Is Your Baby Teething? Signs, Symptoms, and What to Do - Pediatrics

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Teething in infants?


Hello, Director! Mantou is now over six months old.
I'm not sure if it's because he just received his vaccinations a few days ago or if he's teething (I can see a little white spot on his lower gums that looks like a hole), but his appetite has been particularly poor.
He refuses to drink milk and cries loudly as soon as it goes into his mouth.
Is this normal? How should I handle this? Thank you, the helpless mother of Mantou (>_<)

Mantou Niang, 30~39 year old female. Ask Date: 2005/04/05

Dr. Lin Wenxian reply Pediatrics


Dear Madam,
Dr.
Lin Wen-Hsien, the Director of Pediatrics at Tainan Hospital, Department of Health, Executive Yuan, responds to your letter regarding your baby's decreased appetite and crying during meals, which has understandably caused you some concern.
The situations you mentioned, such as receiving vaccinations, teething, and oral mucosal ulcers, could indeed be contributing factors.
At six months of age, the vaccinations typically include the Hepatitis B vaccine and the DTaP (diphtheria, tetanus, and pertussis) vaccine.
Any discomfort associated with these vaccinations should not last more than three days.
Teething can also cause discomfort for a few days, and oral mucosal ulcers may affect appetite as well.
However, these issues are generally temporary and should improve within a few days.
As long as your baby's activity level and overall demeanor remain good, providing comfort and ensuring adequate hydration and electrolyte balance should help.
If the situation persists for several days and you notice significant changes in your baby's energy levels or behavior, it would be advisable to seek medical attention for a thorough evaluation.
Wishing you and your baby good health and all the best!

Reply Date: 2005/04/05

More Info


Teething is a significant developmental milestone for infants, typically occurring between 4 to 12 months of age. The process can be uncomfortable for babies, leading to various signs and symptoms that parents should be aware of. In your case, with your baby being six months old and showing signs of discomfort, it is quite possible that teething is indeed the culprit.


Signs and Symptoms of Teething
1. Irritability and Fussiness: Babies may become more irritable than usual due to the discomfort of their gums as teeth begin to push through. This can lead to increased crying and fussiness, especially during feeding times.

2. Decreased Appetite: As you mentioned, your baby is refusing to drink milk and is crying when the bottle is offered. This is common during teething, as the pressure on the gums can make sucking painful. Babies may prefer softer foods or even refuse to eat altogether.

3. Drooling: Increased saliva production is another sign of teething. You may notice your baby drooling more than usual, which can sometimes lead to a rash around the mouth.

4. Swollen Gums: The gums may appear red and swollen, and you might notice white spots where the teeth are about to emerge.

5. Chewing on Objects: Babies often seek relief by chewing on their toys, fingers, or other objects. This behavior helps to alleviate the pressure on their gums.

6. Sleep Disturbances: Teething can disrupt sleep patterns, leading to more frequent waking during the night.


What to Do to Help Your Baby
1. Comfort Measures: Offer comfort to your baby through gentle rocking, cuddling, or soothing words. Sometimes, just being close can help ease their discomfort.

2. Teething Toys: Provide safe teething toys that your baby can chew on. Look for options that are soft and made of safe materials. Chilling these toys in the refrigerator can provide additional relief.

3. Cold Compress: A clean, cold washcloth can be soothing for sore gums. You can wet it, chill it in the refrigerator, and let your baby chew on it.

4. Pain Relief: If your baby seems to be in significant pain, consult your pediatrician about the possibility of using over-the-counter pain relief medications specifically formulated for infants, such as acetaminophen or ibuprofen. Always follow the dosage guidelines provided by your healthcare provider.

5. Maintain Oral Hygiene: Even though your baby may not have many teeth yet, it’s essential to start cleaning their gums. Use a soft, damp cloth to wipe their gums after feedings to help establish good oral hygiene habits.

6. Monitor for Other Symptoms: While teething can cause discomfort, it’s essential to monitor your baby for any signs of illness, such as fever, diarrhea, or rash. If these symptoms occur, consult your pediatrician to rule out other causes.


Conclusion
It is entirely normal for babies to experience discomfort during teething, and your observations of your baby’s behavior align with common signs of this process. While teething can be challenging for both babies and parents, implementing comfort measures and being patient can help your baby through this phase. If you have any concerns about your baby’s health or if their symptoms seem severe, do not hesitate to reach out to your pediatrician for guidance. Remember, this phase is temporary, and soon enough, your baby will have a beautiful set of teeth!

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