How to Determine if a Child is Experiencing an "Internal Heat" Condition

Patient's question:

The child kicks off the blanket when sleeping and sometimes needs water to sleep soundly. They started sleeping restlessly after being born for a week. What kind of assistance is needed: How to determine if the child has a stomachache or pinworms? What should a 21-month-old child eat? Is it safe and effective to use herbal laxatives?...

Doctor's answer:

Kick off the blanket is normal. The sleep time of infants and young children is generally as follows (hours): newborns 20, 9 months 14-15, 2 years old 12.5, 7 years old 11, 2 months, 16-18, 12 months 13-14, 3 years old 12, 7 years old and above 9-10, 4 months 15-16, 15 months 13, 5 years old 11.5.
How to carefully observe a child's deep sleep? Children of different ages have different sleep durations. Below, we explain the sleep time for children of different ages and how to carefully observe their deep sleep.
(1) Newborns: They need 20 hours of sleep per day. During deep sleep, it is important to carefully observe the child's posture to ensure it is correct.
(2) 2–3 months: Except for feeding and bathroom time, the rest of the day is sleep time, totaling about 18 hours. Careful observation is the same as above.
(3) 4–6 months: They need 3 deep sleep sessions during the day, each lasting about 2 hours, totaling about 6 hours. Careful observation is the same as above.
(4) 7–12 months: They need 2 deep sleep sessions during the day, each lasting about 2 hours, totaling about 4 hours. Careful observation is the same as above.
(5) 13–18 months: They need 2 deep sleep sessions during the day, each lasting 1.5–2 hours, totaling about 3–4 hours. Careful observation is the same as above.
(6) 19–24 months: They need 1 deep sleep session during the day, lasting about 2–2.5 hours. In addition to carefully observing the correct posture during deep sleep, it is also important to observe how they close their eyes, how quietly they sleep, and whether they get enough sleep.
(7) 25–30 months: They need 1 deep sleep session during the day, lasting about 2.5 hours. In addition to observing whether the correct posture is maintained during deep sleep, it is also necessary to check if they fall asleep quietly and whether they can lie still without disturbing others after waking up. It is also important to observe whether they get enough sleep and whether they wake up with a refreshed and cheerful spirit.
(8) 31–36 months: They need 1 deep sleep session during the day, lasting about 2 hours. In addition to observing the correct posture during deep sleep, it is also important to see if they can lie down voluntarily, fall asleep quietly, and whether they can lie still without crying or fussing after waking up.
(9) Over 4 years old: They need 1 deep sleep session during the day, lasting about 2 hours. The observation content is the same as above. At the same time, adults should pay attention to any bad habits, such as sucking their thumbs, biting the corners of the blanket, or sleeping with their heads covered. For children who are restless during deep sleep, careful observation should be conducted to identify the cause and provide timely treatment.
By carefully observing the deep sleep state of infants and young children, one can understand whether their bodies are healthy or if they are suffering from illness. Normal deep sleep in infants and young children is quiet after falling asleep, with light and even breathing, slight sweating on the head, relaxed facial expressions, and occasional gentle smiles. If the following abnormal deep sleep symptoms appear, it may indicate hidden illness or illness onset:
(1) Uneasy deep sleep, crying and moving around, unable to sleep deeply.
(2) Dry and hot skin all over the body, rapid breathing, and a slower pulse than normal.
(3) Restlessness after falling asleep, excessive sweating on the head (wet pillow), frequent crying, shaking the head, scratching the ears, easy to wake up, and occasional expressions of pain or crying.
Children with these symptoms should be taken to the hospital for a doctor's examination and treatment. Some abnormal deep sleep symptoms in children may be caused by excessive excitement during the day or overeating. Some abnormalities, such as sudden sliding or crying, may be due to urination. These symptoms can be addressed accordingly.
Every child has their own unique deep sleep patterns and expressions, and should be handled flexibly based on the specific situation.
Pay attention to whether there are pinworms outside the anus. Children should not be given medication lightly, especially intravenous fluids.
The above suggestions are for the question "How to determine if a child is having stomach problems." I hope it helps you. Wishing you good health!

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