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4-Month-Old Baby (19 Weeks)

Signs of Teething

Over the next few weeks, your baby may begin displaying a few more signs that she may be entering the dreaded teething stage. For some babies, the arrival of their baby teeth is a painless experience that might even go by without notice or incident. For others, however, it can be a slow and difficult time marked by disrupted sleep, chafed chins, and lots of tears.
A few of the signs that first baby teeth may be coming are:
  • Excessive drooling
  • Ear rubbing
  • Gum rubbing
  • Sucking
  • Irritability/crankiness
  • Biting/grinding
  • Low-grade fever
  • Facial rash
  • Wakefulness
  • Decreased appetite for solid foods.
Teething symptoms are more frequent from 4 days before the tooth comes in through 3 days after the tooth has emerged (an 8-day window).

Preventing RSV in Infants

Respiratory syncytial virus (RSV) is a common virus that can cause respiratory infections. In infants, it occurs most frequently between one and six months of age, with the highest rates occurring between two and three months. Because RSV is so contagious, it is believed that by the age of three, almost all children in the United States will have had an RSV infection.
RSV is spread through respiratory secretions, through close contact with infected people, or contact with contaminated surfaces or objects (see RSV Transmission). Because there are no outward signs of trouble, parents seldom know that they should limit their child's contact with others.
Fortunately, most cases are not very serious. Symptoms can include fever, a runny nose, coughing, and wheezing (see RSV Symptoms).
If your baby was premature, was born with heart disease, or has chronic lung disease, you should talk with your healthcare provider about a medication available to help prevent a serious RSV infection (see RSV Prevention).
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