Teething is a significant milestone in your baby’s growth and development. It marks the emergence of those tiny pearly whites that will later help with chewing, speaking, and smiling. Most babies begin teething between 4 to 7 months of age, but it’s perfectly normal if it starts a bit earlier or later. The lower central incisors usually come in first, followed by the upper front teeth.
This process can be uncomfortable for your little one, as the pressure from teeth pushing through the gums can cause inflammation and soreness. However, the degree of discomfort varies—some babies barely show signs of teething, while others may be noticeably fussy or restless.
Common Signs of Teething Include:
- Drooling: You may notice more saliva than usual. This can cause mild skin irritation around the mouth or chin.
- Swollen, red gums: The pressure from erupting teeth can make gums tender and inflamed.
- Chewing on objects: Babies instinctively chew on toys, fingers, or anything they can find to ease the discomfort.
- Fussiness: Teething pain may make your baby more irritable than usual.
- Slight temperature elevation: A low-grade temperature (below 100.4°F or 38°C) can occur but isn’t considered a true fever.
Tip: A chilled teething ring or a clean, cold washcloth can soothe sore gums naturally.
Is It Teething or Is Your Baby Sick?
While teething can explain a host of new behaviors, not all changes in your baby’s mood or health can be attributed to this stage. Parents often find themselves asking, “Is this just teething—or is my baby coming down with something?” It’s a valid concern because certain symptoms may overlap.
Watch Out for These Symptoms of Illness:
- Fever: A temperature higher than 100.4°F (38°C) is not caused by teething and may indicate an infection.
- Diarrhea or vomiting: Frequent loose stools or throwing up are not associated with teething and could be a sign of a stomach bug.
- Lack of appetite: While mild changes in feeding are common, refusal to eat or drink could signal something more serious.
- Rashes (other than drool rash): A widespread or persistent rash may require medical attention.
- Coughing or congestion: These could point to a cold or respiratory issue.
Remember: If your baby seems unusually sleepy, is inconsolable, or shows signs of dehydration (like fewer wet diapers), it’s best to call your pediatrician.
Key Differences at a Glance
| Symptom | Teething | Possible Illness |
| Mild irritability | ✅ Yes | ✅ Yes |
| Low-grade temperature | ✅ Sometimes | ❌ High fever possible |
| Diarrhea | ❌ Unlikely | ✅ Yes |
| Runny nose/cough | ❌ Uncommon | ✅ Yes |
| Drooling | ✅ Common | ❌ Rare |
When to See the Pediatrician
You know your baby best. If something feels off or if symptoms persist longer than a few days, trust your instincts. You should consult your doctor if:
- The fever crosses 100.4°F (38°C)
- Your baby has diarrhea or vomiting that lasts more than 24 hours
- There are signs of dehydration (dry mouth, sunken eyes, no tears)
- Your baby becomes very sleepy or difficult to wake
- Rashes spread beyond the chin area
Pro Tip: Keep a symptom diary. Note when the signs started, how long they’ve lasted, and anything that seems to help or worsen them. This can be incredibly helpful during a doctor’s visit.
Soothing a Teething Baby
If you’ve confirmed your baby is just teething, here are a few home remedies and care tips:
- Massage the gums with clean fingers or a soft cloth.
- Offer teething toys made of safe, BPA-free material.
- Try chilled (not frozen) items for cooling relief.
- Maintain regular feedings and hydration.
- Cuddle often—sometimes, your touch is the best medicine.
Avoid teething gels or medications that contain benzocaine or lidocaine, unless prescribed. These ingredients can be harmful to infants.
Final Thoughts
Teething is a temporary but sometimes uncomfortable phase in your baby’s growth. While it brings changes in mood and behavior, it’s important to stay alert for signs of actual illness. Knowing the difference will help you take timely action and ensure your little one remains healthy and happy.
If you’re ever unsure whether your baby is teething or sick, don’t hesitate to reach out to your pediatrician for guidance.
