Is It Normal for My Toddler to Drool Constantly? - Pediatrics

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Drooling issues in children?


Hello, is it normal for a child who is over two weeks old to still have excessive drooling? Should we consider having an examination?

mei, 30~39 year old female. Ask Date: 2008/06/12

Dr. Xiao Kaiwen reply Pediatrics


A two-week-old newborn's saliva swallowing is still immature, so saliva may overflow.
(I'm not sure if you made an error in entering your child's age, Mom.)

Reply Date: 2008/06/12

More Info


Drooling in toddlers is a common occurrence and can be considered normal, especially in younger children. At around two years old, many toddlers are still developing their oral motor skills, which include the ability to control saliva. Here are some insights into why your toddler might be drooling constantly and when you might want to consider seeking medical advice.


Reasons for Drooling in Toddlers
1. Developmental Stage: Toddlers are often in a phase where they are still mastering their ability to swallow and control saliva. This is particularly true for children who are teething, as the process can stimulate saliva production. If your child is around the age of two, they may still be experiencing teething, which can lead to increased drooling.

2. Teething: As mentioned, teething can cause excessive drooling. The discomfort associated with new teeth breaking through the gums can lead to a reflexive increase in saliva production. This is a normal part of development and usually resolves as the child grows older and the teething phase passes.

3. Oral Motor Skills: Children develop their oral motor skills at different rates. Some may take longer to learn how to manage saliva effectively, leading to drooling. This is generally not a cause for concern unless it persists well into later childhood.

4. Nasal Congestion: If your toddler has a cold or allergies, nasal congestion can lead to mouth breathing, which may increase drooling. If this is the case, addressing the underlying issue, such as treating the cold or allergies, may help reduce drooling.

5. Neurological Conditions: In rare cases, excessive drooling can be a sign of a neurological condition. If your child exhibits other concerning symptoms, such as developmental delays, difficulty swallowing, or unusual muscle tone, it would be wise to consult a pediatrician.


When to Seek Medical Advice
While drooling is typically normal, there are certain situations where you should consider seeking medical advice:
- Persistent Drooling: If your toddler continues to drool excessively beyond the age of four or five, it may be worth discussing with a pediatrician. This could indicate a need for further evaluation of their oral motor skills or other underlying issues.

- Accompanying Symptoms: If the drooling is accompanied by other symptoms such as difficulty swallowing, signs of dehydration, or developmental delays, it is important to consult a healthcare professional.

- Changes in Behavior: If you notice changes in your child's behavior, such as increased irritability or difficulty eating, these could be signs of an underlying issue that needs to be addressed.


Conclusion
In summary, drooling in toddlers, especially around the age of two, is generally a normal part of development. It is often related to teething or the ongoing development of oral motor skills. However, if you have concerns about the amount of drooling or if it is accompanied by other symptoms, it is always best to consult with a pediatrician for peace of mind and to rule out any potential issues. Regular check-ups can help monitor your child's development and address any concerns you may have.

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