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Why Is My Baby So Fussy? Causes and How to Soothe

Why Is My Baby So Fussy? Causes and How to Soothe

Updated

A parent gently soothing a fussy crying baby against their shoulder
Rachel Rothman, Co-Founder and Chief Parenting Officer at Betteroo

Written By

Rachel Rothman

Chief Parenting Officer

Dr. Meidad Greenberg, Board-Certified Pediatrician and Pediatric Medical Advisor at Betteroo

Medically Reviewed By

Meidad Greenberg, M.D.

Board-Certified Pediatrician

If you are asking why your baby is so fussy, the answer is usually one of a short list of everyday causes: hunger, tiredness, gas, overstimulation, or the normal evening “witching hour,” and most of it passes with time and a few reliable soothing tricks.

Every baby fusses, and in the early months some fuss a lot. It can leave you anxious and worn out, wondering whether something is wrong or whether you are missing something obvious. Usually you are not: fussiness is simply how a baby communicates a need before they can do anything else.

This guide walks through the most common reasons babies get fussy, why it so often peaks in the evening, how to tell ordinary fussiness from colic, the soothing techniques that actually help, and the warning signs that mean it is time to call your pediatrician.

Key Takeaways

  • Most fussiness comes from a short list of causes: hunger, tiredness, gas, a dirty diaper, overstimulation, or discomfort.
  • Evening fussiness (the witching hour) is common, peaks around six weeks, and eases by three to four months.
  • Colic is frequent crying in a healthy baby: more than 3 hours a day, 3 days a week, for 3 weeks; it always passes.
  • The 5 S’s, swaddle, side or stomach hold, shush, swing, and suck, calm many wound-up babies.
  • A fever under 3 months, a weak or high-pitched cry, poor feeding, or fussiness after an injury need a doctor.

The Most Common Reasons Babies Get Fussy

Fussiness is how a baby says something is off before words are an option. Most fussy spells trace back to a short list of everyday causes, and running through them in order is usually faster than guessing. Start with the basics, hunger, tiredness, a dirty diaper, and work outward from there.

  • Hunger: babies eat often, and a growth spurt or cluster feeding stretch can leave them wanting more than usual.
  • Tiredness: an overtired baby often gets more wound up, not less, and fights the sleep they need.
  • Gas or a bubble: a baby who needs to burp or pass gas can seem suddenly miserable. See our guide to a gassy baby at night.
  • A dirty or wet diaper, or being too hot or too cold.
  • Overstimulation: too much noise, light, or handling, especially by the end of a busy day.
  • Discomfort: a hair wrapped around a toe, a scratchy tag, or clothing that is too tight.

Work through the list calmly. Offer a feed, check the diaper, look for signs of tiredness, try a burp, and simplify the environment. More often than not, one of these solves it.

Why Fussiness Peaks in the Evening

If your baby saves their worst mood for the hours between about 5 and 11 p.m., you are seeing what many parents call the witching hour. It is extremely common and usually not a sign that anything is wrong. By the end of the day a baby’s nervous system is worn down, they may be overtired and hungry at once, and their internal clock and melatonin rhythm are still developing.

Evening fussiness tends to show up in the first few weeks, peak around six weeks of age, and ease on its own by three to four months as a baby matures. Knowing it is a phase, not a problem you are failing to fix, takes a lot of the pressure off those long evenings.

Fussy or Colic? How to Tell the Difference

Colic is not a different kind of crying so much as a lot more of it. Doctors often use the “rule of threes”: crying for more than three hours a day, more than three days a week, for more than three weeks, in a baby who is otherwise healthy and feeding and growing well. Around one in five babies has colic, usually starting at two to four weeks and easing by three to four months.

The reassuring part is that colic, by definition, happens in a healthy, thriving baby, and it always passes. If your baby’s crying fits that pattern, our full guide to colic walks through what helps. What matters most is separating normal (if exhausting) crying from the warning signs below, which always deserve a call.

A fussy baby is often an overtired baby.

Better sleep is one of the fastest ways to calm the fussies. Take our free quiz for a plan built around your baby’s age and temperament.

Take the Free Sleep Quiz

How to Soothe a Fussy Baby

Once you have covered the basics, a few well-tested calming techniques can help settle a baby who is simply wound up. Pediatrician Harvey Karp grouped several of them as the “5 S’s,” and they work because they recreate the snug, rhythmic feel of the womb.

  • Swaddle: a snug wrap can help a young baby feel secure (stop swaddling once your baby shows signs of rolling).
  • Side or stomach hold: hold your baby on their side or tummy across your arm to soothe, then always place them on their back to sleep.
  • Shush: steady white, pink, or brown noise, or a soft “shhh,” mimics the constant whoosh of the womb.
  • Swing: gentle, rhythmic motion in your arms, a carrier, or a stroller.
  • Suck: a clean pacifier or a chance to nurse can be deeply calming.

Motion and fresh air help too. A walk with your baby in a carrier or stroller can reset both of you, and dimming the lights and lowering the noise gives an overstimulated baby less to process. Stay as calm as you can, because babies feel our tension. If you feel your own patience running out, it is always safe to lay your baby down somewhere secure and step away for a few minutes to breathe.

When Fussiness Might Mean Something More

Most fussiness is normal, but a sudden, dramatic change in your baby’s crying or behavior is worth taking seriously. Trust your instincts: you know your baby better than anyone. Call your pediatrician or seek care if you notice:

  • A fever of 100.4 degrees Fahrenheit (38 degrees Celsius) or higher in a baby under 3 months, or any fever that worries you.
  • A cry that sounds different, high-pitched, weak, or inconsolable for hours despite everything you try.
  • Poor feeding, far fewer wet diapers, vomiting, diarrhea, or blood in the stool.
  • Unusual sleepiness or difficulty waking, a bulging soft spot, or trouble breathing.
  • Fussiness that started right after a fall or an injury.

These are not the everyday fussies; they are reasons to get your baby checked. When in doubt, a phone call to your pediatrician’s office is always reasonable, and never something to feel silly about.

Taking Care of Yourself Through the Fussy Stretch

A baby who cries a lot is genuinely hard on parents, and running on empty makes every witching hour feel longer. Trade off with a partner when you can, accept help, and remember that a crying baby who is safe in a crib for a few minutes while you collect yourself is far better than a caregiver at the end of their rope.

Never, ever shake a baby out of frustration; it can cause serious, lasting harm. If the crying is pushing you past your limit, put your baby down safely and call someone, a partner, a friend, your pediatrician, or a support line. Reaching out is a sign of good parenting, not failure. The fussy stage is one of the hardest, and one of the shortest, and it does pass.

A Calm Approach That Usually Works

When your baby is fussy, resist the urge to try ten things in two minutes. Pick one likely cause, give a soothing technique a few minutes to work, and move to the next only if it clearly is not helping. Babies settle best when their caregiver is calm and their world is simple: fewer lights, less noise, gentle motion.

Remember that fussiness is not a verdict on your parenting. Some babies are simply more sensitive and take longer to settle, and that has far more to do with temperament than with anything you are or are not doing. Meeting the fussing with patience, again and again, is exactly what your baby needs, even on the nights it feels like nothing is working.

Frequently Asked Questions

Why is my baby suddenly so fussy?

Sudden fussiness is usually explained by an everyday cause: hunger or a growth spurt, being overtired, gas or a needed burp, a wet diaper, being too hot or cold, or overstimulation at the end of a busy day. Work through those first. If the crying is extreme, sounds different, or comes with fever, poor feeding, or vomiting, call your pediatrician.

What is the witching hour and is it normal?

The witching hour is a stretch of hard-to-soothe fussiness, often between 5 and 11 p.m., driven by an overtired, overstimulated baby whose internal clock is still developing. It is very common, peaks around six weeks, and usually eases by three to four months.

How do I know if my baby has colic?

Colic is defined by the rule of threes: crying more than 3 hours a day, more than 3 days a week, for more than 3 weeks, in a baby who is otherwise healthy and growing well. It affects about one in five babies and typically resolves by three to four months.

What is the fastest way to calm a fussy baby?

After checking for hunger, tiredness, and a dirty diaper, try the 5 S’s: swaddle, hold on the side or stomach to soothe, shush or use white noise, gently swing or rock, and offer a pacifier or feed. Motion and fresh air, like a walk in a carrier, help many babies reset.

When should I call the doctor about a fussy baby?

Call for a fever of 100.4 degrees Fahrenheit or higher in a baby under 3 months, a cry that is weak, high-pitched, or inconsolable for hours, poor feeding or fewer wet diapers, vomiting or blood in the stool, unusual sleepiness or trouble breathing, or fussiness that started after a fall.

Fussy baby, exhausting nights?

So much fussiness comes down to overtiredness. Take our free 3-minute quiz for a gentle, personalized sleep plan built around your baby, at no cost.

Take the Free Sleep Quiz

Related reading: For a pediatric sleep consultant’s take on soothing a newborn who is too young to sleep train, see what actually helps a fussy young baby before sleep training.

5 Sources
  1. HealthyChildren.org (AAP), Colic Relief Tips for Parents
    https://www.healthychildren.org/English/ages-stages/baby/crying-colic/Pages/Colic.aspx
  2. HealthyChildren.org (AAP), Comforting a Crying Baby
    https://www.healthychildren.org/English/ages-stages/baby/crying-colic/Pages/Calming-A-Fussy-Baby.aspx
  3. Nemours KidsHealth, Why Is My Baby Crying?
    https://kidshealth.org/en/parents/childs-crying.html
  4. Mayo Clinic, Colic: Symptoms and Causes
    https://www.mayoclinic.org/diseases-conditions/colic/symptoms-causes/syc-20371074
  5. National Center on Shaken Baby Syndrome, The Period of PURPLE Crying
    https://www.dontshake.org/purple-crying