Teething is a natural process that
every infant goes through. It can be an uncomfortable experience, and it can be
concerning for parents and caregivers to see the infant experiencing pain and
discomfort.
The symptoms of teething vary from
one infant to another. Some babies do not have any symptoms at all when their
teeth come in. Others may become mildly irritable, begin to drool, lose their
appetite, or cry more than usual. In some cases, vomiting and fever can accompany teething.
Many people believe that vomiting
while teething is normal. However, most experts now agree that teething does
not cause generalized symptoms, such as vomiting, fever, rash, and diarrhea.
The caregivers of infants who
experience vomiting when teething should visit a doctor or pediatrician to
determine the underlying cause of this symptom.
What is
teething?
Teething typically takes place
between the ages of 6 and 12 months.
Teething occurs when an infant's
teeth first begin to break through the gums. This typically takes place between
the ages of 6 and 12 months.
The two front teeth on the lower jaw
usually appear first, with the other front teeth following. Molars are next to
break through in most cases, with the canines arriving last.
By the age of 3 years, children
usually have their full set of 20 baby teeth.
As it takes place over such a broad
timespan, parents and caregivers often attribute many symptoms to teething.
However, it is more likely that another condition, such as an infection, is
causing these additional symptoms.
It can be helpful to understand
which symptoms are normal and which are not when it comes to teething.
Typical symptoms of teething
include:
·
chewing on objects
·
crying more than usual
·
mild difficulty sleeping
·
drooling more than usual
·
fussiness
·
loss of appetite
·
red, sore, tender, or swollen gums
·
a slight rise in body temperature
(not over 101°F)
Research suggests that the symptoms of teething peak as
the front teeth appear, which tends to occur between 6 and 16 months of age. As
children get older, they are likely to experience fewer and milder symptoms
when new teeth come through.
Teething does not typically cause
the following symptoms:
·
congestion
·
a cough
·
diarrhea
·
high fever
·
increased number of stools
·
rash
·
refusal of liquids
·
vomiting
Why might
vomiting happen during teething?
A bacterial or viral infection is
often the cause of vomiting.
Vomiting can occur at the same time
as symptoms of teething.
Parents and caregivers often
attribute vomiting to the teething, but the symptoms are not usually related.
An analysis of research from eight countries reports that
teething may make infants feel uncomfortable, but it is unlikely to make them
vomit. By assuming that teething causes vomiting or fever, doctors or
caregivers may be overlooking the real cause of the sickness.
A paper published in Pediatrics in Review emphasizes that an infant will be
teething at the same point in their life that they begin to get exposure to
many childhood illnesses. Also, the passive immunity that the mother passed on
to them in the womb decreases at this time.
As a result, it is likely that
vomiting during this time is due to a bacterial or viral infection. Several
illnesses may cause an infant to vomit, including:
·
common cold or flu
·
ear infection
·
gastroenteritis or another stomach
infection
·
urine infection
Sometimes, a food allergy or
intolerance may cause vomiting. A doctor can help diagnose food sensitivities
so that children can begin to avoid any foods that make them unwell.
Vomiting is not usually a cause for
concern, and this symptom will generally pass quickly. However, people can aid
recovery by:
·
keeping the child hydrated
·
letting them rest
·
resuming their typical diet once
12–24 hours have passed since they last vomited
It is essential to call a doctor if
any of the following symptoms accompany vomiting:
·
fever
·
a persistent rash
·
refusal of liquids
·
severe irritability
·
shortness of breath
·
signs of dehydration,
including dry mouth, lack of tears,
and fewer wet nappies than usual
·
sleeping more than usual
·
a swollen stomach
People should also take a child to
see the doctor if vomiting persists for more than 12 hours or if the child is
vomiting with great force.
Managing
the symptoms of teething
Using a clean cloth to remove excess
drool from the chin may reduce skin irritation.
If an infant is experiencing the
typical symptoms of teething, it is possible to treat them at home. Treatments
include:
·
Drying off
drool: Excessive drool can cause skin
irritation. Use a clean cloth to remove excess drool from the chin and mouth
area gently. Applying a fragrance-free cream or ointment may also soothe
irritated skin.
·
Massage: Gently rub the gums with a clean finger or moistened
gauze pad to alleviate pain, discomfort, and tenderness.
·
Cool
temperatures: Apply a cold compress, chilled
spoon, or teething ring to the gums. Never give an infant a frozen teething
ring as this may cause more harm than good.
·
Hard
foods: Infants who are on solid foods
may get relief from chewing on a piece of chilled cucumber or carrot. Monitor
them carefully while they are eating as small pieces of food are a choking
hazard.
·
Over-the-counter
(OTC) medication: Children who are particularly
irritable may benefit from an OTC pain reliever. Options include acetaminophen
(Tylenol) and ibuprofen (Advil, Children's Motrin). Do not use pain relievers
for more than a day or two without a doctor's advice.
It is advisable to avoid using
topical pain relievers as these wash off the gums too quickly. Also steer clear
of products containing belladonna, lidocaine, or benzocaine. These products can
be harmful if the child swallows them.
The United States Food and Drug Administration (FDA) do not
recommend any drugs, herbs, or homeopathic medications for teething due to
their potential side effects.
If a child does have one of these
products, seek immediate medical care if they experience:
·
agitation
·
breathing difficulties
·
difficulty urinating
·
excessive fatigue
·
lethargy
·
muscle weakness
·
seizures
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