Is My 9-Month-Old's Head Shaking Normal? Pediatric Concerns Explained - Pediatrics

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Is this normal?


Hello, I have two questions to ask.

1.
My son is already 9 months old, and I recently noticed that he likes to shake his head and sometimes rub his head against the wall.
Is this a normal behavior?
2.
Sometimes I hear a "cracking" sound from his bones.
Does this mean he is lacking calcium?
Please take the time to answer this anxious mother.
Thank you!

Zhong Ma, 20~29 year old female. Ask Date: 2007/06/11

Dr. Xiao Kaiwen reply Pediatrics


Dear Mom Zhong,
1.
It is normal for infants to exhibit behaviors that may seem unusual to adults, such as head shaking or ear digging.
However, it is important to monitor whether these behaviors are indicative of certain conditions, such as head shaking accompanied by a vacant stare (possibly epilepsy?) or wall rubbing that may suggest skin itching.
A comprehensive assessment of other developmental milestones is also necessary.
If you remain concerned, it is advisable to consult a pediatrician.
2.
In Taiwan, if the milk intake and complementary foods are normal, and the height and weight are within the appropriate range, it is rare for infants to have insufficient calcium.
Infants' bones are still soft and not yet stable, so occasional sounds may be normal.
However, it is important to check for any signs of congenital dislocation.
Sincerely,
Xiao Kai-Wen, Pediatrics, Qishan Hospital

Reply Date: 2007/06/11

More Info


When it comes to the development of infants, parents often have many questions and concerns, especially regarding behaviors that may seem unusual. In your case, you are observing your 9-month-old son shaking his head and rubbing it against the wall, as well as hearing a "cracking" sound from his bones. Let's address these concerns one by one.

1. Head Shaking and Rubbing Against Surfaces: It is not uncommon for infants to engage in repetitive movements, including head shaking or rubbing their heads against surfaces. This behavior can be a form of self-soothing or exploration. Infants often experiment with their bodies and may find certain movements pleasurable or comforting. At 9 months, babies are developing their motor skills and may engage in various activities that help them understand their physical capabilities. However, if the head shaking seems excessive or is accompanied by other concerning symptoms (such as developmental delays, loss of skills, or unusual irritability), it would be wise to consult a pediatrician. They can assess whether this behavior is within the normal range of development or if further evaluation is needed.

2. Cracking Sounds from Bones: The "cracking" or "popping" sounds you hear when your baby moves are typically normal and not usually a cause for concern. These sounds can occur due to the movement of joints and the release of gas bubbles in the synovial fluid that lubricates the joints. In infants, their bones and joints are still developing, and such sounds can be quite common. It is important to note that these sounds do not necessarily indicate a deficiency in calcium or any other nutrient. If your child is otherwise healthy, active, and meeting developmental milestones, the sounds are likely benign. However, if you notice any signs of discomfort, swelling, or if the sounds are accompanied by unusual movements or behaviors, it would be prudent to discuss this with your pediatrician.


Additional Considerations
- Developmental Milestones: At 9 months, babies typically begin to crawl, pull themselves up to stand, and may even start to cruise along furniture. They are also developing their social skills and may show preferences for certain toys or people. Monitoring your child's overall development is crucial, and if you have any concerns about their progress, don't hesitate to reach out to your healthcare provider.

- Self-Soothing Behaviors: Head shaking can sometimes be a self-soothing mechanism. Babies often find ways to comfort themselves, especially during times of stress or overstimulation. If your child is shaking his head as a way to self-soothe, it may be beneficial to create a calming environment for him, with plenty of opportunities for gentle play and interaction.

- Nutritional Needs: Ensuring that your child is receiving adequate nutrition is essential for their growth and development. Breast milk or formula should remain the primary source of nutrition until at least 12 months of age. As you introduce solid foods, focus on a balanced diet that includes fruits, vegetables, grains, and proteins. If you have concerns about calcium intake, consult your pediatrician for guidance on appropriate dietary sources.

In conclusion, while the behaviors you are observing in your 9-month-old son can be typical for his age, it is always best to consult with a pediatrician if you have any concerns. They can provide reassurance, guidance, and support tailored to your child's specific needs. Remember, every child develops at their own pace, and being attentive to their behaviors is a vital part of parenting.

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