Q: My toddler has trouble falling asleep and staying asleep. What are the common causes of toddler insomnia?

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Question: My toddler has trouble falling asleep and staying asleep. Some nights are a real struggle, and it's exhausting for everyone. What are the common causes of toddler insomnia?

Answer: I completely understand how stressful it can be when your toddler isn’t sleeping well. In my experience, one of the biggest challenges is having an inconsistent routine or environment. Toddlers thrive on predictability, so if bedtime varies each night, or if there are lots of distractions in their room, it can be tough for them to settle down. Too much screen time close to bedtime also tends to overstimulate young children, making it harder for them to drift off.

Another common cause I’ve seen is separation anxiety or stress. Toddlers might feel nervous about being alone at night, or they could be worried about changes in their day-to-day life, such as starting daycare. Even small anxieties can lead to big emotions at bedtime, and it’s important to address these feelings with reassurance and consistency.

It’s also helpful to check for any sources of physical discomfort. Teething pain, an earache, or a stuffy nose can really disrupt sleep. Some medical conditions like reflux or eczema can play a role, too. If you notice signs of pain or ongoing issues, it’s wise to speak with your pediatrician to rule out any underlying causes.

I often suggest creating a calming bedtime routine that starts at a set time each night. Simple rituals like reading a short story, lowering the lights, and playing gentle music can signal to your toddler that it’s time to wind down. Making sure screen time ends at least an hour before bed can really help, as can keeping toys and noise to a minimum in the sleeping area.

Remember, every child is unique, and what works for one toddler may not work for another. If you’ve tried a few adjustments and your toddler still isn’t sleeping well, please don’t hesitate to reach out to your pediatrician. I’m here to support you, and I want you to know that by asking these questions and seeking help, you’re already doing a great job caring for your little one.

For extra peace of mind and clear guidance when tracking your child's symptoms, the FeverCoach app is always there to help.

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