Does Teething Cause a Rash & How to Manage Drool Rash

Parents often observe rashes on babies during teething, prompting questions about a connection. This article explores the link between teething and skin rashes, detailing how they relate and how to manage them. It also guides on recognizing teething symptoms and when to seek medical advice.

The Link Between Teething and Rash

Teething itself does not directly cause a rash. Instead, the link stems from the increased drooling that often accompanies the process.

When babies are teething, their salivary glands become more active, leading to excess saliva production. This increased drooling is a common teething symptom.

When excessive saliva remains in prolonged contact with delicate skin, it can lead to irritation and inflammation.

Saliva contains digestive enzymes that can break down the skin’s protective barrier, causing redness, dryness, and small bumps. This condition, often called “drool rash” or “teething rash,” is a form of contact dermatitis. Constant moisture and friction from wiping further aggravate the skin, increasing susceptibility to irritation.

Recognizing Teething Symptoms and Associated Rashes

A drool rash appears as flat or slightly raised patches with small, red bumps. The affected skin may also look chapped, dry, or flaky.

This rash forms around the mouth, chin, cheeks, neck, and sometimes extends to the chest, areas where drool accumulates. It can come and go over several weeks, fluctuating with drooling intensity.

Distinguishing a drool rash from other teething signs is helpful. Beyond increased drooling, teething can manifest as swollen or tender gums, increased chewing on objects, fussiness, and irritability.

Babies might also experience a mild temperature elevation (typically below 100.4°F/38°C) or one flushed cheek.

A widespread or severe rash, or one with a high fever, significant discomfort, or other concerning symptoms, is unlikely due to teething alone and warrants further investigation.

Managing Drool Rash and When to Consult a Doctor

Managing a drool rash involves keeping the affected skin clean and dry.

Gently wipe excess drool from your baby’s face, chin, and neck using a soft cloth, patting rather than rubbing to avoid irritation. Regularly change bibs and clothing wet with saliva to prevent prolonged skin exposure to moisture.

Applying a thin layer of a barrier ointment, such as petroleum jelly or Aquaphor, creates a protective shield between skin and saliva, aiding healing and preventing irritation.

Most drool rashes are mild and resolve with home care, but medical consultation is advisable in specific instances.

Contact a healthcare provider if the rash does not improve after about a week of home treatment, or if it appears cracked, painful, or shows signs of infection like oozing, crusting, or blisters.

Seek medical attention if the rash is accompanied by a high fever, lethargy, significant discomfort, or spreads beyond typical drool areas. These symptoms could indicate a different underlying condition requiring professional diagnosis and treatment.

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