Understanding Teething and Fever: Dispelling the Myths

For a long time, the prevailing medical opinion has been that teething does not cause fevers in babies. However, as a pediatric specialist with years of experience, I can confidently say that my observations and those of other healthcare professionals challenge this widely held belief. In reality, while many babies do not experience a fever during teething, others may develop a mild fever which can indicate a higher immune response to the tooth eruption process.

Common Symptoms and Ongoing Debate

The eruption of teeth triggers an immune response which can be measured clinically. While some babies don’t exhibit any symptoms, others may experience a low-grade fever, typically around 100°F. This is often mistaken for a sign of illness or infection, but it's important to note that a high fever, over 100.4°F, is not normal and could indicate a more serious condition. Doctors historically believed that teething could only cause a low-grade fever or no fever at all. However, my own clinical experience and those of my colleagues have led us to recognize that a fever can be an indicator of a more severe response to the erupting teeth.

Common Misconceptions and Actions to Take

Parents might be surprised to learn that teething alone is unlikely to cause a high temperature. In most cases, a high temperature in a baby points towards an underlying infection. It's crucial to monitor a baby's overall well-being, especially when they show signs of distress beyond just a slight rise in body temperature.

For a baby experiencing a mild fever during teething, it's important to consult with a pediatrician to rule out other potential causes. Symptoms such as earache, reduced fluid intake, fewer wet diapers, or changes in stool consistency can all signal a more significant health issue. In some cases, ear infections or other viral diseases could be present, making it essential to get professional advice.

Managing Teething and Fever

While the natural course of teething can cause a slight elevation in body temperature, it's important to alleviate the discomfort for both the parents and the baby. Over-the-counter medications like paracetamol (Tylenol) or ibuprofen can provide temporary relief, as recommended by healthcare professionals. Ensuring the baby stays hydrated and provides plenty of comfort and reassurance can also help manage symptoms.

Natural Remedies and Home Care

For those seeking natural remedies, there are over-the-counter options like Hylands, a homeopathic teething remedy, that can soothe teething discomfort. Applying a cool, damp cloth to the baby's forehead can also provide some relief. However, it's always wise to consult with a pediatrician before introducing any new remedies or treatments.

Lastly, parents should be vigilant about other signs of illness. A high fever, frequent crying, refusal of food, or unusual lethargy in a baby who is teething should prompt a visit to the pediatrician.

Remember, despite the common misconception, teething can indeed cause a fever. Understanding the signs and knowing when to seek professional medical advice is crucial for ensuring your baby's well-being.

Dr. Nilesh

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