Teething is the normal developmental process where an infant’s first set of teeth, known as deciduous or milk teeth, erupts through the gums. This phase typically begins around six months of age and can continue through the first two years of life. This article examines the relationship between this milestone and watery eyes, clarifying which symptoms are linked to tooth eruption and offering management advice.
Investigating the Link to Watery Eyes
Teething does not directly cause watery eyes. The physical process of a tooth breaking through the gum tissue is isolated to the mouth and does not trigger excessive tear production. While many parents report a perceived connection, medical consensus indicates that ocular symptoms are not a primary feature of teething.
The connection often appears indirect and coincidental, possibly stemming from the infant’s overall discomfort or behavioral changes. Increased irritability might lead a baby to rub their face more frequently, potentially transferring irritants to the eye area. Additionally, the mild inflammation associated with teething can sometimes coincide with or worsen underlying nasal congestion, which may affect the delicate tear duct drainage system.
The Confirmed Symptoms of Teething
The accepted symptoms of teething are generally localized to the mouth and face. A notable increase in drooling is one of the most common signs, often resulting in a mild chin or face rash from the constant moisture contact. The gum tissue directly over the erupting tooth may appear mildly swollen, red, or tender to the touch.
Infants often demonstrate an increased urge to chew or gnaw on objects, fingers, or fists to provide counter-pressure to the discomfort in their gums. This period may also cause fussiness, irritability, and slight disturbances to normal sleep patterns. A low-grade temperature elevation is sometimes observed, but a fever above 101°F (38.3°C) is not considered a symptom of teething and warrants medical evaluation.
Non-Teething Causes of Infant Watery Eyes
Since teething is not the direct cause, persistent watery eyes in infants usually point to other common, non-related issues. The most frequent cause is a blocked tear duct, where the nasolacrimal duct has not fully opened to drain tears into the nose, causing tears to accumulate and spill over onto the cheek.
Watery eyes are also a frequent symptom when an infant has a common cold or a mild upper respiratory infection, which often coincides with the general timeframe of teething. Minor irritants like dust, strong winds, or environmental allergens can temporarily stimulate tear production. Parents should seek professional advice if the watery eyes are accompanied by thick yellow or green discharge, significant eye redness, or a persistent fever, as these can indicate an infection like conjunctivitis.
Managing Teething Discomfort
Relieving the localized pain in the gums can significantly improve an infant’s overall comfort during this developmental stage. Gentle massage of the gums with a clean finger can provide soothing counter-pressure to the area of eruption. Providing chilled, but not frozen, teething rings or a cool, damp washcloth for the baby to chew on helps to mildly numb the sore tissue.
For infants experiencing greater discomfort, age-appropriate doses of over-the-counter pain relievers, such as acetaminophen or ibuprofen, can be administered after consulting with a pediatrician. It is important to avoid topical numbing gels containing ingredients like benzocaine, as they are not recommended for infants and can wash away quickly due to increased drooling.