Image from WikipediaIntroduction:
Crying is a normal event in the lives of all babies.When a baby comes out of the womb the first thing to do is crying.By the first cry he will take some air in to the lungs for the first time in their life.After delivery if the baby doesn’t cry then it should be initiated by slightly pinching or gently stroking the feet.From this it is clear that the healthy baby should cry and it is a normal physiological event ,still some times it can upset the mother or family members.

We all know that a baby can’t tell his needs or troubles in words. The only way for him to communicate with others is by crying.Babies show some other signs like feet kicking,hand waving and head turning etc. But the best way to take the attention of others is by crying.

Excessive crying may not have a firm definition because the crying habit changes from baby to baby and some babies can be calmed easily but some are difficult to sooth.If crying is distressing for the mother and home nurse it can be called excessive.Many a times baby become quiet by giving breast milk or by carrying with a gentle rocking.Sudden onset of excessive crying means baby is distressed and needs attention.The causes of crying extends from simple reasons to life threatening conditions.Hence crying of a baby should not be ignored.

Most of the time it is difficult to find the cause of the cry .Common causes are discussed here for awareness.

Common reasons for crying:
1,Hunger:–

A hungry baby will cry till he gets the milk. Here the old saying comes true’crying baby gets the milk’.

2,Wetting:–

Urination and defecation causes some discomfort and results in crying till his parts are cleaned and made dry .

3,Company:–

Majority of the kids need somebody near. If they feel lonely they cry.When their favorite doll slips away from the grip they cry for help.

4,Tired:–

When the baby is tired after a journey and unable to sleep just cry simply.They feel tired in uncomfortable surroundings and due to unhealthy climate.

5,Heat & cold:–

If they feel too hot or too cold they become restless and cry. Child is comfortable in a room with good ventilation.

6,Tight clothing:–

Tight cloths especially during warm climate is intolerable for kids.Tight elastic of the the dress can also produce soreness in the hip region.

7,Dark room:–

When the baby wakes up from sleep he needs some dim light.If there is darkness he will disturb the sleep of parents by crying.Of course he will be irritated by strong light resulting in cry.

8,Mosquito:–

Yes,these creatures disturb the sleep by their blood sucking and make the baby to cry.

9,Nasal blocking:–

Child may not be able to sleep when there is a cold and go on crying till the passage is open.

10, Phlegm in throat:–

This also causes difficult breathing resulting in cry.Often a typical sound can be heard with each breath.

11,General aching:–

Generalized body ache with restlessness is seen in flu and prodromal stages of some infectious diseases can result in continuous cry.

12,Habitual cry:—

Some babies cry without any real cause ending the parents in agony.Many a times doctor is called for help.

13,Nappy rash:--

If a tight and wet nappy is kept for a long time results in this condition.
Rash can also be due to some allergic reaction to the elastic material of the nappy. When the rash appears it causes soreness and baby become sleepless and cry. All other skin lesions like eczema,ecthyma ,candidacies ect also causes same problems.

14,Earache:–

Ear infection is common in wet climate.The infection may spread from the throat.Ear infection can result in rupture of ear drum causing discharge of pus.Earache usually becomes worse at night when lying down.Child will become restless with cry and may not allow you to touch the ear.Some children with earache rub the affected ear frequently.

15,Colic:–

When the baby cry continuously most of us diagnose it as colic.This problem is still a topic for debate because exact cause for colic is not known and diagnosis is also difficult to confirm.Colic may be associated with rumbling and distention of abdomen.Child often feels better when lying on abdomen.Some children may not allow you to touch the abdomen.If the child cries continuously doctors help is needed.

16,Infections:–

All infections causes some kind of pain or irritation resulting in cry.Infection may be anywhere in the body.Usually it is associated with fever, redness and swelling.

17,Reactions to certain food:–

It is said that one man’s food is another man’s poison. Some food articles can produce some allergic reactions.Allergy is manifested in the form of redness, breathlessness,gastric symptoms and continuous cry.

18,Hard stools:–

Constipated babies with hard stools may cry when they get the urge for stool.Some children hesitate to pass stool because of pain .

19,Gastro esophageal reflex:–

Here baby cries with spilling of food after feeding.If this continues it may be due to gastroesophageal reflex.This is due to failure of the lower part of esophagus to close after food causing regurgitation from the stomach.It is difficult to diagnose this condition and can be confirmed by giving anti reflex medicines.

20, Dentition:–

During dentition child becomes restless with crying.Often associated with gastric troubles and diarrhoea.

Some rare reasons
—————–

1,Bowel obstruction:–

Bowel obstruction is associated with severe pain and vomiting.Abdomen is distended with rumbling sound.Baby is constipated with absence of flatus.

2,Septicemia:–

Invasion of pathogenic micro organisms in to the blood is called septicemia.Fever is associated with this condition.

3,Torsion of testes in male kids:–

When a male baby cries continuously his scrotum should be examined.Torsion of the testes produce severe pain which will be worse by touching the affected testes.When the testes is pressed upwards pain is releived.If this is not treated properly it can damage the affected testes due to lack of blood supply.

4,Meningitis:–

Initially there may not be fever,hence crying baby with alternate vacant stare and irritability should not be ignored.Fontanel is bulging. Neck rigidity and seizures may appear later.

5,Retention of urine:–

Children with retention of urine will have agonizing pain making them restless.

7,Major injuries:–

Major injury to any parts of the body causes pain. Occasionally children will fall while carrying and results in head injury.Head injury is associated with reflex vomiting and convulsions.

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Image from WikipediaFrom the first moment the infant is applied to the breast, it must be nursed upon a certain plan. This is necessary to the well-doing of the child, and will contribute essentially to preserve the health of the parent, who will thus be rendered a good nurse, and her duty at the same time will become a pleasure.

This implies, however, a careful attention on the part of the mother to her own health; for that of her child is essentially dependent upon it. Healthy, nourishing, and digestible milk can be procured only from a healthy parent; and it is against common sense to expect that, if a mother impairs her health and digestion by improper diet, neglect of exercise, and impure air, she can, nevertheless, provide as wholesome and uncontaminated a fluid for her child, as if she were diligently attentive to these important points. Every instance of indisposition in the nurse is liable to affect the infant.

And this leads me to observe, that it is a common mistake to suppose that, because a woman is nursing, she ought therefore to live very fully, and to add an allowance of wine, porter, or other fermented liquor, to her usual diet. The only result of this plan is, to cause an unnatural degree of fullness in the system, which places the nurse on the brink of disease, and which of itself frequently puts a stop to the secretion of the milk, instead of increasing it. The right plan of proceeding is plain enough; only let attention be paid to the ordinary laws of health, and the mother, if she have a sound constitution, will make a better nurse than by any foolish deviation founded on ignorance and caprice.

The following case proves the correctness of this statement:

A young lady, confined with her first child, left the lying-in room at the expiration of the third week, a good nurse, and in perfect health. She had had some slight trouble with her nipples, but this was soon overcome.

The porter system was now commenced, and from a pint to a pint and a half of this beverage was taken in the four and twenty hours. This was resorted to, not because there was any deficiency in the supply of milk, for it was ample, and the infant thriving upon it; but because, having become a nurse, she was told that it was usual and necessary, and that without it her milk and strength would ere long fail.

After this plan had been followed for a few days, the mother became drowsy and disposed to sleep in the daytime; and headache, thirst, a hot skin, in fact, fever supervened; the milk diminished in quantity, and, for the first time, the stomach and bowels of the infant became disordered. The porter was ordered to be left off; remedial measures were prescribed; and all symptoms, both in parent and child, were after a while removed, and health restored.

Having been accustomed, prior to becoming a mother, to take a glass or two of wine, and occasionally a tumbler of table beer, she was advised to follow precisely her former dietetic plan, but with the addition of half a pint of barley-milk morning and night. Both parent and child continued in excellent health during the remaining period of suckling, and the latter did not taste artificial food until the ninth month, the parent’s milk being all-sufficient for its wants.

No one can doubt that the porter was in this case the source of the mischief. The patient had gone into the lying-in-room in full health, had had a good time, and came out from her chamber (comparatively) as strong as she entered it. Her constitution had not been previously worn down by repeated child-bearing and nursing, she had an ample supply of milk, and was fully capable, therefore, of performing the duties which now devolved upon her, without resorting to any unusual stimulant or support. Her previous habits were totally at variance with the plan which was adopted; her system became too full, disease was produced, and the result experienced was nothing more than what might be expected.
The plan to be followed for the first six months. Until the breast- milk is fully established, which may not be until the second or third day subsequent to delivery (almost invariably so in a first confinement), the infant must be fed upon a little thin gruel, or upon one third water and two thirds milk, sweetened with loaf sugar.

After this time it must obtain its nourishment from the breast alone, and for a week or ten days the appetite of the infant must be the mother’s guide, as to the frequency in offering the breast. The stomach at birth is feeble, and as yet unaccustomed to food; its wants, therefore, are easily satisfied, but they are frequently renewed. An interval, however, sufficient for digesting the little swallowed, is obtained before the appetite again revives, and a fresh supply is demanded.

At the expiration of a week or so it is essentially necessary, and with some children this may be done with safety from the first day of suckling, to nurse the infant at regular intervals of three or four hours, day and night. This allows sufficient time for each meal to be digested, and tends to keep the bowels of the child in order. Such regularity, moreover, will do much to obviate fretfulness, and that constant cry, which seems as if it could be allayed only by constantly putting the child to the breast. A young mother very frequently runs into a serious error in this particular, considering every expression of uneasiness as an indication of appetite, and whenever the infant cries offering it the breast, although ten minutes may not have elapsed since its last meal. This is an injurious and even dangerous practice, for, by overloading the stomach, the food remains undigested, the child’s bowels are always out of order, it soon becomes restless and feverish, and is, perhaps, eventually lost; when, by simply attending to the above rules of nursing, the infant might have become healthy and vigorous.

For the same reason, the infant that sleeps with its parent must not be allowed to have the nipple remaining in its mouth all night. If nursed as suggested, it will be found to awaken, as the hour for its meal approaches, with great regularity. In reference to night-nursing, I would suggest suckling the babe as late as ten o’clock p. m., and not putting it to the breast again until five o’clock the next morning. Many mothers have adopted this hint, with great advantage to their own health, and without the slightest detriment to that of the child. With the latter it soon becomes a habit; to induce it, however, it must be taught early.

The foregoing plan, and without variation, must be pursued to the sixth month.

After the sixth month to the time of weaning, if the parent has a large supply of good and nourishing milk, and her child is healthy and evidently flourishing upon it, no change in its diet ought to be made. If otherwise, however, (and this will but too frequently be the case, even before the sixth month) the child may be fed twice in the course of the day, and that kind of food chosen which, after a little trial, is found to agree best.

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