. **Feed Regularly**: Ensure your baby is feeding regularly and getting enough milk or formula. A full baby is more likely to sleep longer stretches.

2. **Burp Your Baby Well**: Make sure to burp your baby after each feeding to help release any trapped air and reduce gas.

3. **Swaddle Your Baby**: Swaddling can help your baby feel secure and may reduce crying by mimicking the snug environment of the womb.

4. **Establish a Calming Night Routine**: Create a calming bedtime routine with activities such as a warm bath, gentle rocking, and dim lighting to signal that it is time for sleep.

5. **Comforting Techniques**: Use techniques such as rocking, holding, or gently patting your baby to provide comfort. White noise machines or a fan might also help soothe your baby to sleep.

6. **Monitor Room Temperature**: Keep the room at a comfortable temperature, neither too hot nor too cold, and ensure your baby is dressed appropriately for the temperature.

7. **Check for Discomfort**: Ensure your baby’s diaper is clean and dry, and check for any signs of discomfort, such as tight clothing or something pinching their skin.

8. **Elevate the Head Slightly**: If reflux is a concern, try elevating the head of your baby’s mattress slightly by placing a rolled towel under the mattress to keep them at a slight incline.

9. **Stay Calm and Be Patient**: Babies can pick up on their parents' stress and anxiety, which can make them more unsettled. Try to stay calm and soothe your baby with a soft voice or gentle touch.

### When to Seek Help

If your baby continues to cry excessively or shows signs of distress, discomfort, fever, vomiting, diarrhea, or has difficulty feeding, it is important to consult with a pediatrician. They can rule out any underlying health issues and provide further guidance.

Remember, it’s normal for newborns to cry and it’s part of their way of communicating their needs. With time, you’ll learn to understand your baby’s cues and how best to comfort them. If you're concerned or need reassurance, don't hesitate to reach out to a healthcare professional.