Patient Question: Disease:2 year old toddler sleep disorder Description:Two year old baby sleep quality is not good in the last two months, in the middle of September there are a few times to show that in the middle of the night wake up to let turn on the light, turn on the light and slowly fall asleep, sometimes there is a loud cry. In the last week, there are two times in the middle of the night around 4 o’clock wake up, asking adults to tell stories, about 5 o’clock and go back to sleep. The baby’s diet is normal and stools are normal. There were two febrile convulsions in May and September, and the routine blood test in September showed iron deficiency anemia. There was no family history of epilepsy in either parent. After the first febrile convulsion, the baby was taken to the Capital Pediatric Research Institute for an electroencephalogram (EEG), which showed no abnormality. Help wanted:What are the possible causes of this condition? What should I do? Should I take my baby to the hospital to see a neurologist? Or should I go to see a Chinese medicine doctor or do pediatric massage? The hospital department: Beijing Huimin Children’s Hospital of Traditional Chinese Medicine Chinese medicine and children’s internal medicine Capital Pediatric Research Institute Department of Neurology Shanghai Children’s Medical Center Department of Traditional Chinese Medicine Sun Kexing replies: There are 89 kinds of diseases related to sleep disorders. In children, especially young infants, sleep disorders caused by dysfunction between the growth and development of certain body systems and the interaction between the environment account for most of the disorders. Sleep respiratory disorders are most commonly seen in hospital outpatient clinics (5-10%). In addition, a study of school-age children in Shanghai found that the quality of sleep in school-age children is closely related to sleep hygiene habits, which include the following: Dependence on falling asleep: holding, shaking, or holding milk during sleep in order to fall asleep with small infants. These habits will directly lead to frequent night waking of infants and young children. Inappropriate exercise before going to sleep: over-excited play and exercise before bedtime can increase cortical arousal, which can lead to difficulties in falling asleep. In addition, if the child is too happy or sad, excessive mood swings can also affect the quality of sleep. Irregular sleep routine: For children and adolescents, bedtime fluctuates by no more than one hour per day, including holidays. Inappropriate sleep environment: The presence of television or electronic media in the bedroom can significantly affect children’s sleep. Intake of excitatory substances: In adolescents, eating or drinking coffee or caffeinated and theophylline-containing foods or beverages can cause difficulty falling asleep or waking up at night. Some adolescents even consume chocolate or a small amount of cola at night to cause sleep problems. Sun Kexing, Department of Traditional Chinese Medicine, Shanghai Children’s Medical Center, replied: You can see the Pentacenter, Respiratory Medicine, or Sleep Clinic.