Colic vs. Acid Reflux in Babies: Symptoms & Differences

Many babies who are fussy are wrongly labeled as having colic. While colic is common in infants, other causes such as acid reflux may be responsible for a baby who cannot be calmed. According to Dr. Sears, there are several key differences between colic and acid reflux.

Onset

• Colic typically starts by the time the baby is three weeks old. Acid reflux can begin at any time and can be present at birth.

Behavior

• With colic, the baby is inconsolable for several hours per day. While certain positions and activities may work to calm the baby, parents generally have to learn to deal with the crying. Acid reflux can also result in crying, but parents usually identify this cry as indicating the baby is in pain and not just crying to cry.

Duration

• To be classified as colic, the baby must have episodes that last at least three hours for at least three days per week. With uncontrolled acid reflux, the baby is usually fussy at each feeding and following the feeding. Colic is usually outgrown by three months, whereas acid reflux can last until 12 months.

Treatment

• There is no known treatment for colic. With acid reflux, certain medications can be prescribed and adjustments can be made with feeding positions, giving smaller feedings and having the baby sleep in an inclined position. Severe cases may require surgery.

Risks

• Babies who suffer from acid reflux and colic are at a higher risk of shaken baby syndrome at the hands of frustrated parents and caregivers. Seek help if the situation is overwhelming.