#asktheexperts

hi doctor,

my baby doesn't have fever nor tummy ache. but still she cries at night after feed.

please advise.

Question

#asktheexperts

hi doctor,

my baby doesn't have fever nor tummy ache. but still she cries at night after feed.

please advise.

Accepted Answer

If your baby cries at night after feeding but doesn't have a fever or tummy ache, there could be several reasons for this behavior. Here are some common causes and suggestions on how to address them:

### Possible Causes:
1. **Gas or Colic**:
   - Babies can sometimes swallow air while feeding, leading to gas and discomfort.
   - Colic, characterized by prolonged crying, often occurs in the evenings and nights.

2. **Reflux**:
   - Gastroesophageal reflux (GER) can cause discomfort after feeding. Babies with reflux often spit up frequently and may cry due to the discomfort.

3. **Hunger or Overfeeding**:
   - Sometimes babies might still be hungry after a feed or might have been overfed, causing discomfort.

4. **Teething**:
   - Teething can cause discomfort and make babies more irritable, especially at night.

5. **Sleep Regression**:
   - Developmental milestones can cause sleep regression, leading to increased nighttime wakefulness and crying.

6. **Overstimulation or Overtiredness**:
   - If the baby is overstimulated during the day or overtired, it can affect their nighttime sleep and lead to crying.

7. **Diaper Discomfort**:
   - A wet or dirty diaper can cause discomfort and lead to crying.

### Solutions and Tips:
1. **Burping**:
   - Make sure to burp your baby thoroughly after each feed to help release any trapped air.

2. **Feeding Position**:
   - Keep your baby in an upright position during and for a short time after feeding to help reduce reflux symptoms.

3. **Check Diaper**:
   - Ensure the diaper is clean and dry before putting the baby to bed.

4. **Teething Relief**:
   - If teething is suspected, offer a teething ring or a cold washcloth for your baby to chew on.

5. **Calm Environment**:
   - Create a calming bedtime routine to help your baby wind down. This can include a warm bath, gentle rocking, or a lullaby.

6. **Swaddling**:
   - Swaddling can provide comfort and security, helping your baby sleep better.

7. **White Noise**:
   - White noise machines can help create a soothing environment and mask other noises that might wake your baby.

8. **Comfort**:
   - Ensure your baby feels safe and comforted. Sometimes they need extra cuddling and reassurance.

### When to Seek Medical Advice:
- If the crying persists and you are unable to console your baby.
- If there are other symptoms such as poor weight gain, frequent vomiting, or changes in feeding patterns.
- If you suspect reflux or any other medical condition that might be causing discomfort.

Always consult your pediatrician if you are concerned about your baby’s crying or if there are any other symptoms that worry you. They can provide specific advice and help rule out any underlying issues.