Why Does My Baby Toss and Turn All Night? Causes & Solutions

In this article, we explore the possible reasons why your baby may be tossing and turning throughout the night. 

From understanding their unique sleep patterns and the impact of their environment, to examining the influence of developmental milestones and potential illnesses, we’ll delve into the common causes of restlessness. 

You’ll also find practical tips to soothe your restless baby and guidance on when it’s appropriate to seek medical help.

Understanding Baby’s Sleep Patterns

One of the most important things to understand about babies is that their sleep patterns are significantly different from those of adults. 

Unlike adults, who typically have one long sleep period during the night, babies spread their sleep throughout the 24-hour day. 

This is due to their small stomach size and frequent need for feeding.

Newborns sleep about 16 to 20 hours a day, but they may only stay asleep for 1 to 2 hours at a time. 

As babies get older, they gradually start to sleep for longer periods and begin to consolidate their sleep into the nighttime. 

By around 3 to 4 months of age, many babies have a larger sleep period at night with several naps spread throughout the day.

It’s also important to remember that babies cycle between two types of sleep: REM (rapid eye movement) and non-REM. 

They spend about half their sleep time in each state, and they can move and make noises during both, especially REM sleep.

Common Causes of Restlessness in Babies

1. Overstimulation

Babies can easily become overstimulated. A busy day full of new experiences, sights, and sounds can make it hard for them to wind down and fall asleep at night. It’s important to create a calm and quiet environment before bedtime to help your baby settle.

2. Sleep Regression

Sleep regression refers to periods when a baby who has been sleeping well suddenly starts waking more often and has difficulty falling back asleep. These periods are typically linked to developmental milestones and can occur at around 4 months, 8 months, and again at around 18 months. It’s a normal part of development and usually resolves on its own after a few weeks.

3. Hunger

Hunger is a common cause of restlessness in babies. Young babies have small stomachs and need to feed frequently, even during the night. Ensuring your baby is well-fed before bed can help them sleep more soundly.

4. Teething

Teething can cause significant discomfort for babies, which can disrupt their sleep. Signs of teething include drooling, swollen gums, and a slight increase in temperature. If your baby is teething, offering a teething toy or consulting with your pediatrician about pain relief can help.

5. Illness or Discomfort

If your baby is unwell, they may have trouble sleeping. Common illnesses like colds, ear infections, or digestive issues can cause discomfort that disrupts sleep. If you suspect your baby might be ill, it’s important to consult a healthcare provider.

6. Need for a Diaper Change

A wet or soiled diaper can cause discomfort that leads to restlessness. Regular diaper changes, especially before bedtime, can help ensure your baby remains comfortable and sleeps better.

7. Sleep Environment

The baby’s sleep environment plays a significant role in how well they sleep. Factors such as room temperature, noise levels, and the baby’s sleepwear can affect their comfort and restfulness. Ensuring the room is at a comfortable temperature, quiet, and that your baby is dressed appropriately for the room temperature can help improve sleep.

Impact of Environment on Baby’s Sleep

The environment plays a crucial role in your baby’s sleep. 

Factors such as noise, light, and temperature can significantly affect the quality of a baby’s sleep.

Babies tend to sleep better in a quiet, dark room. 

Consider using blackout curtains to keep the room dark and a white noise machine to drown out any potential disturbances. 

The temperature of the room also matters. 

The American Academy of Pediatrics recommends a room temperature between 68–72°F (20–22.2°C) to reduce the risk of SIDS and to help your baby sleep more comfortably.

The sleeping surface matters too. 

The mattress should be firm, with a fitted sheet and nothing else. 

Soft surfaces can pose a suffocation hazard. 

Additionally, a baby should always be placed on their back to sleep, never on their front or side.

Illnesses that Can Disrupt Sleep

Certain illnesses can significantly disrupt a baby’s sleep. 

These include common ailments such as colds and ear infections, which can cause discomfort and make it difficult for your baby to sleep.

Digestive problems like gastroesophageal reflux disease (GERD) can also disturb sleep. 

GERD causes stomach acid to back up into the esophagus, which can be painful and may cause your baby to wake up frequently.

Additionally, chronic conditions such as asthma or allergies can interfere with sleep. 

These conditions can cause coughing, wheezing, or difficulty breathing, which can wake your baby from their sleep.

Practical Tips to Soothe a Restless Baby

Dealing with a restless baby can be a challenging task. However, there are several practical strategies you can use to soothe your little one and help them settle down. Here are some tips that might prove helpful.

1. Establish a Bedtime Routine

Routines can provide a sense of security for babies. A consistent bedtime routine may include a warm bath, a gentle massage, reading a book, or singing a lullaby. Over time, these activities signal to your baby that it’s time to sleep.

2. Create a Calm Environment

A calm and quiet environment can help your baby settle down. Try using a white noise machine to drown out any potential disturbances, and keep the room dark with the help of blackout curtains. The temperature of the room should also be kept comfortable, ideally between 68–72°F (20–22.2°C).

3. Swaddle Your Baby

Swaddling can help newborns feel secure and calm, much like when they were in the womb. However, it’s essential to ensure that your baby is swaddled safely – they should still be able to move their hips and legs freely, and the fabric should not cover their face.

4. Offer a Pacifier

Some babies find sucking on a pacifier soothing. If your baby seems restless, offering a pacifier may help them calm down and sleep better. However, make sure to follow safe pacifier guidelines, such as not tying it around your baby’s neck and replacing it regularly.

5. Feed and Burp Your Baby

Hunger or discomfort from gas can cause a baby to be restless. Try feeding your baby and making sure they’re well-burped before you put them down to sleep. This can help prevent them from waking due to hunger or gas pains.

6. Use Gentle Movements

Gentle rocking, swaying, or slow dancing can help soothe a restless baby. You can do this while holding your baby in your arms or using a baby swing. These rhythmic movements can be very calming for babies.

7. Try a Warm Bath

A warm bath before bedtime can help soothe a restless baby. The warm water can be comforting, and it can help your baby relax and get ready for sleep. After the bath, make sure to dress your baby in clean, comfortable clothes.

When to Seek Medical Help

While it’s normal for babies to have variable sleep patterns, certain signs and symptoms may suggest that it’s time to seek medical help.

If your baby consistently struggles to fall asleep or stay asleep, it could indicate a potential sleep problem. 

Similarly, excessive sleepiness during the day could also be a sign of a sleep issue.

It’s also important to seek medical attention if your baby has difficulty breathing during sleep, snores loudly, or has long pauses in their breathing. 

These could be signs of a condition called sleep apnea, which is serious and requires medical treatment.

Additionally, if your baby is not gaining weight or seems overly irritable, these could be signs that they’re not getting enough sleep. 

In these cases, it’s important to consult with your baby’s pediatrician to discuss potential causes and treatments.

Frequently Asked Questions (FAQs:)

Q1: Is it normal for my baby to move a lot during sleep?

A: Yes, it’s completely normal for babies to move during their sleep. This could be because they’re transitioning between sleep cycles, trying to get comfortable, or responding to a dream. If your baby’s movements are causing them to wake up frequently, it might be worth discussing with a pediatrician.

Q2: Can a baby’s diet affect their sleep patterns?

A: Certain foods may impact a baby’s sleep patterns. For example, foods high in sugar can cause restlessness and foods that cause gas can lead to discomfort that disrupts sleep. However, it’s also possible that your baby’s sleep issues aren’t related to their diet at all. If you’re concerned about your baby’s sleep, it’s always a good idea to consult with a pediatrician.

Q3: What can I do to help my baby sleep more soundly?

A: There are several strategies you can try to help your baby sleep more soundly. These include establishing a consistent bedtime routine, making sure the sleeping environment is quiet and dark, and ensuring your baby is comfortable in their crib or bed.


In conclusion, your baby’s nighttime restlessness could be due to a myriad of reasons, ranging from their sleep patterns and environment, to developmental milestones or potential illnesses. 

Remember that it’s perfectly normal for babies to have unique sleep habits, and slight restlessness doesn’t always indicate a problem. 

However, if your baby’s restlessness is causing them distress or affecting their sleep significantly, don’t hesitate to seek medical advice.

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