#asktheexpert Hi doc..my daughter is 50days old..4 days before her vaccination done.. after that day she is crying a lot especially in evening.. i already given paracetamol there is no temperature also despite of tht she is cryin continuously i cant understand what to do?!

Question

Accepted Answer

It’s not uncommon for babies to experience increased fussiness or crying after vaccinations. Here’s what you can do to help your 50-day-old daughter during this time:

### Possible Causes of Increased Crying After Vaccination:
1. **Normal Reaction**: Vaccinations can cause temporary discomfort or irritability. This is usually due to the immune response and should settle down within a few days.
   
2. **Soreness at Injection Site**: The injection site might be sore or tender, which can make your baby fussy.

3. **Mild Discomfort**: Some babies might experience mild side effects like general discomfort or a slight change in routine, which can lead to more crying.

### Tips to Help Soothe Your Baby:
1. **Comforting Techniques**:
   - **Hold and Cuddle**: Sometimes, holding your baby close can provide comfort and reassurance.
   - **Swaddle**: Wrapping your baby snugly in a blanket can help them feel secure.
   - **Gentle Rocking**: Rocking or swaying your baby in your arms or using a rocking chair can help calm them.

2. **Check for Other Causes**:
   - **Hunger**: Ensure that your baby is fed and not hungry.
   - **Diaper Change**: Check if your baby needs a diaper change.
   - **Gas**: Sometimes, babies have trapped gas that can cause discomfort. Gently massage your baby's tummy or try holding them in an upright position.

3. **Warm Bath**: A warm bath can sometimes help relax and soothe a fussy baby.

4. **Maintain a Calm Environment**: Ensure the environment is calm and quiet. Sometimes, overstimulation can make a baby more irritable.

5. **Monitor for Additional Symptoms**: If your baby develops a fever, rash, or shows other unusual symptoms, contact your pediatrician. Persistent crying without a clear cause should be evaluated to rule out any underlying issues.

6. **Paracetamol**: If your pediatrician has advised giving paracetamol for post-vaccination discomfort, make sure you follow the dosage instructions carefully.

### When to Seek Medical Advice:
- **Persistent Crying**: If the crying continues for more than a few days or is accompanied by other symptoms, such as high fever, rash, or unusual lethargy, contact your pediatrician.
- **Concerns About Reactions**: If you have concerns about your baby's reaction to the vaccine or if the symptoms seem severe, it’s always best to consult your healthcare provider for guidance.

It’s generally reassuring that your baby’s temperature is normal and that the crying is occurring mainly in the evening. This can be a sign of a typical post-vaccination reaction that should improve over time. Keep monitoring her closely and reach out to your pediatrician if you have any concerns.