Teething and Fever—What’s the Connection?
While babies usually cut their first teeth at
between four and seven months of ages, some children do not get their first
teeth until their first birthday or later. Crankiness, drooling and fever have
long been considered traditional signs that a child is teething. But is fever
connected to teething?
Recently, researchers observed a group of infants
aged five to fifteen months, recording the babies’ body temperature and
symptoms during the period when children typically get their baby teeth. They
tracked such classic signs of teething as fever, sleep disturbance, rash,
irritability, drooling, diarrhea, runny nose and loss of appetite during four
time periods: the day a tooth erupted, the day before a tooth erupted, the day
after a tooth erupted and all other days.
Surprisingly, on the day a tooth erupted, the
children’s temperatures rose by only a few tenths of a degree. Other symptoms,
including irritability, drooling, diarrhea and runny nose, appeared the day the
tooth erupted but not before, meaning that it was impossible to predict when a
new tooth would emerge just by reading the so-called signs.
“I've seen a lot of parents that will come in with
children with fevers of 101 degrees or higher, and first thing they say is, ‘It
might just be teething,’” noted Dr. Roya Samuels, a pediatrician at Cohen
Children’s Medical Center in New Hyde Park, New York. “Teething has never been
proven to be related to high-grade temperatures.”
Some babies feel the pain of teething intensely
while others seem to shrug it off. To alleviate crankiness, you can give your
baby a chilled (not frozen) rubber teething ring or let her chew on a clean,
wet washcloth that has been cooled in the freezer for thirty minutes. If your
child is having great difficulty sleeping, your pediatrician may recommend
giving her acetaminophen.
An infant’s fever should not be shrugged off as
“just teething.” Any fever over 100.4 degrees should be checked out by the
baby’s pediatrician. It may be related to another condition and should be
treated accordingly.
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