4 Month Anticipatory Guidance

  • Many infants start to have teething symptoms at this time. These consist of drooling, gnawing on things, and occasional irritability. Despite these symptoms, teeth may still not appear for several months. Most infants feel relief from gnawing on cold objects or teething rings. Teething gels offer temporary relief, but many babies do not like the taste or numbing sensation. Homeopathic teething tablets are helpful for some. You may also try Tylenol.
  • Many cough and cold medications are not recommended for infants this age. Please ask your physician before you give any over-the-counter medications.

  • May start solids sometime between 4-6 months. Start with cereal, and then gradually add fruits and vegetables. Introduce one new food at a time so you can identify the cause of any rashes, vomiting or diarrhea.
  • Do not give plain water until after six months of age.

  • Remove all toys, blankets, stuffed animals or any other objects from the crib to prevent choking or suffocation.
  • Continue to buckle your child into everything possible stroller, changing table, bouncy seat, etc.
  • Babies explore with their mouths at this age. Anything they can pick up will likely go right into their mouths. Be careful to keep all small objects (coins, toy pieces, paper clips, nuts, etc.) out of their reach.
  • Arizona Poison Control: 602-253-3334

  • Your infant is continuing to explore with all the senses of sight, touch, smell, sound and taste. Provide brightly colored objects, gentle music and conversation.

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