No Relationship Between Teething and Constipation
There is no scientific evidence supporting a relationship between teething and constipation in infants. While many parents and caregivers associate various symptoms with teething, including gastrointestinal issues, these beliefs are not supported by medical evidence.
Understanding Teething and Associated Symptoms
Teething is a normal developmental process that typically begins around 6 months of age. Many symptoms have been incorrectly attributed to teething over the years:
What is NOT associated with teething:
- Constipation
- Diarrhea or loose stools
- Fever
- Rashes
- Seizures
- Bronchitis
- Infections
What MAY be associated with teething:
- Mild daytime restlessness
- Thumb sucking
- Gum rubbing
- Drooling
- Temporary loss of appetite
- Mild irritability
Why the Misconception Exists
The misconception about teething causing various symptoms, including constipation, persists for several reasons:
Coincidental timing: Teething occurs during a period when infants are experiencing many developmental changes and when maternal passive immunity is waning 1.
Cultural beliefs: These beliefs are deeply ingrained and passed down through generations. Studies show that 90-99% of parents believe teething causes various symptoms despite lack of evidence 2, 3.
Attribution bias: Parents and caregivers tend to attribute unexplained symptoms to teething rather than seeking other explanations.
Constipation in Infants: Actual Causes
When an infant experiences constipation, it's important to consider these more likely causes:
- Dietary factors (insufficient fluid intake, changes in diet)
- Formula changes
- Introduction of solid foods
- Certain medications
- Metabolic or endocrine disorders
- Anatomical issues
- Neurological conditions
Clinical Implications
The danger in attributing symptoms like constipation to teething is that it may delay proper diagnosis and treatment of underlying conditions. As noted in research, "Parental false beliefs associated with teething may interfere with the prompt diagnosis and management of a range of serious illnesses" 1.
Management Approach
For Teething:
- Provide clean, chilled (not frozen) teething rings
- Gentle gum massage with clean finger
- Age-appropriate pain relievers if necessary (consult healthcare provider)
For Constipation:
- Evaluate for underlying causes
- Consider dietary modifications
- Ensure adequate fluid intake
- Consult healthcare provider if constipation persists or is accompanied by other symptoms
Key Takeaway
It is important to recognize that constipation in an infant should not be attributed to teething. If an infant is experiencing constipation, parents should seek appropriate medical evaluation rather than dismissing it as a teething symptom 4. This approach ensures that any underlying medical conditions are properly identified and treated.
When an infant presents with both teething and constipation, they should be treated as separate issues, with each receiving appropriate attention and management.