Teething in Babies: Symptoms, Myths, and How to Ease the Pain

Teething is a challenging and sometimes painful developmental stage for both babies and parents. It marks the transition from a baby relying entirely on breastfeeding to gradually being able to bite, chew, and grind food with their teeth. This process starts with the appearance of incisors, followed by upper and lower molars. While teething is a natural milestone, it often comes with discomfort for the baby and fatigue for the mother.

Parents should be aware of the common signs of teething and avoid misconceptions, such as the belief that teething causes diarrhea. Pediatrician Dr. Ayman Radwan explains the symptoms of teething and provides simple home remedies to relieve discomfort.

When Does Teething Begin?

Calcium starts depositing under the gums around 3 months of age.
The first teeth, usually incisors, are expected to appear between 4–6 months, though some babies may get their first tooth as late as 9 months.
Rarely, a baby may be born with a tooth, which may need to be removed if it poses a risk.
If no teeth appear by 18 months, consult a pediatrician.
Molars tend to be more painful than front teeth, so discomfort varies depending on which teeth are emerging.

Common Teething Symptoms

Gum Pain: Pain may begin 1–2 months before the first tooth appears.
Excessive Drooling: Often accompanied by a runny nose, which can be mistaken for a cold.
Irritability: Babies may bite their fingers or objects, cry frequently, and show signs of restlessness.
Changes in Appetite: Some may refuse breastfeeding or solid foods temporarily.
Mild Fever: Usually not a direct symptom of teething, but persistent high fever requires medical attention.

Myths About Teething

Diarrhea is not caused by teething.
Loose stools during teething are usually unrelated; if diarrhea is watery, has mucus, a foul smell, or is accompanied by vomiting or fever, it could indicate an infection and requires prompt medical attention.
Increased diaper changes during teething are often due to drooling and normal digestive changes, not illness.

Tips to Reduce Teething Pain

1. Chilled Finger Foods

Offer chilled vegetables (carrot, cucumber) or cold fruit teething toys.
Cold acts like a mild anesthetic by constricting blood vessels and soothing inflamed gums.

2. Medically Recommended Pain Relief

Pain-relief syrups can be given under pediatric guidance, especially at night when discomfort is more intense.

3. Gum and Mouth Care

Wipe your baby’s drool regularly to prevent irritation around the mouth, which can worsen discomfort.

4. Green Onion Method

Provide a strip of fresh, mild-tasting green onion for your baby to gently suck on.
Natural compounds in green onion can act as a mild gum soother. This method has also been used for adults to relieve gum pain.

General Advice for Parents

Teething discomfort varies by tooth type and timing.
Monitor for unusual signs like high fever, persistent diarrhea, or vomiting.
Consult a pediatrician for guidance on soothing methods and when to check for underlying health concerns.