Common Concerns for Your 9-Month-Old Baby: A Pediatric Guide

8-month-old baby issues?

Hello Doctor, my baby is almost 9 months old, and I have a few questions to ask you.

1.
After teething, my baby has shown a dislike for porridge and vegetables, but enjoys fruits.
This was not the case before teething.
Is there any problem with this?
2.
Is it normal for my baby to sometimes feel cold shivers?
3.
My baby frequently rubs both ears vigorously.
I have cleaned them with cotton swabs, but the behavior still occurs.
Could there be an issue with the ears?
4.
After teething, if my child continues to nurse to sleep (exclusively breastfed), will there be a risk of cavities?
5.
At what age can I start adding salt to my baby's food?
I have quite a few questions, and I appreciate your help.
Thank you!

Zhang, 30~39 year old female. Ask Date: 2016/01/13

Dr. Xiao Kaiwen reply Pediatrics

1.
The introduction of complementary foods can be met with varying degrees of acceptance from babies, so it is important to be patient and continue trying.
2.
Infants can shiver just like adults; simply observe them.
3.
It is advisable to have a pediatrician check for any abnormalities in the inner and outer ears, as it is common for infants to experience such conditions that may resolve over time.
4.
Breast milk goes directly to the back of the mouth and has less contact with teeth, which reduces the risk of cavities.
However, it is important to establish a habit of cleaning the baby's mouth, and once the first tooth erupts, use a soft toothbrush to clean it.
After the first tooth appears, a dental visit for fluoride treatment is recommended.
5.
An infant's taste buds are still developing, so it is generally best to avoid seasonings.
After the age of one, they can start eating more of the same foods as adults with some moderation in added seasonings, but care should be taken not to overdo it.

Reply Date: 2016/01/13

More Info

As a pediatric expert, I understand that parents often have numerous concerns regarding their baby's development, especially around the 9-month mark. Let's address each of your questions in detail.

1. Food Preferences Post-Teething: It's common for babies to experience changes in their eating habits when they start teething. The discomfort associated with teething can make them more selective about what they eat. If your baby prefers fruits over vegetables or grains, it may be due to the texture or taste that is easier for them to handle during this sensitive time. Continue to offer a variety of foods, and try different cooking methods (like steaming or pureeing) to make vegetables more appealing. It’s important to be patient and persistent, as tastes can change over time.

2. Shivering or Chills: Babies can occasionally shiver or appear to be cold, which can be normal behavior. This may happen if they are excited, startled, or even if they are feeling a bit chilly. However, if the shivering is frequent or accompanied by other symptoms such as fever, lethargy, or irritability, it would be wise to consult your pediatrician to rule out any underlying issues.

3. Ear Rubbing: Frequent ear rubbing can be a sign of discomfort or irritation. It may not necessarily indicate an ear infection, especially if there are no other symptoms like fever, fussiness, or fluid discharge. However, if the behavior persists, it’s advisable to have your pediatrician examine your baby's ears to ensure there are no infections or blockages.

4. Breastfeeding and Dental Health: Breastfeeding beyond the introduction of solid foods can lead to an increased risk of dental caries (cavities), especially if the baby falls asleep while nursing. Milk can pool in the mouth, providing a sugary environment for bacteria to thrive. To mitigate this risk, try to clean your baby's gums and emerging teeth with a soft cloth after feedings. Once the first tooth appears, you can start using a soft-bristled toothbrush. Regular dental check-ups should begin as soon as the first tooth erupts.

5. Salt in Baby's Diet: The general recommendation is to avoid adding salt to your baby's food until they are at least one year old. Babies' kidneys are still developing, and they are not equipped to handle excess sodium. After their first birthday, you can gradually introduce small amounts of salt, but it’s best to keep it minimal and ensure that the majority of their diet consists of whole, unprocessed foods.

In summary, your baby’s preferences and behaviors are quite normal for their developmental stage. Continue to offer a variety of foods, monitor their reactions, and consult your pediatrician if you have any concerns about their health or development. Remember, every child develops at their own pace, and it’s important to provide a supportive and nurturing environment as they grow. If you have further questions or concerns, don’t hesitate to reach out to your healthcare provider for personalized advice.

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