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Expert Q&A:
Are red gums and bleeding normal teething symptoms for a 15-month-old?

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Linda Jonides
Answered by Linda Jonides R.N., C.P.N.P.
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"I have worked as a pediatric nurse practitioner (P.N.P.) for over 30 years," says Linda Jonides. "I continue to thoroughly enjoy forming new relationships with parents and newborns and working with them through infancy, childhood, and adolescence."

Linda Jonides is a pediatric nurse practitioner in a private pediatric practice in Ann Arbor, Michigan. She received her Diploma in Nursing and Certificate as a Pediatric Nurse Practitioner from The Johns Hopkins Hospital. She is a past recipient of the Michigan PNP of the Year Award. She has a B.S. in Nursing from Eastern Michigan University. She has published articles and lectured on childhood obesity, infant colic, role of the P.N.P., growth and development issues, and infectious diseases. She was an author of "Clinical Insights Column," published biannually in the Journal of Pediatric Health Care for nine years. Jonides is past president of NAPNAP. Currently, she is a steering group work member of NAPNAP's HEAT (healthy eating and activity together) project. One outcome of this group's work is the clinical practice guideline, "Identifying and Preventing Overweight in Childhood," that was published as a supplement to the March/April '06 issue of the Journal of Pediatric Health Care.

Ms. Jonides has been married to John, a university professor, since 1971.
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Question


Are red gums and bleeding normal teething symptoms for a 15-month-old?

Answer


What you describe can be part of teething. Fortunately, not all children with all of their teeth erupting react as extremely as you are observing in your daughter right now. Over the years I have observed quite a few babies with bruised, inflamed gums and occasional bleeding. I'm sure her gums are quite sensitive, so certain food textures may be bothersome to her. The good thing is she's not that troubled by this situation. If she does develop a fever, contact her doctor again. With any luck the tooth will erupt soon.
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