Infants often display a variety of behaviors as they grow, and observing a baby pull at their ears can be a common source of parental curiosity. This action frequently leads caregivers to wonder if it signals the arrival of new teeth. Understanding the various reasons behind this behavior can help parents respond appropriately to their child’s needs.
The Teething Connection
Ear pulling is connected to the teething process due to referred pain. Nerves supplying the gums and jaw, particularly around the molars, share pathways with nerves extending to the ears. As a tooth emerges, pressure and irritation in the gums can send pain signals along these shared routes, making the discomfort feel as though it originates in the ear.
Babies may pull or rub their ear to alleviate or distract from this radiating jaw pain. This behavior helps them cope with the unfamiliar feelings associated with erupting teeth, offering momentary relief or counter-pressure to gum discomfort.
Other Common Teething Indicators
Beyond ear pulling, other indicators suggest a baby is teething:
- Increased drooling and a tendency to chew or gnaw on objects to soothe gums.
- Fussiness or increased irritability.
- Swollen or red gums where teeth are preparing to emerge.
- Changes in sleep patterns.
- A slight elevation in body temperature, usually below 100.4°F (38°C).
Beyond Teething: Other Causes for Ear Pulling
While teething is a possible explanation for ear pulling, other common, unrelated reasons exist. A common cause is an ear infection (otitis media), which leads to ear discomfort and pain. Babies with an ear infection may also exhibit a fever, increased fussiness, difficulty sleeping, or reduced appetite. Fluid drainage from the ear can also signal an infection.
Babies often pull their ears as a form of self-soothing or exploration. They may grasp or tug at their ears out of curiosity as they discover their bodies. This can also provide comfort, especially when tired or overwhelmed, helping them wind down before sleep or cope with minor stressors.
Fatigue is another common reason for ear pulling; tired babies often rub or tug at their ears as a sign of sleepiness. Skin irritation or allergies can also cause itchiness around the ears, prompting a baby to pull at them. Dry skin, eczema, or reactions to soaps or detergents can cause localized itching.
When to Consult a Pediatrician
Parents should recognize when ear pulling indicates a health concern requiring medical attention. If ear pulling is accompanied by a persistent fever, especially one above 100.4°F (38°C), or if the baby appears generally unwell, consult a pediatrician.
Other warning signs include inconsolable crying, significant pain, difficulty eating or drinking, or changes in hearing or responsiveness to sounds. Any discharge from the ear, a foul odor, or visible redness and swelling around the ear are also reasons to seek prompt medical advice. While ear pulling can be a normal behavior or a sign of teething, it is wise to rule out other conditions.