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Is It a Sleep Issue or Time to Call the Pediatrician?

Sleep struggles are a common part of parenting, but it can be difficult to tell when your baby’s sleep issues are typical or when they signal something more serious. As parents, it’s natural to wonder if frequent night wakings, short naps, or fussiness are part of normal development or signs of an underlying medical issue.

At Rocky Mountain Sleeping Baby, we believe in empowering parents with the knowledge to support their child’s sleep needs. Here’s how to tell the difference between a sleep challenge and a situation that may need a pediatrician’s input.

Common Sleep Challenges in Babies and Toddlers

Many sleep disruptions are a normal part of your child’s growth and development. These issues often improve with gentle sleep guidance and consistency.

1. Sleep Regressions

Babies commonly experience sleep regressions during growth spurts or developmental milestones. These often occur around 4, 6, 9, and 12 months and can last a few weeks.

Signs:

• Sudden night wakings

• Shorter naps

• Increased fussiness

2. Separation Anxiety

Around 8–10 months, babies develop a stronger attachment to caregivers, leading to more frequent night wakings.

Signs:

• Crying when you leave the room

• Difficulty settling without you nearby

3. Overtiredness or Under-Tiredness

Inconsistent nap times or late bedtimes can lead to sleep struggles.

Signs:

• Trouble falling asleep

• Frequent night wakings

• Early morning wake-ups

These challenges are usually temporary and can be improved with a consistent sleep routine.

When to Talk to Your Pediatrician

Sometimes, sleep disruptions may be linked to underlying health concerns. If you notice any of the following signs, it may be time to consult your child’s pediatrician.

1. Loud Snoring or Breathing Issues

Occasional snoring can be normal, but consistent loud snoring, gasping, or pauses in breathing during sleep could indicate sleep apnea or enlarged tonsils/adenoids.

What to Watch For:

• Noisy breathing or snoring every night

• Gasping or choking sounds while sleeping

• Restless sleep despite seeming tired

2. Chronic Ear Infections

Frequent ear infections can make it uncomfortable for babies to lie flat, disrupting sleep.

What to Watch For:

• Tugging at ears

• Fussiness when lying down

Fluid drainage from the ear

3. Reflux or Digestive Discomfort

If your baby struggles with acid reflux (GERD), they may have trouble sleeping due to discomfort.

What to Watch For:

• Arching their back during or after feeds

• Spitting up frequently and painfully

• Crying when laid flat

4. Eczema or Skin Conditions

Itchy skin from eczema or other conditions can keep a baby awake at night.

What to Watch For:

• Red, dry, or inflamed patches of skin

• Constant scratching, especially at night

5. Failure to Thrive or Poor Weight Gain

If your baby isn’t gaining weight or feeding well, it may impact sleep patterns.

What to Watch For:

• Not meeting growth milestones

• Difficulty feeding or staying awake during feeds

How Rocky Mountain Sleeping Baby Can Help

If your baby’s sleep challenges seem behavioral or developmental, our gentle and personalized sleep solutions can make a world of difference. We work with families to create sleep plans tailored to their child’s needs—always prioritizing comfort, safety, and emotional well-being.

However, if medical concerns are present, we encourage parents to speak with their pediatrician first. Once health concerns are addressed, we’re here to support your family in establishing healthy, restful sleep routines.

Not Sure Where to Start? Let’s Talk!

Whether it’s typical sleep struggles or something more, you don’t have to navigate it alone. Contact Rocky Mountain Sleeping Baby for personalized guidance that supports both your baby’s sleep and your family’s well-being.

Ready for more restful nights? Contact us today!

At Rocky Mountain Sleeping Baby, we believe every family deserves sleep. Let us help you figure out what’s next.

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Hi! I'm Kandra

I am a mom of 2 incredibly sweet, active boys. I live in Denver, CO but help families all over the world since all my services are virtual. I have built a team of the world’s most talented sleep consultants, who also happen to be moms who have been exactly where you are. Exhausted, overwhelmed, ready for help. My struggles with my oldest son’s sleep drove me to where I am today. Coaching parents through the entire sleep training process with Gentle Sleep Solutions That Work™️️

Share this post!

Facebook
Twitter
LinkedIn

Hi! I'm Kandra

I am a mom of 2 incredibly sweet, active boys. I live in Denver, CO but help families all over the world since all my services are virtual. I have built a team of the world’s most talented sleep consultants, who also happen to be moms who have been exactly where you are. Exhausted, overwhelmed, ready for help. My struggles with my oldest son’s sleep drove me to where I am today. Coaching parents through the entire sleep training process with Gentle Sleep Solutions That Work™️️

Ready to get started?

Book a free, 15-minute consultation with one of our certified sleep consultants to start your little one’s sleep journey today.
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