It is common for parents to wonder if their baby’s ear pulling is a sign of teething. This concern often arises because both teething and other common infant issues can present with similar behaviors. Understanding the distinctions between these possibilities can help parents provide appropriate comfort to their child.
The Teething and Ear Pulling Connection
While ear pulling can sometimes occur during teething, it is not a direct or primary symptom of teeth erupting. The connection is explained by “referred pain.” Referred pain occurs when discomfort originating in one area of the body is felt in another due to shared nerve pathways.
The nerves that supply sensation to the jaw, gums, and teeth also extend to areas around the ear. When a baby experiences pain or pressure from a tooth pushing through the gums, these nerve signals can be perceived by the brain as originating in the ear. This can lead a baby to rub or pull their ear, attempting to alleviate discomfort, even if the pain originates in their mouth.
Other Reasons Babies Pull Their Ears
Babies pull their ears for various reasons. A common cause is self-discovery; babies explore their bodies, and their ears are easily accessible. They may also pull their ears as a self-soothing mechanism when tired or seeking comfort before sleep.
Ear infections, or otitis media, are a frequent reason for ear pulling in infants and young children. These infections cause inflammation and fluid buildup behind the eardrum, leading to pain and pressure. Babies with ear infections often exhibit other symptoms like fussiness, crying, difficulty sleeping, or a fever. Ear wax buildup or itchy skin around the ear can also prompt a baby to tug at their ears.
Common Teething Signs
Teething involves the process of teeth breaking through the gums, a normal developmental stage that begins around 6 months of age. The most recognized signs of teething are localized to the mouth and surrounding areas. Increased drooling can lead to a rash on the chin or face.
Gums may appear red, swollen, or tender where a tooth is about to erupt. Babies show an increased desire to chew on objects, their hands, or toys to relieve pressure on their gums. Other indicators include general fussiness, irritability, and slight changes in eating or sleeping patterns due to discomfort. While some babies may have a mild temperature elevation during teething, a fever above 100.4°F (38°C) is not attributed to teething alone and suggests another cause.
When to Consult a Doctor
Consult a healthcare provider if ear pulling is accompanied by other concerning symptoms. Signs that warrant medical attention include a high fever, especially above 100.4°F (38°C), or any fever in an infant under 12 weeks old. Persistent crying, increased irritability, or difficulty sleeping that does not subside with comfort measures should also prompt a visit.
Other indicators for medical consultation include fluid draining from the ear, a loss of balance, or a noticeable change in hearing. If a baby appears generally unwell, is refusing to eat or drink, or has symptoms that persist or worsen, professional medical advice should be sought to rule out conditions like an ear infection or other illnesses.