What is the reason for the sudden crying of a 7-week-old baby during the past 4 nights while sleeping?

Patient's question:

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7-week-old baby has been experiencing sudden crying episodes while falling asleep for the past 4 nights. Upon self-observation, it seems like colic. Breastfeeding temporarily calms the baby, but sometimes the baby falls asleep after feeding, while other times they vomit after feeding. This happens 2-3 times per night. Should I feed the baby immediately when this occurs, or should I try soothing them first, feeding after 2-3 hours if soothing doesn't work? What negative effects might the baby's intense crying have if soothing fails? Thank you!

Doctor's answer:

There are many reasons why a baby might cry at night. It could be due to nightmares, being startled, or discomfort, such as gas or insufficient breast milk. If the baby swallows too much air while nursing, it may cause bloating and stomach pain. Alternatively, if the mom has eaten spicy or irritating foods, the baby may not be able to recover, leading to crying because of pain. Wet diapers can also cause discomfort, making the baby cry. Additionally, extreme indoor temperatures, whether too hot or too cold, can make the baby feel uncomfortable. Some babies lack a sense of security and have trouble sleeping, expecting their mother's arms to provide a comforting feeling. If all these situations are ruled out and the baby continues to cry excessively, it is important to seek medical attention immediately.

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