SNRV - syndrome of increased neuro-reflex excitability, is a neurological disorder that is quite common in children in the first year of life, especially up to 3 months of age. Such children are restless, sleep little, have trouble falling asleep and suck the breast sluggishly. They often flinch, worry and cry when touched, and can be difficult to calm down.

Very often the syndrome is not detected on time, since consultation with a pediatric neurologist is not included in the list of mandatory ones. Therefore, parents who notice symptoms of increased excitability in their baby should quickly show him to a specialist. This will help avoid deterioration of the condition in the future, namely the development of hyperactivity syndrome and even epileptic syndrome. If the correction of SNRV is started in time, the baby’s condition returns to normal by the age of one year.

Why does it develop, how does hyperexcitability syndrome manifest in infants, how is it treated? Let's talk about it:

Causes of hyperexcitability syndrome in infants

Most often, this condition is diagnosed in babies who have experienced oxygen starvation or hypoxia before birth or during childbirth.

The health of the mother during pregnancy, as well as the baby himself immediately after birth, has a great influence on the functioning of the baby’s brain and the state of his nervous system. These are, first of all, various infectious diseases.

Risk factors for the development of this syndrome also include: worries, stress of the mother during pregnancy, severe toxicosis, rapid labor.

SNRV in an infant - symptoms of increased excitability in an infant

During communication with the baby by parents, as well as during a medical examination, when they touch him, turn him, talk to him, he begins to scream loudly. At the same time, the cry is high-pitched, irritated. In addition, he exhibits motor restlessness, shudders, and trembling of the limbs and chin is observed.

In addition, the syndrome of increased excitability in infants manifests itself in increased muscle tone. When nervous, he throws his head back, and the movements of his arms and legs become large-scale. Convulsive syndrome is expressed by various paroxysmal phenomena.

It is difficult to calm the baby down; he falls asleep poorly, sleeps little, and sucks poorly. Often parents notice that he just lies with his eyes open and looks at one point.

Correction methods

The need for corrective measures is determined and developed by a neuropathologist. Before this, the baby is examined to exclude other diseases that cause similar symptoms. Such pathologies include, among other things, increased intracranial pressure in a child. The condition also often results in restlessness, trouble sleeping, and frequent crying.

Once the diagnosis of SNRV is confirmed, the doctor will determine the measures necessary for your baby, and drug treatment will not necessarily be assigned. The prescription of medications depends on the child’s condition and is always individual.

TO traditional methods corrections include:

Massage (general, acupressure or relaxing). This is very effective method helps reduce muscle tone, reduces nervous excitability. The course of therapeutic massage is carried out only by a specialist. For classes you will need to visit a children's clinic or other medical institution.

Swimming and gymnastics. Exercises in water are very beneficial for a child, especially those with SAD syndrome. Swimming trains muscles, reduces their tone, and relaxes. Gymnastics trains the baby’s brain, sending the right impulses to it. When performing exercises, its damaged tissues are restored faster and more actively. Therapeutic gymnastics carried out under the guidance of a specialist in a clinic setting.

In addition, the child should establish a daily routine. In general, this is a simple but extremely effective method that promotes the normal development of the child. For hyperexcitability syndrome, it is also used for therapeutic purposes. Hours for sleeping, playing, eating, walking outdoors, etc. should be set. Your doctor will help you develop the right regimen.

Drug treatment of increased excitability in infants

Sometimes it is necessary to carry out medication correction of increased excitability in infants. Magnesium preparations, soothing herbs such as motherwort or valerian, and vitamin B6 are prescribed. Use according to indications medicines, improving cerebral circulation.

When diagnosing increased intracranial pressure, the doctor will prescribe diuretics and drugs containing potassium. Naturally, in age-appropriate dosages.

Usually, dosage forms in the form of suspensions are prescribed for infants. If the drug is produced only in tablet form, the required amount of tablets is crushed and then mixed with water, breast milk or baby formula.

Traditional treatment increased excitability in infants

Gives a good calming and relaxing effect healing baths with infusions, decoctions medicinal plants. The baby's skin is penetrated with nerve endings and quickly absorbs all the beneficial substances contained in plants. It is recommended to take such baths before bedtime.

The water temperature for swimming should not exceed 36-37 degrees. Therefore, always use a thermometer. The course of treatment is 15 procedures.

Here, for example, is a good healthy recipe:

Finely chop 50 g of calamus roots and 20 g of willow bark, mix. Combine with 20 g of dried juniper berries. Pour everything into a large saucepan. Add 3 liters of boiling water. Simmer at a gentle boil for 15 minutes. Then insulate it and wait until it cools down. Pour the cooled broth through cheesecloth into a prepared bath of water. The duration of a child's bath is 10 minutes.

In addition to this collection, it is useful to take baths with infusions of mint, chamomile, string, and decoction pine needles. A bath with sea ​​salt. Possibility of use medicinal baths for your baby, be sure to discuss with your doctor.

In conclusion, it should be noted that any corrective technique usually includes a whole range of different measures. If there is such a need, include medications. If you follow all the recommendations of the attending physician, the symptoms of SIDS disappear without a trace by the age of one year and no longer bother the baby.

9 Feb 2014

Syndrome of neuro-reflex excitability

Syndrome of increased neuro-reflex excitability (hereinafter referred to as HIRS) refers to neurological disorders. Diagnosed in children from birth to one year. The diagnosis can be made by a neurologist based on examination and some studies. Mostly, SNRV is diagnosed in children under 3 months of age.

Often this syndrome is not detected in time, since consultation with a neurologist is not mandatory after the birth of the child. In this article, we will look at the main signs of SIDS and tell you how not to miss timely treatment.

First of all, every mother should understand that a healthy child needs little - food, sleep, comfort. A week after being discharged from the maternity hospital, the newborn’s routine will already be established, and you will see how much he sleeps, how often he eats, how long he stays awake. If a child is full, dry, and does not want to sleep, he should not scream. The cry of a newborn is not a whim, but a signal of discomfort.

Children with SAD sleep little, it is difficult to feed and calm them. They react painfully to any touch, often flinch... These are the first signs that you should pay attention to.

It is necessary to observe the child’s motor activity. If at least one of the clinical symptoms listed below is detected, the baby should be shown to a specialist. Specially for the site site

The syndrome occurs due to damage to the child’s nervous system perinatally. This can be facilitated various factors, such as:

• hypoxic disorders during fetal development;
• complications during childbirth (placental abruption, bleeding, asphyxia, etc.);
• C-section;
• maternal drug addiction;
• multiple births;
• maternal diseases during pregnancy (infections, diabetes).

Clinical symptoms of SNRV:

• sweeping movements of the limbs;
• decreased sucking reflex;
• chin trembling;
• poor sleep;
• throwing the head back;
• tremor of the limbs;
• frequent crying;
• increased tendon reflexes;
• motor restlessness;
• long look at one point.

What is the diagnosis based on?

At visual inspection specialist, the child tenses up and a high-pitched cry appears. There is anxiety, and convulsions are often observed. In response to stimuli (sounds, light, loud voices, touches, changes in body position), muscle motor activity increases.

Muscle tone and spasms appear. Intracranial pressure may be increased. The specialist will check whether the child’s behavior matches his physical development.

Sometimes the child is so excited that it is impossible to calm him down. In this case, it is likely that there are other lesions of the nervous system (movement disorder syndrome, psychomotor development delay syndrome, vegetative-visceral dysfunction, hypertensive-hydrocephalic syndrome, etc.)

If there are insufficient visual signs, an additional study is prescribed - neurosonography. This is an ultrasound scan of the child’s brain, which does not cause radiation exposure to the body. This diagnostic method has no contraindications.

Treatment of SNRV

Prescribed by a neurologist. Does not require hospitalization, includes conservative methods.

1. Massage. It is one of the most effective treatment methods. Acupressure, general, relaxing massage may be prescribed. The main effect is aimed at reducing muscle tone and general excitability.

For children, it is better not to use aromatic oils for massage, as they can cause allergies. It is better to get by with baby cream or special baby oil, approved from birth. Massage should be performed only by a specialist, preferably within the walls of a clinic.

1. Drugs to improve cerebral circulation. Newborns are usually prescribed drugs in the form of a suspension. Some drugs are available in the form of dragees or tablets - in this case they need to be crushed and mixed with breast milk or water. The dosage is calculated according to the child's weight.
2. Setting the mode. Any specialist will confirm that daily routine is the basis normal development baby. For children with disorders of the central nervous system, adherence to the regimen is necessary for therapeutic purposes. Babies cannot control their rest due to the imperfection of the nervous system. Sleep should be by the hour, walks in the fresh air are required.
3. Swimming, gymnastics. Labor-intensive but effective method. Its essence lies in the daily supply of the right impulses to the brain. By performing physical activity, the brain “gets used” to processing more information, and with medications it begins to work faster. Thus, damaged tissues are restored faster.

The benefits of water are invaluable: it relaxes tense muscles and tones weakened ones. Spasms are relieved, metabolism is stimulated, blood circulation improves. Water relieves tension and has a hardening effect, which is especially useful for newborns.

It is better to swim with your child in the pool, according to a specific program for the little ones. A specially trained trainer will help you perform exercises in the water, which you can then repeat at home. The temperature difference method is effective: gymnastics in water of different temperatures gives positive results 2 times faster.

A child cannot perform gymnastics on his own. You will need the help of a massage therapist or pediatric specialist.

1. Aromatherapy. May be prescribed with caution natural oils, neutralizing excessive excitability. It could be lavender, geranium, marjoram, mint. For very young children, diluted, non-concentrated oils are used.

The oil must be dosed carefully, 1-2 drops at a time. To do this, it is better to purchase an aroma lamp and place it in the room where the child is. Add essential oils It is strictly prohibited to put a baby in bathing water - they can cause burns!

1. Herbal baths. This could be an herbal mixture or a specific plant. Chamomile, string, mint, lemon balm, hawthorn, and pine are widely used. Children's skin has high permeability due to the abundance of nerve endings, therefore healing properties plants penetrate it instantly. The water temperature for newborns should be 36-37 degrees. The course consists of 10-15 procedures.
2. Prescribing diuretics. Justified when high blood pressure The child has. Additionally, medications with potassium are prescribed.

Any method of treatment must be completed over a course. Therapy usually involves a combination of medications with functional methods. Following all recommendations usually gives visible results. By the age of one year, symptoms of SIDS usually no longer appear.

There is a myth that this neurological syndrome goes away on its own, regardless of treatment. This is wrong. NSAID is a disorder of the nervous system, and ignoring treatment can lead to a number of complications in the future.

The main complications of SNRV include:

• development of vegetative-vascular dystonia in older age;
• frequent headaches;
• attention disorder (deficit) syndrome;
• hyperactivity.

These illnesses have a significant impact on the child’s mental health and can cause problems in kindergarten and school. An undertreated syndrome leaves a mark on the cells of the central nervous system, and its development is inhibited. Due to increased load, the nervous system will no longer cope and will begin to periodically block information.

– a symptom complex in young children, characterized by various somatovegetative disorders and increased neuro-reflex excitability. Hyperexcitability syndrome in children is manifested by motor restlessness, tremor of the chin and limbs, causeless crying, sleep disturbances, increased muscle tone, frequent and profuse regurgitation, etc. To identify the organic basis of hyperexcitability syndrome, children undergo neurosonography, duplex scanning of cerebral vessels, EEG, ENMG, ultrasound or radiography of the cervical spine. Treatment of hyperexcitability syndrome in children is carried out by a pediatric neurologist and may include drug therapy, massage, water treatments, exercise therapy.

General information

Hyperexcitability syndrome in children (syndrome of increased neuro-reflex excitability) is a complex of pathological manifestations that develop in children with a mild form of perinatal damage to the nervous system. In young children, hyperexcitability syndrome is diagnosed in 42-44% of cases. In domestic and foreign child neurology, there are different attitudes towards hyperexcitability syndrome in children. Thus, domestic neurologists consider this condition exclusively as a pathological syndrome, while their foreign colleagues tend to consider it more of a borderline condition that does not always require active correction. At the same time, according to available observations, the unfavorable course of hyperexcitability syndrome in a child and the lack of timely treatment may be a risk factor for the development of persistent neurotic disorders.

Causes of hyperexcitability in children

Hyperexcitability syndrome may be a consequence of perinatal pathology of the central nervous system (hypoxic, traumatic, infectious, toxic-metabolic) or other diseases of young children.

Most often, the cause of hyperexcitability syndrome in children lies in the unfavorable course of pregnancy and birth injuries of the newborn, leading to intrauterine hypoxia and damage to the central nervous system. This can be facilitated by toxicosis of pregnancy, fetoplacental insufficiency, infectious diseases of the expectant mother, premature birth, post-term pregnancy, prolonged or rapid delivery, narrow pelvis of the woman in labor, etc. The development of the nervous system of the fetus is adversely affected by the uncontrolled use of medications by the expectant mother, smoking, and alcohol consumption. which causes fetal alcohol syndrome. Therefore, children with hyperexcitability syndrome often have a clinical diagnosis of “perinatal encephalopathy”.

The appearance of transient hyperexcitability in children may be associated with a violation of the adaptation reaction due to stress, childhood diseases (intestinal colic, teething, spasmophilia and rickets, hernias, dysbacteriosis, etc.). Finally, children with temperamental characteristics (choleric type of reaction) are prone to hyperexcitability. Hyperexcitability syndrome is typical for children with neuro-arthritic diathesis.

Symptoms of hyperexcitability

Manifestations of hyperexcitability syndrome usually develop in the first months of a child’s life. The main signs of hyperexcitability syndrome in children include somatovegetative disorders, increased neuropsychic excitability and, at the same time, exhaustion.

Children with hyperexcitability syndrome experience increased spontaneous motor activity and sleep disturbances (extension of the period of wakefulness, difficulty falling asleep, interrupted sleep, startling in sleep). Despite good care and a sufficient amount of food, children behave restlessly, often cry for no reason. During a cry, the child develops vegetative reactions: acrocyanosis, marbling or redness of the skin, tachypnea, tachycardia, increased sweating. Children with hyperexcitability syndrome have difficulty latching on to the breast, are often interrupted during feeding, are prone to excessive regurgitation, digestive disorders (alternating diarrhea and constipation), and poor weight gain.

Characteristic signs of hyperexcitability syndrome in children are variable muscle tone, tremor of the chin and hands, foot clonus, revitalization of innate unconditioned reflexes (spontaneous Moro reflex), horizontal nystagmus. Various external stimuli cause in children the rapid development of motor, sensory and emotional reactions, which fade just as quickly, which indicates increased mental exhaustion.

Diagnosis in children

A correct assessment of the causes and manifestations of hyperexcitability syndrome in children can only be given by pediatric specialists: a pediatrician and a pediatric neurologist. The examination of such children should be carried out carefully, since an unfamiliar environment, undressing, and touching the body with cold instruments can cause the child to resist the examination, increase muscle tone, and cry, making it difficult to interpret objective data.

After collecting a perinatal history, further instrumental examination may be required to clarify the diagnosis: ultrasound and radiography of the cervical spine, neurosonography, ultrasound and duplex scanning of cerebral vessels, electroencephalography, electroneuromyography. Additional studies provide insight into the presence or absence of organic lesions of the tissue and blood vessels of the brain, the characteristics of the course of electrophysiological processes in neuromuscular tissue, neurotic disorders, behavioral disorders and social maladjustment. Children with hyperexcitability syndrome require supervision by a neurologist and periodic courses of maintenance therapy.

Unfortunately, almost every second baby has pathological changes in the nervous system, which is referred to as hyperexcitability in infants. This syndrome is determined at the first visit to a neurologist. However, not all parents take the child’s unusual condition seriously, deciding that over time everything should go away on its own, refusing to give the child medications prescribed by the doctor.

Hyperexcitability syndrome occurs with somatovegetative disorders and neuro-reflex excitability, so it cannot be treated indifferently. After some time, more serious disorders of the nervous system may develop, which often manifests itself in delayed mental and speech development of the child. The baby can grow up nervous and weather dependent. There is often a small degree of dysfunction brain activity, which leads to inattention, hyperreactivity, and the development of epilepsy.

Such children should grow up under the strict supervision of a neurologist, and parents should carefully follow all doctor’s instructions. Only then will it be possible to reduce the risk of complications.

Causes

All the main causes of hyperexcitability in infants depend on the mother's pregnancy. The child’s nervous system depends largely on it and is formed while the baby is in the womb.

There is a great dependence on the pregnant woman’s intake of varied foods, the sufficiency of oxygen supply, and the stress and nervous system disorders of the expectant mother.

Many children born prematurely do not have time to fully develop neurons, which leads to this pathology. Complicated childbirth also often affects the state of the baby’s nervous system.

The nervous system of infants recovers well with minor pathological changes, but supervision by specialists is necessary. Sometimes it happens that without drug interventions it is not possible to relieve the excitement of the nervous system.

Remember: if left untreated, pathological symptoms may worsen.

Main symptoms and signs

Parents need to be very attentive to their baby so that early stages notice the development of pathology and consult a doctor in time. Then it will be possible to cure the child without consequences. The syndrome is diagnosed by certain symptoms and signs.

These include:

• frequent restless behavior of the child, manifested by shuddering and waking up at the slightest noise;
• difficulty falling asleep and poor sleep;
• weak sucking and frequent regurgitation of food;
• tearfulness;
• weak muscle tension;
• tremor of the chin and hands.

In addition to the listed signs, pathologies of the child’s body system associated with disturbances in the functioning of neuroregulatory processes are observed:

• the child sweats often;
• when crying, the nasolabial triangle turns blue;

• pulse quickens;
• irregular bowel movements with alternating constipation and diarrhea;
• the skin takes on a marbled tint.

As soon as mothers notice these symptoms, they must react: draw the attention of the pediatrician and visit a pediatric neurologist.

What treatment is prescribed and what should parents do?

Before starting treatment, the neurologist determines the causes of the child’s hyperexcitability. If damage to the nervous system occurred while the fetus was in the womb, soothing baths are prescribed at birth. Decoctions of herbs with a sedative effect and mineral solutions are added to the water. They may prescribe physiotherapy with a device - electrophoresis, physical exercise and paraffin heating.

To cure this syndrome, parents will need a lot of time and patience: only by 4–6 months will the result be noticeable.

The following are useful for your baby’s recovery:

• walks in the open air;
• taking soothing herbal infusions;
• long sleep in a calm environment.

It is necessary to protect the child from everything that can make him nervous: family scandals, loud conversations, screams, noises.

Among the medicinal treatments, drugs are prescribed that relieve tremor of the limbs and chin. If your child has difficulty falling asleep and sleeping, it is recommended to give sedatives before bedtime.

To relieve hyperexcitability, which takes a lot of energy from children, neurologists recommend hardening procedures that strengthen blood vessels, and autonomic disorders gradually cease.

Massage

For any disorders associated with the nervous system, massage is prescribed. It can be done by a specialist, but many mothers can do it themselves, having received a little advice from a massage therapist or pediatrician.

Massage must be performed at the same time every day. It will be useful for the child, as it is a relaxing and restorative procedure that relieves symptoms of hyperexcitability, and at the same time it is a pleasant tactile contact between mother and child.

It's important to choose the right time for the procedure. The first half of the day is most suitable, when the baby is alert. It is recommended to do a massage before feeding, about half an hour. If it occurs after a meal and the child is not sleeping, then you need to wait 1 hour and only then begin the procedure.

Basic Techniques

The first massage should last 5 minutes and stop as soon as the child's dissatisfaction is noticeable. Over time, the baby will get used to it, then the duration of the massage should be 30 minutes.

It is better to carry out the massage on a changing table, in a ventilated room, but the temperature should not fall below 22 °C, that is, it is necessary to create comfortable conditions mother and child.

In the first months, you only need to lightly stroke the baby, the movements can be shown by the visiting nurse. It is advisable to carry out stroking, starting from the fingertips to the shoulder, from the foot to the groin. Then stroke the tummy: the direction of the hand should only go clockwise. The chest is stroked, directing the hands from below to the neck: from the center to the armpits.

The baby is laid on his stomach for 2 minutes and his back is stroked. The newborn's reflexes are then tested. To do this, they place their hands on the feet, and the child begins to crawl, as it were. Place the baby on his side, alternating right with left, and run a finger along the spine: the child should arch his back. Then you need to press near each toe, they should bend.

Ekaterina Morozova

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Why is the baby crying, and how can mom calm him down?

1. Runny nose or unclean nasal passages
   What to do? Calm the baby in your arms, clean his nose with cotton swabs, and walk around the room with the baby, holding him in an upright position. If your baby has a runny nose, consult your doctor and choose the best treatment (nasal drops, use of a respirator, etc.). Do not forget that with a runny nose, the child loses the ability to suck milk normally. That is, crying can be caused by the fact that the baby is simply malnourished and cannot breathe fully.
2. Overexcitement
   The reasons are too long a period of wakefulness, loud music, noisy guests, relatives who want to cuddle the baby, etc. What to do? Provide the baby with an environment in which he can sleep peacefully - ventilate the room, dim the lights, create silence, rock the baby in your arms or in the crib. As a preventive measure “from the cradle,” try to follow the baby’s daily routine, put them to bed at the same time, accompanying the process with traditional activities in your family (musical carousel, bathing before bed, mother’s lullaby, rocking in dad’s arms, reading fairy tales, etc.).
3. Hunger
   The most common reason tears of a newborn. It is often accompanied by smacking in children (in search of the breast, the baby folds his lips into a tube). Feed your baby, even if it is too early to eat according to the schedule. And pay attention to whether the child is eating enough, how much he eats, how much he is supposed to eat according to his age at one feeding. It is possible that he simply does not have enough milk.
4. Soiled diapers
   Check your baby: maybe he has already done his “wet work” and is asking for “fresh” diapers? No baby will want to lie in an overfilled diaper. And a child’s bottom, as any mother knows, should be dry and clean. By the way, some clean babies, even once “peeing” in the diaper, require its immediate change.
5. Diaper rash, diaper irritation, sweat rash
   It is, of course, unpleasant and uncomfortable for the baby if under the diaper his skin is swollen, itchy and stinging. If you find such a nuisance on your child's skin, use diaper rash cream, talc (powder) or other means to treat skin problems (depending on the situation).
6. , bloating
   With this reason for crying, neither rocking nor feeding usually helps - the baby “kicks” its legs and screams without reacting to anything. What to do? First, give your child a “hot water bottle” by placing him with his tummy on his own stomach. Secondly, use a gas tube, massage the belly, exercise “bicycle” and special tea (usually such simple manipulations are enough to calm the tummy and the baby himself). Well, don’t forget that after feeding, your child should be held in an upright position for a while (10-20 minutes).
7. Temperature
   Every caring mother will discover this reason. The baby’s temperature may rise due to vaccinations, illness, allergies, etc. What to do? First of all, consult your doctor. And together with it, choose a drug that will be the least harmful and most effective (+ antihistamine). But the main thing is to find out the cause of the temperature. You should not immediately rush to your child with an antipyretic as soon as the mercury rises above 37 degrees - by bringing down the temperature, you can “blur” the picture typical of, for example, a serious allergic reaction. Therefore, calling a doctor is your first action. While waiting for the doctor, it is recommended to put the baby in light cotton clothes and give him some water or lightly sweetened tea. Read also: .
8. Uncomfortable clothing (too tight, seams or buttons, diaper folds, etc.)
   What to do? Check your baby's crib to see if the diaper and sheets are tucked smoothly. Do extra details on clothes bother the baby? Don’t chase “fashionable” new clothes - dress your baby in comfortable and soft cotton clothes appropriate for his age (the seams are out!). Put cotton mittens on your arms (if you are not a fan of strict swaddling) so that the baby does not accidentally scratch himself.
9. The child is tired of lying in one position
   Every young mother needs to remember that the baby should be turned from one barrel to another from time to time (regularly). The baby gets tired of the same position and begins to cry and demand “changes.” If your child does not need a diaper change, then simply turn him over to the other side and rock the crib.
10. Baby is hot
    If the baby is too wrapped up and the room is hot, redness and prickly heat (rash) may appear on the baby's skin. Measure your temperature - it can increase from overheating (which is no less harmful than hypothermia). Dress your baby appropriately for the temperature - thin diapers/vests and caps, no synthetics. And if possible, try not to wear diapers for your baby in the heat.
11. The baby is freezing
    In this case, the child may not only cry, but even hiccup. Check your baby to see if his back, tummy and chest are cool. If the child is really cold, wrap him up warmly and rock him to sleep. Experts advise rocking a child in a crib or in a stroller: a mother’s hugs will come in handy during periods of wakefulness, but getting a child used to holding hands can lead to sleepless nights for parents for a very long time (it will be extremely difficult to wean them off).
12. Otitis or inflammation of the oral mucosa
    IN in this case It just hurts for the baby to swallow milk. As a result, he breaks away from the breast, barely taking a sip, and cries loudly (and crying is observed not only during feeding, but also at other times). Examine your baby's mouth and ears, and call a doctor if you suspect otitis media. Medicines for inflammation in the mouth should also only be prescribed by a doctor.
13. Constipation
    The best prevention is to breastfeed (not formula), give the baby water regularly, and always wash after bowel movements. If this trouble does occur, use special tea and a gas outlet tube (don’t forget to lubricate it with baby cream or oil) - as a rule, this is enough to alleviate the condition and cause bowel movement (insert the tube to a depth of 1 cm and carefully move it back and forth ). If it doesn’t help, carefully insert a small piece of baby soap into the baby’s anus and wait a little. Read also:
14. Pain when urinating or defecating
    If there is irritation on the child’s genitals or anus from being in diapers for a long time, an allergic rash, a reaction to the combination of urine and feces (the most “painful” and harmful), then the process of defecation and urination will be accompanied by painful sensations. Try to prevent this condition of your baby’s skin, change diapers regularly and wash your child every time you change the diaper.
15. Teeth cutting
    Pay attention to the following “symptoms”: does the baby actively suck on his fingers, toys and even the bars of the crib? Doesn't the bottle nipple get intense? Has salivation increased? Are your gums swollen? Or maybe you lose your appetite? The appearance of teeth is always accompanied by discomfort and sleepless nights for parents. Typically, teeth begin to cut at 4-5 months (possibly at 3 months during the second and subsequent births). What to do? Let the baby chew on the chewing ring, massage the gums with a clean finger or using a special massage cap. Don’t forget (in especially “sleepless” situations) about the ointment, which was created just for such a case.

Well, in addition to the above reasons, it is also worth noting the child’s natural desire to be closer to his mother, fear of loneliness, intracranial pressure, weather dependence, desire to stay awake etc.

Try to walk with your baby more often, protect his nervous system from overexcitation, make sure his clothes match the weather conditions and room temperature, check the baby’s skin for redness and clear the nasal passages, play calm classical music, sing songs and Call a doctor if you can’t figure out the reasons for persistent and prolonged crying on your own .

How do you calm your baby? We will be grateful for your opinion!