Teething, the process of a baby’s first teeth breaking through the gums, typically begins around 6 months of age, though timing varies. While a normal developmental stage, it can be uncomfortable for infants. Common symptoms include increased drooling, fussiness, irritability, and a desire to chew. A temporary decrease in appetite is also frequently observed.
Why Appetite Decreases During Teething
Decreased appetite during teething primarily stems from discomfort and pain in the gums. As a tooth emerges, the surrounding tissue becomes red, swollen, and tender. This inflammation makes sucking or chewing painful, directly impacting a baby’s willingness to feed.
Pressure from the emerging tooth creates hypersensitivity, making bottle-feeding and solid foods uncomfortable. Babies may associate feeding with pain, leading to reduced intake. This discomfort can also radiate to areas like the ears or cheeks, adding to general unease.
Beyond direct pain, overall discomfort can distract babies from eating. They may be preoccupied with sore gums or the urge to chew. This distraction, combined with potential sleep disturbances, contributes to a reduced desire for food.
Feeding Strategies for Teething Babies
Offer soft, cool foods to soothe inflamed gums and provide nutrition. Chilled purees of fruits (like applesauce or bananas) and mashed vegetables are often well-tolerated, as their cool temperature can temporarily numb gums. Teething biscuits or frozen fruit pieces (for babies on solids, with supervision) also offer relief through pressure and cold.
Maintain hydration, even if solid food intake decreases. Breast milk or formula are primary sources of nutrition and comfort. For older babies, offer sips of cool water to prevent dehydration. Some babies nurse more frequently for comfort, while others may find sucking painful and prefer bottle feeding.
Offer smaller, more frequent meals instead of adhering to a regular schedule. Babies may tolerate only small amounts due to discomfort, so multiple opportunities help ensure adequate intake. Patience is crucial; forcing food can create negative associations. Gently massaging gums with a clean finger or chilled teething toy before feeding may temporarily numb the area, making eating more comfortable.
When to Consult a Doctor
While decreased appetite is common, certain signs warrant medical attention. Consult a healthcare provider if a baby consistently refuses to eat or drink for an extended period. Prolonged refusal can lead to insufficient caloric intake and nutritional deficiencies.
Signs of dehydration, such as fewer wet diapers, a sunken fontanelle, or lack of tears, require immediate medical evaluation. While a slight temperature increase can occur with teething, a fever above 100.4°F (38°C) is usually not teething-related and suggests another condition.
Severe irritability, inconsolable crying, or symptoms not improving with home remedies warrant a doctor’s visit. Diarrhea, vomiting, or a rash are not typical teething symptoms and may signal infection or other illness requiring diagnosis and treatment. If concerned about a baby’s well-being during teething, seek medical advice.