Is It Normal for a Two-Month-Old Baby to Cry Without Tears? - Pediatrics

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A two-month-old baby is crying without tears?


It is normal for a two-month-old baby to occasionally cry without producing tears.
At this age, tear production is still developing, and some infants may not have fully developed tear ducts.
As long as the baby is otherwise healthy, feeding well, and showing no signs of dehydration, the lack of tears during crying is generally not a cause for concern.
However, if you have any worries about your baby's health or hydration status, it's always best to consult with a pediatrician.

Miss Wang, 20~29 year old female. Ask Date: 2011/11/29

Dr. Xiao Kaiwen reply Pediatrics


Newborns have developed tear glands and should be able to cry real tears; however, they often exhibit a behavior similar to "fake crying" without producing tears.
This is a normal developmental transition.
Unless there is severe dehydration, it is rare for newborns to have issues with their tear glands.
In fact, it is more common for newborns to have watery eyes (when not crying) due to the nasolacrimal duct not being fully open yet.

Reply Date: 2011/11/29

More Info


It is not uncommon for a two-month-old baby to cry without producing tears. At this age, the tear ducts and glands are still developing, and while they may have the ability to produce tears, it is not unusual for them to cry without tears, especially when they are upset or distressed. This phenomenon can be attributed to several factors related to the baby's physiological development.

Firstly, newborns and young infants often exhibit a behavior known as "dry crying." This is when they cry intensely, their faces may turn red, and they may show signs of distress, but no tears are produced. This is generally considered a normal part of their development. The tear glands, or lacrimal glands, may not yet be fully functional, and it can take some time for them to begin producing tears consistently. Additionally, babies are known to engage in "fake crying," where they may cry without producing tears as a means of communication or to elicit a response from caregivers.

Moreover, the absence of tears does not necessarily indicate any underlying health issues unless accompanied by other concerning symptoms. For instance, if a baby is showing signs of dehydration, such as a dry mouth, lack of wet diapers, or lethargy, it would be important to consult a pediatrician. However, if the baby is otherwise healthy, feeding well, and gaining weight appropriately, the lack of tears during crying episodes is typically not a cause for concern.

It's also worth noting that newborns can experience a condition known as nasolacrimal duct obstruction, which can lead to excessive tearing when they are not crying. This occurs when the tear duct is blocked, preventing tears from draining properly. In such cases, parents may notice watery eyes even when the baby is not upset. This condition often resolves on its own as the baby grows.

In summary, it is generally normal for a two-month-old baby to cry without tears. As long as the baby is healthy, feeding well, and showing no signs of dehydration or other health issues, there is usually no cause for concern. However, if parents have any doubts or if the baby exhibits other unusual symptoms, it is always best to consult with a pediatrician for reassurance and guidance. Regular check-ups and open communication with healthcare providers can help ensure that any potential issues are addressed promptly.

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