At 4 months, my baby still has colic—what should I do?

Your concern about continued evening crying and gas pain at 4 months is very understandable.

Classic infantile colic typically eases by around 3-4 months. However, in some babies, gas pain and fussiness can linger into the 4th or even 5th month. At this point, several possibilities exist:

1. Simple gas cramping: The digestive system is still maturing. Swallowing air, feeding method, or maternal diet (if breastfeeding) may play a role.

2. Reflux concerns: If crying worsens when baby is laid back after feeding, or if there's vomiting or drooling, reflux might be suspected.

3. Early teething signs: Some babies begin showing tooth sensitivity around month 4—increased drooling, finger/hand chewing, and fussiness can appear.

What you can try:

• Keep baby upright for 15-20 minutes after feeding.
• Try gas-relief techniques (holding baby on your lap face-down, leg bicycles).
• Calm the environment in the evening—dim lighting, white noise, or gentle "shushing" can soothe.

When to consult your pediatrician:

• If baby turns bluish or has trouble breathing during crying
• If vomiting is forceful or bile-colored (green)
• If weight gain has stalled or reversed
• If you see bloody or mucousy stools

Without these signs, you're likely dealing with an extended version of the colic process. Still, checking with your doctor will put your mind at ease.