The cry of the infants when they are in pain is completely different from how they would cry when they are hungry or bored.
By the time they turn 2 years, at least they can verbalise as to what pain they are undergoing.
They can even start understanding the pain of others, especially of their parents.
Of course, not the kind of pain that they inflict on us while they are playing pranks on us such as pulling hair or biting or pinching but the real pain which one undergoes when someone is not well.
Anvitha can clearly make out when either me or S is in pain and it hurts her as though she herself is in pain.
When I underwent surgery, she completely understood that her mom was not well and transformed her own self not to trouble others.
And when, I stopped lifting her because of the surgery...she silently obeyed by not asking me to carry her.
Recently, when I tried to carry her (first time after two months) the first words she said was 'Amma abbu' (abbu means pain).
Now, each time I try to lift her (which I seldom do) she repeats the same words.
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