MBBS, DGO ┬╖ 41 years experience

Quick answer
Most babies are gassy, and most of it is normal. Swallowed air during feeding is the main cause, so the things that help are burping properly, checking the latch or bottle flow, gentle bicycle legs and tummy massage, tummy time while awake, and calm holding. Avoid gripe water and ghutti, and do not change formula or your own diet without talking to a paediatrician.
Straining, grunting, drawing up legs and passing wind are normal infant behaviours, not proof of a problem. Babies have immature digestive systems and do all of this.
Do not give gripe water, ghutti or janam ghutti. Composition is unregulated, evidence of benefit is absent, and some products have contained alcohol, sugar or sodium bicarbonate.
Do not switch formula on your own. Repeated switching rarely helps and can delay diagnosis of a genuine milk protein allergy.
Crying that peaks around 6 weeks and settles by 3 to 4 months is usually colic, which is exhausting but not dangerous, and is not caused by anything you did.
Never shake a baby. If you are at breaking point, put your baby down safely in their cot and step away for a few minutes. That is the right thing to do.
Most of what parents call gas is normal newborn behaviour.
Babies have immature digestive systems and immature coordination. They grunt, strain, go red in the face, pull their legs up and pass wind frequently. A baby who strains and grunts but passes a soft stool is not constipated, and a baby who pulls their legs up is not necessarily in pain.
Normal, needs nothing | Worth looking into |
|---|---|
Grunting and straining, then passing a soft stool | Crying for hours most days, inconsolable |
Passing wind frequently | Arching back and screaming during or after every feed |
Drawing legs up occasionally | Poor weight gain |
Hiccups | Blood or mucus in the stool |
Some fussiness in the evenings | Frequent forceful vomiting |
Squirming and wriggling | Refusing feeds |
Why this distinction matters: attributing everything to gas leads to unnecessary treatments, formula switching and drops, and it can delay recognising something that actually needs attention.
Swallowed air during feeding. The most common cause by far. A shallow latch, a fast bottle flow, a bottle angle that lets air into the teat, or feeding while very upset
Crying itself, which makes babies swallow more air. Crying causes gas as often as gas causes crying
Immature digestion, which improves over the first few months
Fast or forceful milk flow in breastfeeding, sometimes with oversupply, which makes babies gulp
Overfeeding, particularly with bottles
Cow's milk protein allergy, which is uncommon but real. See the warning signs below
Maternal diet is a much smaller factor than most families believe. Broccoli, cabbage, rajma, dal and onions do not reliably cause gas in a breastfed baby, and cutting them out rarely helps.
The single most effective thing on this list, because swallowed air is the main cause.
Burp midway through a feed as well as at the end, particularly with bottle feeds
Try three positions: over your shoulder, sitting upright on your lap supported under the chin, or lying across your lap on their tummy
Pat or rub gently on the back, from the lower back upward
Give it a few minutes. If no burp comes after that, change position once, then move on. Not every feed produces one
Keep your baby upright for 10 to 20 minutes after a feed
If your baby is consistently gassy, this is where the cause usually is.
If breastfeeding:
Your baby's mouth should be wide open, with more of the lower part of the areola in the mouth, and their chin touching the breast
Clicking sounds during feeding often mean air is getting in
If feeding hurts, the latch needs fixing. One session with a lactation consultant is worth more than weeks of guessing
If your milk flows very fast, your baby may gulp and swallow air. Try a laid-back position so gravity slows the flow, or express a little before feeding
If bottle feeding:
Use a slow-flow teat, especially for newborns. A teat that is too fast is a very common cause of gassiness
Tilt the bottle so the teat stays full of milk, with no air in it
Try paced feeding: hold your baby more upright, keep the bottle more horizontal, and pause every minute or so
Do not force the last few millilitres. Overfeeding contributes
Bicycle legs: lay your baby on their back and gently move their legs in a cycling motion, then bring both knees up towards the tummy and hold for a few seconds. Repeat slowly.
Tummy massage: using warm hands and a little coconut or sunflower oil, stroke gently in a clockwise circle around the navel, which follows the direction of the intestine.
Safety points:
Gentle pressure only. This should be soothing, not forceful
Wait at least 30 minutes after a feed, or you may trigger vomiting
Stop if your baby becomes distressed
Avoid the cord stump until it has fully healed
Never massage a baby with a fever, a distended tummy, or who seems unwell
Short periods of supervised tummy time, several times a day, gently compress the abdomen and may help wind move along. It also builds the neck, shoulder and trunk strength your baby needs for motor development.
Start with a few minutes at a time and build up
Always supervised, always awake
Not straight after a feed
ЁЯЪй Never leave your baby to sleep on their tummy. Babies must sleep on their back on a firm, flat surface with nothing in the cot
Calming a baby reduces crying, and less crying means less swallowed air. This breaks the cycle from the other end.
Hold upright against your chest, which is often the most settling position
Gentle motion: rocking, walking, a pram, a sling
Skin-to-skin contact
A warm bath
White noise or steady background sound, such as a fan
Swaddle, if your baby likes it, keeping it loose around the hips and stopping once your baby shows signs of rolling
A dim, quiet room in the evening, when fussiness usually peaks
This is the correction most needed on this topic.
Do not switch formula on your own. Repeated switching rarely helps, each change takes time to settle, and it can mask or delay diagnosis of a genuine cow's milk protein allergy. If you think formula is the problem, see your paediatrician, who can advise whether a specialised formula is appropriate.
Do not start an elimination diet while breastfeeding without medical advice. Cutting out dairy or other food groups can leave you undernourished at a demanding time, and most colic is not caused by the mother's diet. If your baby has blood or mucus in the stool, eczema or poor weight gain, that is a different situation and needs a paediatrician.
Product | Position |
|---|---|
Gripe water | Not recommended. Composition varies widely and is poorly regulated, there is no good evidence of benefit, and some products have been found to contain alcohol, sugar or sodium bicarbonate, none of which a baby needs |
Ghutti, janam ghutti and traditional preparations | Avoid. Ingredients are unverifiable, and some traditional mixtures have contained harmful substances. They also displace breast milk |
Honey, in any form | Never under 12 months. Risk of infant botulism |
Simethicone drops | Widely used and low risk, but trials have generally found them no better than placebo. Ask your paediatrician rather than buying on your own |
Probiotic drops | Certain strains have some evidence for colic in exclusively breastfed babies, with mixed results overall. Discuss with your paediatrician rather than choosing from a shelf |
Any medicine, including ayurvedic or homeopathic drops | Nothing should go into a baby without your paediatrician's advice |
Colic is defined as 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.
It typically starts around 2 to 3 weeks, peaks around 6 weeks, and resolves by 3 to 4 months in the large majority of babies
The cause is not fully understood, and it is not caused by anything you did
Crying is often worst in the late afternoon and evening
It is not dangerous, but it is genuinely exhausting
The most important part of managing colic is looking after the parents. This is not a soft point.
ЁЯЪй Never shake a baby. Shaking causes serious and permanent brain injury. If you feel you are reaching your limit, put your baby down safely on their back in their cot, close the door, and step away for five or ten minutes. A crying baby in a safe cot comes to no harm. Call someone, ask for help, and swap with your partner or a family member.
Tell your doctor if you are struggling. Persistent low mood, anxiety, anger or feeling disconnected are common after birth, especially with a colicky baby, and they are treatable.
ЁЯЪй Go to hospital or seek care immediately if your baby has:
Green or yellow-green vomit
Forceful, projectile vomiting, or vomiting after every feed
Blood in the vomit or stool, or black stools
A swollen, hard or tender tummy
Not passing stool or wind, with vomiting
A swelling or lump in the groin or scrotum, particularly with crying, which can indicate a hernia and is an emergency
Any fever in a baby under 3 months
Refusing feeds, or far fewer wet nappies than usual
Unusual drowsiness, floppiness, or being difficult to wake
Inconsolable crying that is different from their usual cry, particularly with fever or vomiting
Fast or laboured breathing, chest pulling in, or grunting
Book an appointment if:
Your baby is not gaining weight as expected
There is blood or mucus in the stool, eczema, or severe reflux, which may suggest cow's milk protein allergy
Feeding is painful for you, or your baby has been told to have a tongue-tie
Crying is not improving by 4 months
You are finding it hard to cope
Is gas in babies normal?
Yes. Grunting, straining, passing wind and drawing up the legs are normal infant behaviours. Most babies are gassy and most of it needs nothing.
What is the fastest way to relieve gas in a baby?
Burping, holding upright, bicycle legs and gentle tummy massage. Calming your baby also helps, because crying makes them swallow more air.
Is gripe water safe for newborns?
It is not recommended. Composition varies and is poorly regulated, there is no good evidence of benefit, and some products have contained alcohol or sugar.
Can I give ghutti or janam ghutti?
No. Ingredients cannot be verified, some traditional mixtures have contained harmful substances, and they displace breast milk.
Does my diet cause my breastfed baby's gas?
Rarely. Maternal diet is a much smaller factor than most families believe. Do not cut out food groups without a paediatrician's advice.
Should I change my baby's formula?
Not on your own. Repeated switching rarely helps and can delay diagnosis of a genuine allergy. Speak to your paediatrician first.
When does colic stop?
It usually peaks around 6 weeks and settles by 3 to 4 months in most babies.
How do I know if it is colic or something serious?
Colic occurs in a baby who is otherwise well, feeding and gaining weight. Green vomiting, blood in the stool, a swollen tummy, fever, poor weight gain or a groin swelling all need medical attention.
What if I cannot cope with the crying?
Put your baby down safely on their back in the cot and step away for a few minutes. Never shake a baby. Ask someone to take over, and tell your doctor you are struggling.
Most baby gas is normal and needs nothing more than good burping, a check of the latch or bottle flow, and some gentle movement. Skip the gripe water and ghutti, and do not change formula or your own diet without your paediatrician. If crying is long, daily and exhausting but your baby is feeding and growing well, it is most likely colic, which peaks around six weeks and passes. And on the hardest nights, putting your baby down safely in their cot and stepping away for a few minutes is the right thing to do.
Sources
American Academy of Pediatrics, colic, crying and guidance on gripe water and infant remedies
NHS, colic, reflux and crying babies
National Institute for Health and Care Excellence, colic in infants and cow's milk allergy in children
World Health Organization, infant and young child feeding guidance
Indian Academy of Pediatrics, infant feeding and newborn care guidance
Cochrane Database of Systematic Reviews, interventions for infantile colic
Centers for Disease Control and Prevention, preventing abusive head trauma
This article is for general information and is not a substitute for medical advice. Seek care immediately for green vomiting, blood in the stool, a swollen tummy, a groin swelling, any fever in a baby under three months, or a baby who is difficult to wake.
This content is for informational purposes only and should not replace professional medical advice. Consult with a physician or other health care professional if you have any concerns or questions about your health. If you rely on the information provided here, you do so solely at your own risk.

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