Is It Teething or Sick? Symptoms That Aren't Teething (And What Helps)

🦷 Teething Guide

Is It Teething or Sick? Symptoms That Aren't Teething (And What Helps)

✅ Teething🚩 Something else

📅 November 5, 2026  ·  ✍️ By the Smily Mia Team

📂 Teething Tips · Baby Health · 3–12 Months

⏱ 8 min read

Your baby is drooling, cranky and chewing everything in sight. Then the thermometer reads a little high, or the diaper looks off, and a well-meaning relative says, "Oh, it's just teething." But is it? Teething gets blamed for a lot, and some of those symptoms need a doctor, not a teether. This guide shows you which symptoms really belong to teething, which don't, and how to soothe sore gums safely.

💡 Did you know?According to the American Academy of Pediatrics, teething does not cause a true fever. A temperature of 100.4°F (38°C) or higher points to something else. Babies also start mouthing everything around the age teeth arrive, so they pick up more germs, which is why illness and teething so often show up together.

🔍 Teething vs. Something Else: The Quick Checker

✅ Teething can cause

  • More drooling than usual
  • Chewing and biting on everything
  • Sore, swollen or tender gums
  • Fussiness and irritability
  • A slightly warm baby (below fever level)

🚩 Teething does not cause

  • A fever of 100.4°F (38°C) or higher
  • Diarrhea or repeated vomiting
  • A rash spreading over the body
  • Refusing to drink or feed
  • Being listless or very hard to wake
🩺 Call your pediatrician if your baby has a fever of 100.4°F or higher, vomiting or diarrhea, a body rash, trouble feeding, unusual sleepiness, or just seems really unwell. Don't put it down to teething. If you're unsure, call. You're never bothering them.

📅 When Do Babies Start Teething?

The first tooth usually appears between 6 and 12 months, though some babies start earlier and some later. Gums can feel tender for a while before a tooth shows. Every baby has their own timeline. For a deeper look, read our guide on when do babies start teething.

🧊 5 Safe Ways to Soothe Teething Gums

1
Gentle gum massage. Rub your baby's gums with a clean finger.
2
Offer a safe teether. One-piece, baby-sized and made of food-grade silicone.
3
Chill it, don't freeze it solid. Cold feels soothing, but anything rock-hard can hurt gums. Follow the teether's instructions.
4
Wipe the drool. A soft cloth and a little barrier balm keep chin rash away.
5
Offer comfort. Extra cuddles go a long way on grumpy days.
⚠️ Skip these: numbing gels with benzocaine, teething necklaces or bracelets (amber included), and homeopathic teething tablets. The FDA has warned about these. Ask your pediatrician before giving any medicine.

🏆 Smily Mia Best Sellers for Teething, by Age

Our top-selling teethers are built around the safety points above: BPA-free, food-grade silicone, one-piece and sized for little mouths. Here's how to choose.

🔥 Best Seller0–6 months

Penguin Buddy Teething Mitten

A never-drop wrist mitten with a nipple-like shape that doubles as a pacifier alternative. Stays in reach for newborn mouthing and early sore gums. Seven colors.

$9.99 $16.99
Shop Penguin Buddy →
🔥 Best Seller3–12 months

Reindeer Teether Mitten

A gum-massaging silicone mitten with a never-drop design that also helps discourage thumb-sucking. Great when real teething begins.

$9.99 $15.99
Shop Reindeer Mitten →
🔥 Best Seller4 months+

Ice Cream Water-Filled Cooling Teether

A freezable, refillable teether that gives cool relief on swollen gums. Chill it as the instructions say, and let your baby chew.

$10.99
Shop Ice Cream Teether →
🔥 Best Seller4 months+

Nora Narwhal Bath-Time Teether

A squeaky, water-spraying teether for bath time, so teething comfort and playtime go together.

$9.99
Shop Nora Narwhal →
If your baby is… Try this Why
0–3 months, mouthing everything Penguin Buddy or Little Mushroom mitten Wrist-attached, newborn-sized, nothing to drop
4–6 months, drooling and gnawing Ice Cream cooling teether Cool, soothing pressure for tender gums
6–12 months, first teeth arriving Reindeer mitten Textured gum massage that stays in reach
Fussy at bath time Nora Narwhal Turns a grumpy moment into play

Not sure which to pick? Browse the full teether collection by age: 0–6 months, 4–5 months and 6–12 months, or the freezable and fruit feeder range.

🍼 Our Top Seller for Fussy Days

Sore gums can make feeding time grumpy. Our best-selling Portable Baby Bottle Warmer lets you serve milk at a comfortable temperature at home or on the go, with your own bottle, so one less thing goes wrong on a rough day. From $46.99 (was $99.99). See all warmers →

✅ Teether Safety Checklist

  • ✔️ One-piece construction with no small or detachable parts
  • ✔️ Food-grade, BPA-free silicone
  • ✔️ Sized for your baby's age and mouth
  • ✔️ Easy to clean and sterilize between uses
  • ✔️ Inspect often, and replace it if it's cracked or torn

❓ Frequently Asked Questions

Can teething cause a fever?

Teething may make a baby feel slightly warm, but the AAP says it doesn't cause a true fever. A temperature of 100.4°F (38°C) or higher needs your pediatrician's attention.

Does teething cause diarrhea?

Diarrhea isn't considered a teething symptom. Extra drool can loosen stools slightly, but ongoing or watery diarrhea needs a call to your doctor.

Why does my baby pull at their ear?

It can happen with teething since nerves in the jaw and ear are connected, but it can also signal an ear infection, especially with fever or crying. When in doubt, get it checked.

How long does teething pain last?

Discomfort usually comes and goes around each tooth's arrival, often lasting a few days at a time. Every baby is different.

Are freezable teethers safe?

Chilled teethers are commonly used, but avoid anything frozen rock-hard. Follow the product's instructions.

📚 Related Reading on Smily Mia

🌟 The Bottom Line

Drool, chewing, sore gums and fussiness: that's teething. Fever, diarrhea, vomiting, rash or a baby who seems truly unwell: that's a call to your pediatrician. A safe, well-made teether handles the first list, and your instincts handle the second.

Soothe Sore Gums the Safe Way 🦷

Free shipping on orders over $29.90, 7-day returns, and bundle discounts when you buy more. Subscribe for 10% off your first order.

Shop Teethers → See Bundles

🩺 This article is general information based on American Academy of Pediatrics guidance and is not medical advice. If you're worried about your baby's health, contact your pediatrician.


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