Teething Discomfort - Neonatal Disorders

What is Teething?

Teething is the process by which an infant's first teeth, often called milk teeth, erupt through the gums. This typically begins around six months of age but can start as early as three months or as late as twelve months.

Signs and Symptoms

The common symptoms of teething include irritability, swollen gums, drooling, and a slight increase in temperature. Babies may also chew on objects, rub their ears, and experience disrupted sleep patterns.

How Long Does Teething Last?

Each tooth can take about a week to erupt, but the entire teething process can stretch over two to three years. The discomfort is usually more pronounced with the eruption of the first few teeth and then again with the molars.

Is Fever a Sign of Teething?

Teething may cause a slight rise in temperature but not a true fever. If your child has a fever above 100.4°F (38°C), it is likely due to an infection or another illness, and you should consult your pediatrician.

How to Relieve Teething Discomfort

There are several ways to minimize teething discomfort:
Offering a teething ring or a cold washcloth can soothe sore gums.
Massaging the gums gently with a clean finger.
Providing chilled (but not frozen) fruit in a mesh feeder.
Over-the-counter pain relievers like acetaminophen or ibuprofen can be used, but it's best to consult your pediatrician before administering any medication.

Should Teething Gels Be Used?

Many teething gels contain benzocaine, which is not recommended for children under two years of age due to the risk of a rare but serious condition called methemoglobinemia. Consult your pediatrician for safer alternatives.

When to Seek Medical Advice

If your child exhibits symptoms such as high fever, diarrhea, or persistent irritability, it's crucial to differentiate these from teething and seek medical advice. These could be signs of an underlying illness rather than teething.

Impact on Eating and Sleeping

Teething can affect a baby's eating and sleeping habits. Babies may refuse to eat because of gum pain and may wake up more frequently at night. Maintaining a consistent routine and offering comfort can help mitigate these disruptions.

Teething and Oral Hygiene

Maintaining oral hygiene during teething is important. Gently cleaning the gums with a soft cloth and introducing a baby toothbrush as teeth emerge can establish good oral care habits early on.

Conclusion

Teething is a natural part of an infant's development, though it can be uncomfortable. Understanding the signs and knowing how to alleviate discomfort can make the process easier for both the baby and parents. Always consult your pediatrician with any concerns or symptoms that seem unusual.

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