Unusual Noises in Infants: When to Seek Medical Advice - Pediatrics

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Infants straining and making unusual sounds?


Hello doctor, my friend's child is about two months old, but sometimes they seem to exert a lot of effort and make strange noises.
I'm not sure what the reason is.
The older sister didn't seem to have this issue.
Should we see a doctor?

Niming, 40~49 year old female. Ask Date: 2017/07/14

Dr. Xiao Kaiwen reply Pediatrics


It is common for a two-month-old infant to occasionally exhibit straining behavior, as long as it is not accompanied by signs of seizures (such as a blank stare or altered consciousness).
This phenomenon typically diminishes as the child grows older.

Reply Date: 2017/07/14

More Info


When it comes to unusual noises or behaviors in infants, it can be concerning for parents and caregivers. In the case of your friend's two-month-old child making strange noises and appearing to exert themselves, there are several factors to consider before deciding whether to seek medical advice.

Firstly, it is essential to understand that infants often make a variety of sounds as they explore their vocal abilities. These sounds can range from cooing and gurgling to more unusual noises that may seem alarming to parents. At two months, babies are still developing their respiratory and vocal systems, and it is common for them to experiment with different sounds. However, if the noises are accompanied by signs of distress, such as crying, difficulty breathing, or a change in skin color, it is crucial to seek medical attention immediately.

The noises your friend's child is making could be due to several benign reasons. For instance, it could be a normal part of their development as they learn to control their vocal cords. Babies often grunt or make straining noises, especially when they are trying to pass gas or have a bowel movement. This is typically not a cause for concern unless it is accompanied by discomfort or other symptoms.

On the other hand, if the noises are more intense or seem to be associated with physical exertion, it could indicate a few potential issues. One possibility is that the baby is experiencing some form of gastrointestinal discomfort, such as colic or gas. Colic is characterized by excessive crying and fussiness in infants, often occurring in the late afternoon or evening. If the baby is straining and making noises during these episodes, it may be worth discussing with a pediatrician.

Another consideration is the possibility of respiratory issues. If the unusual noises sound like wheezing, grunting, or are accompanied by coughing or difficulty breathing, it is essential to consult a healthcare professional. Conditions such as respiratory infections or asthma can manifest with abnormal sounds, and early intervention is crucial for effective treatment.

Additionally, it is important to consider the context of the noises. If the baby is otherwise healthy, feeding well, gaining weight, and meeting developmental milestones, the noises may not be a cause for concern. However, if there is a noticeable change in behavior, feeding patterns, or if the baby seems unusually lethargic or irritable, it would be prudent to seek medical advice.

In summary, while it is common for infants to make a variety of noises as they develop, it is essential to monitor the context and accompanying symptoms. If the noises are concerning or if there are any signs of distress, it is always best to err on the side of caution and consult a pediatrician. They can provide a thorough evaluation and determine if any further investigation or intervention is necessary. Parents should feel empowered to ask questions and seek help whenever they have concerns about their child's health and well-being.

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