Excessive Drooling in Infants: Calcium Deficiency or Normal Development? - Pediatrics

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The baby (male, 10 kg, 72 cm, born on February 16, 2021) has been drooling since he was over two months old and continues to do so.
At five months, he developed two teeth but has not had any more teeth come in since then.
It has been suggested that the excessive drooling and the cessation of tooth eruption may be due to a calcium deficiency.
Should calcium supplements be administered?

PEGGY, 30~39 year old female. Ask Date: 2002/10/31

Dr. Lin Guoyin reply Pediatrics


Dear Mom,
Actually, drooling is a common phenomenon among many normal babies.
This occurs because their swallowing and coordination abilities are not yet fully developed, and it is not related to calcium deficiency.
Additionally, if the formula you are feeding your baby is from a reputable and well-established brand, the formulation will consider the nutritional needs of the baby, so there should not be any nutritional deficiencies unless there is a specific medical condition.
There are many underground and unknown brand formulas available in the market, along with a wide variety of nutritional supplements, most of which are driven by commercial interests.
It is important to think carefully before using them.
If you have any concerns, feel free to visit the pediatrics department at Nantou Hospital or consult a pediatric specialist for an examination!

Reply Date: 2002/10/31

More Info


Excessive drooling in infants can be a common concern for many parents, and it often raises questions about potential nutritional deficiencies, such as calcium deficiency. However, it is essential to understand that drooling in infants is typically a normal part of their development, especially as they approach the teething stage.

In your case, your baby has been drooling since he was two months old, and while he did start teething at five months with the emergence of two teeth, it is not uncommon for infants to drool even before they begin teething. Drooling can occur for several reasons, including the development of oral motor skills, increased saliva production, and the natural process of teething. As infants explore their environment, they often put objects in their mouths, which can stimulate saliva production and lead to drooling.

Regarding your concern about calcium deficiency, it is important to note that while calcium is crucial for bone and teeth development, excessive drooling is not a direct indicator of calcium deficiency. Calcium deficiency in infants can lead to more severe symptoms, such as poor growth, irritability, and dental issues, but drooling alone is not a definitive sign. The timing of your baby's teething is also within the normal range, as infants typically begin to get their first teeth between six months and one year of age.

If you are considering calcium supplementation, it is crucial to consult with your pediatrician first. They can evaluate your baby's overall health, dietary intake, and growth patterns to determine if supplementation is necessary. In general, if your baby is consuming a balanced diet that includes breast milk or formula (which are fortified with essential nutrients, including calcium), and is beginning to eat solid foods, he is likely receiving adequate calcium.

Over-supplementation of calcium can lead to potential health issues, such as hypercalcemia, which can cause nausea, vomiting, and kidney problems. Therefore, it is essential to follow your pediatrician's guidance regarding any supplementation.

In summary, excessive drooling in infants is usually a normal developmental phase, particularly associated with teething. While calcium is vital for your baby's growth and development, drooling alone is not a reliable indicator of calcium deficiency. If you have concerns about your baby's calcium levels or overall health, it is best to consult with your pediatrician for personalized advice and recommendations. They can help you determine the best course of action to ensure your baby's nutritional needs are met while addressing any concerns you may have about his development.

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