Teething and Vomiting: What Dentists Want Parents to Know

The teething process is a significant milestone in your baby’s development. Many parents are worried that teething may cause vomiting which can be uncomfortable and upsetting, often affecting your baby’s appetite and overall health and wellbeing. Others are worried as to how they can distinguish between normal teething symptoms and more serious complications. Recognising the common symptoms of teething and understanding the association between teething and vomiting can ease the process for both parents and baby.

Understanding Teething: Signs and Symptoms

Common Teething Symptoms

One of the most common signs is excessive drooling. Although this does not cause pain or discomfort as much it may cause a rash or soreness around the mouth because of the excess moisture on the skin.

Most parents find that teething causes their babies to become fussy or irritable. Babies will cry more than usual and it can be hard to soothe them. Many babies try to bite, gnaw or chew on objects which they normally wouldn’t and this is often because of the pain that they are unable to explain and their attempt to alleviate the discomfort. 

Other common symptoms of teething include swollen, tender gums where the new tooth is emerging. You may find that your baby is slightly feverish, and although this is common, it is important to monitor that temperatures do not exceed 100.4 F (38 C). Your baby may lose their appetite during this time and there may also be a temporary change in their sleeping patterns. 

When Teething Starts

Each baby is unique when it comes to reaching their milestones and teething times can vary widely. While most babies start teething at approximately six months, some may begin as early as two or three months whereas others may not have started teething until their first birthday. The entire teething process can last two to three years until your baby has all of their 20 primary teeth.

The Link Between Teething and Vomiting

Is Vomiting a Direct Symptom of Teething?

The symptoms of teething vary from baby to baby; however, most studies show that vomiting is not a direct symptom of teething. Teething is a natural part of your baby’s development and although it can cause pain and discomfort, other serious symptoms such as vomiting, fever, rash and diarrhoea are not directly caused by teething. These symptoms may be caused by other underlying factors; if they persist, it is important that you consult your midwife or doctor accordingly.

Other Factors Contributing to Vomiting

A common cause of vomiting in babies is a viral or bacterial infection. Although viruses often go away after two or three days, consult your doctor if the symptoms persist beyond that.

Passive immunity from the mother begins to reduce around the teething age. This means your baby is more susceptible to viruses and bacterial infections which may be responsible for the vomiting.

Food allergies or intolerances are common causes of vomiting in babies. As babies are normally introduced to solid foods at around six months, they may react to certain foods. If this is at around the same time that your baby is teething it is easy to become confused as to whether the vomiting is caused by the food or from the symptoms of teething. Additionally, excessive drooling during teething may irritate the stomach lining. This can cause discomfort, loss of appetite and sometimes even vomiting. If your baby has a history of reflux issues, excess saliva can worsen the symptoms and cause vomiting.

How to Safely Manage Teething Symptoms

Safe Remedies for Teething

One of the most traditional and effective methods to manage teething is to offer your baby a teether. This can be any safe, chewable object, or cloth which is left in the fridge until it is cold to provide soothing relief. 

If your baby has started solids, frozen fruit pieces such as bananas or berries can be a source of comfort, as can chilled cucumber or carrot sticks. You can also use a cold spoon to gently press against your baby’s gums for added relief.

As well as implementing physical remedies it is important to remember that your baby is going through a difficult stage of their development and will require extra patience as well as plenty of kisses and cuddles.

Medications and Treatments to Avoid

When your baby is teething it is important to avoid certain medications and treatments due to their serious health risks. 

Topical medications which can be bought over the counter such as Baby Orajel, Anbesol, and Cepacol are no longer recommended as they contain benzocaine or lidocaine. They can cause methemoglobinemia in babies – a potentially fatal condition that diminishes the oxygen-carrying capacity of red blood cells.

Homeopathic teething tablets or gels are also not usually supported by enough research. These products may cause severe side effects, such as seizures, difficulty breathing, and other serious symptoms. Health authorities, including the FDA, have issued warnings against these products because of their potential dangers.

Teething jewellery used in certain cultures, such as amber necklaces, can be a health hazard to your baby. If your baby’s symptoms persist and they are in significant pain or discomfort, paracetamol or ibuprofen may be recommended under the guidance of a medical professional.

When to Consult a Healthcare Professional

Recognising More Serious Symptoms

If you notice any of the following symptoms then it is important that you speak to your midwife or doctor:

• A high fever, which is a temperature above 100.4 F (38 C)
• Symptoms such as vomiting, diarrhoea, or a rash
• If your baby is in severe pain and will not stop crying
• Symptoms such as fluid leaking from the ear, trouble with balance, or difficulties in hearing or responding to sounds, which may suggest that your baby has an ear infection
• Symptoms such as bleeding gums, pus, or facial swelling

Keeping Regular Dental Check-Ups

As soon as the teething process begins, aim to visit the dentist with your baby at least once every six months – more often if necessary or if any dental issues are identified. This helps ensure that your baby has healthy teeth and gums and can prevent complications in the future, such as cavities and tooth decay.

In conclusion, recognising the common symptoms of teething can help ease the process for parents and ensure that you are better equipped to help comfort your baby during this phase. Remember that teething and vomiting or high fever are not usually associated and may indicate an underlying virus or bacterial infection that requires attention from your doctor.