1) The baby should be evaluated by a pediatrician to rule out other diagnoses. Excessive and inconsolable crying can also mean that the baby has pain, which should be urgently investigated. Psychological problems in the family nucleus must also be ruled out.
2) Normal causes of crying, such as hunger and cold, should be excluded. This test should include questions about the diet of the infant, signs of reflux, sleep habits, bowel movements and urine, general wellbeing of the parents and social status of the baby.
3) Reaffirm the efforts of parents or caregivers to care for the distressed baby and recognize the feeling of helplessness they may feel when they see their distressed baby.
4) Encourage parents to seek support from other family members to help them take care of the baby and have some rest. The reaffirmation of parents and their efforts to care for their baby is paramount.
5) Dietary treatments should be focused to reduce or eliminate allergens that may be present in cow's milk from the baby's diet, and eliminate eggs, wheat and nuts from the mother's diet.
6) Behavioral interventions should be considered at each stage, such as stimulating parental receptivity during the application of comfort strategies, for example reassuring words, cradling the baby, picking up the arms, massaging the abdomen and flexing the legs gently.