Teething is a natural and expected part of an infant’s early development, marking the emergence of their first teeth through the gums. This milestone often brings discomfort, and a common parental concern is whether a low-grade fever is a normal symptom. Understanding the typical signs of teething and knowing when to seek medical advice for a fever can help parents navigate this period with greater confidence. This article clarifies typical teething symptoms and when to consult a healthcare provider.
Understanding Typical Teething Symptoms
Infants typically begin teething around 6 months of age, though the timing can vary significantly. Babies may exhibit several common signs, including increased drooling, which can sometimes lead to a mild rash around the mouth or chin. Irritability and fussiness are also common as the pressure of erupting teeth can cause discomfort.
Parents may notice their baby wanting to chew on objects more frequently, as this can help alleviate gum pressure. Gums around the erupting tooth may appear swollen, red, or tender. While some babies might experience a slight elevation in body temperature, a true fever, generally defined as 100.4°F (38°C) or higher, is not typically caused by teething alone. This mild temperature increase is considered a normal inflammatory response to the tooth breaking through the gum tissue.
Recognizing When a Fever is Not Just Teething
While a slight temperature increase can accompany teething, a fever exceeding 100.4°F (38°C) is generally not solely due to the teething process. If a baby’s temperature reaches this threshold or higher, it often indicates an underlying illness rather than just teething discomfort. It is important to avoid attributing all symptoms to teething, as this could delay the diagnosis and treatment of a more serious condition.
Parents should be particularly watchful for additional symptoms that, when present with a fever, suggest a need for medical evaluation. These concerning signs include diarrhea, vomiting, a widespread rash, severe fussiness, inconsolable crying, refusal to feed, or signs of dehydration such as decreased urination. A cough, congestion, lethargy, or unusual drowsiness also warrant immediate attention from a healthcare provider.
Comforting Your Teething Baby
Relief for a teething baby focuses on soothing gum discomfort and managing mild symptoms. Offering chilled, but not frozen solid, teething rings or a cool, damp washcloth for the baby to chew on can provide gentle pressure and a cooling sensation. Gently massaging the baby’s gums with a clean finger can also alleviate pain. For babies who have started solids, chilled purees or yogurt can offer soothing relief.
Over-the-counter pain relievers such as acetaminophen or ibuprofen can be considered for discomfort. It is important to consult a healthcare professional for the correct dosage based on the baby’s age and weight. These medications primarily manage pain and are not solely for a low-grade temperature. Products containing benzocaine, such as topical numbing gels, should not be used for infants due to serious health risks.