Teething is a painful and difficult time for parents and babies. Some babies and toddlers teethe easily with few symptoms, while others experience more discomfort. Identifying symptoms as teething or illness poses a challenge for many parents. Some babies cut a single tooth at a time, while others may cut both top and bottom teeth. Recognizing swollen gums and other signs of teething can help you keep your baby or toddler comfortable.
Age
Most babies begin to cut teeth between 4 and 7 months old. Some babies may start to teethe earlier and others may not get their first teeth until after a year old. Teething can be a slow process, so you may notice swollen top and bottom gums several months before a tooth appears.
Order
Swelling is a sign of teething through the first and second year of life. Most babies cut their two middle bottom teeth first, followed by the top two middle teeth. Slight swelling may appear first, followed by bulging gums with a visible tooth beneath the gum tissue. Babies can cut several teeth at once, causing discomfort and swelling on the top and bottom gums.
Recognizing Teething
Teething comes with a variety of symptoms other than just swollen gums. Teething babies and toddlers drool, sometimes quite a lot. Discomfort may cause a baby to be fussy. Biting and chewing behaviors are typical attempts to relieve discomfort. Expect increased night waking as a baby cuts teeth. A teething baby should not have a high fever, become progressively sicker, or have sores in his mouth. These symptoms require a call to the pediatrician.
Relieving Discomfort
Teething discomfort can be managed at home with simple remedies and extra attention. Offer cold cloths and teething toys to make your baby more comfortable. Older babies may enjoy frozen bananas or frozen bagels. Over-the-counter pain relievers may help your baby feel better, but first consult your pediatrician for a recommendation and dosage information.


