Teething Troubles: What Parents Should Know About Baby's Sleep Issues

Teething in infants?

Dear Dr.
Hong,
My sister is now over five months old and has developed two lower teeth.
Recently, she has been having trouble sleeping at night, sometimes not falling asleep until dawn.
Could this be related to teething? I've heard that babies often experience discomfort while teething.
What symptoms should parents be aware of? Thank you!

Xiao Ti Zi, 20~29 year old female. Ask Date: 2001/04/26

Dr. Hong Shaohui reply Pediatrics

When teething, babies may experience itching in their gums, which can cause discomfort.
During this time, it is important to wash the baby's hands frequently and minimize the chances of them putting their hands in their mouths to reduce the risk of infection.

Reply Date: 2001/04/26

More Info

Teething is a significant milestone in a baby's development, typically occurring between the ages of 4 to 12 months. As your baby is currently five months old and has started to cut her first teeth, it is indeed possible that her sleep disturbances are related to this process. Teething can cause discomfort and pain as the teeth push through the gums, leading to various symptoms that can disrupt a baby's sleep.

When babies are teething, they may experience several symptoms, including:
1. Gum Discomfort: The pressure from the emerging teeth can cause soreness and swelling in the gums, which can be quite uncomfortable for babies. This discomfort can lead to irritability and difficulty settling down for sleep.

2. Increased Salivation: Teething often results in increased drooling, which can be uncomfortable and may lead to skin irritation around the mouth and chin.

3. Changes in Sleep Patterns: Many parents report that their babies have disrupted sleep during teething. This can manifest as difficulty falling asleep, waking frequently during the night, or waking earlier than usual in the morning.

4. Crying and Fussiness: Babies may become more fussy or irritable due to the discomfort associated with teething. This can make it challenging for them to relax enough to fall asleep.

5. Loss of Appetite: Some babies may refuse to eat or drink as they may associate feeding with discomfort, which can further contribute to their irritability and sleep issues.

To help your baby cope with teething and improve her sleep, consider the following strategies:
- Teething Toys: Provide your baby with safe teething toys that she can chew on. These can help soothe her gums and provide some relief from discomfort.

- Cold Compresses: A cold washcloth or a teething ring that has been chilled in the refrigerator can provide soothing relief to sore gums. Just ensure that it is not too cold to avoid discomfort.

- Gentle Massage: Gently massaging your baby's gums with a clean finger can help alleviate some of the discomfort she may be feeling.

- Maintain a Consistent Bedtime Routine: Establishing a calming bedtime routine can help signal to your baby that it is time to sleep. This could include activities like a warm bath, reading a story, or gentle rocking.

- Comforting Environment: Ensure that your baby's sleep environment is conducive to rest. This includes a comfortable crib, appropriate room temperature, and minimal noise and light.

- Pain Relief: If your baby seems to be in significant discomfort, consult with your pediatrician about the possibility of using over-the-counter pain relief medications specifically formulated for infants, such as acetaminophen or ibuprofen, if appropriate.

It's important to note that while teething can cause sleep disturbances, other factors could also contribute to your baby's sleep issues. If her sleep problems persist or worsen, or if you notice any other concerning symptoms such as fever, diarrhea, or rash, it is advisable to consult your pediatrician for further evaluation.

In summary, teething can indeed affect your baby's sleep, and understanding the signs and symptoms can help you provide the necessary comfort and care. By implementing soothing strategies and maintaining a consistent routine, you can help your baby navigate this challenging phase more comfortably.

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