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Suggest Treatment For Tiredness And Excessive Sleepiness In A Child

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Posted on Fri, 12 Aug 2016
Question: My Daughter is 4 years 8 months old. she has going to school since 11.7.16 and every morning she is made to wake up at 6 am. has her breakfast at 6:30am. she shows symptoms of tiredness, wants to go to sleep and keeps spitting during the meal. mid way she pukes whatever she has consumed. goes to school by 7:30 am and and is active throughout the day and has her tiffin in school and lunch and dinner at home without any hassle. this has been going on since a week. Is she sleep deprived? she get 7.5 hours sleep in the night in a day. goes to sleep by 10:30 pm and daytime sleeping is null.
food given for b fast consists of bread or chapati with butter or cheese or egg or any vegetable preparation. kindly help
doctor
Answered by Dr. Sumanth Amperayani (12 minutes later)
Brief Answer:
She needs more sleep - at least 10-12 hours

Detailed Answer:
Hi...This is the normal sleep pattern in a kid(4-5 yr)

Total sleep: average is 10-12 hr
Nighttime: average is 9.5-10.5 hr


Suggestions on good sleep -

1. Have a set bedtime and bedtime routine for your child. Never change this timing or routine.

2. Bedtime and wake-up time should be about the same time. There should not be more than about an hour difference from one day to another.

3. Make the hour before bed shared quiet time. Avoid high energy activities, such as rough play, and stimulating activities, such as watching television or playing computer games, just before bed.

4. Don’t send your child to bed hungry. A light snack (such as milk and cookies) before bed is a good idea. Heavy meals within an hour or 2 of bedtime, however, may interfere with sleep.

5. Avoid products containing caffeine for at least several hours before bedtime. These include caffeinated sodas, coffee, tea, and chocolate.

6. Make sure your child spends time outside every day, whenever possible, and is involved in regular exercise.

7. Keep your child’s bedroom quiet and dark. A low-level night light is acceptable for children who find completely dark rooms frightening.

8. Keep your child’s bedroom at a comfortable temperature during the night (<24°C [75°F]).

9. Don’t use your child’s bedroom for time-out or punishment.

10. Keep the television set out of your child’s bedroom. Children can easily develop the bad habit of “needing” the television to fall asleep. It’s also much more difficult.

Regards - Dr. Sumanth
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sumanth Amperayani (3 days later)
dear doc,

1. what is the best food combinations that can be given for breakfast at 6:30 am so she does not puke during b fast time? not a fussy eater but prefers the food should be tasty.

2. will just a glass of milk do in the morning followed up by food packed for tiffin in school to be eaten around 10 - 10:30 am?

3. Also she pukes a little during the travelling time in the school van that comes to pick her up at 7:40 am. She travels 2.4 kms from home to school. the return journey from school at 12:30 pm in the van is hassle free.
doctor
Answered by Dr. Sumanth Amperayani (2 hours later)
Brief Answer:
Suggestions on feeding

Detailed Answer:
Hi...coming to your queries directly -

1. There is no best combination for the break fast. The palatability of the food depends on the particular likes and dislikes of the kid. So you just give her the food which she likes and takes with less fuss. This is more important.

2. As she is going to school very early (I mean boarding the school van), a glass of milk will do in the early morning. Please do not insist on solid food intake as the child may not like it.

3. Make sure the 10-10.30 am food she takes at the school is energetic and not only liquid diet then.

I wish your kid a speedy recovery. If you need any future medical consultation and suggestions, I will be glad to help. You can approach me at the following link.
Once the page opens there will be an option below my image as – ASK ME A QUESTION – click on it.

Please find the link below -

www.healthcaremagic.com/doctors/dr-sumanth-amperayani/67696

Regards - Dr. Sumanth
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Sumanth Amperayani

Pediatrician, Pulmonology

Practicing since :2003

Answered : 8339 Questions

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Suggest Treatment For Tiredness And Excessive Sleepiness In A Child

Brief Answer: She needs more sleep - at least 10-12 hours Detailed Answer: Hi...This is the normal sleep pattern in a kid(4-5 yr) Total sleep: average is 10-12 hr Nighttime: average is 9.5-10.5 hr Suggestions on good sleep - 1. Have a set bedtime and bedtime routine for your child. Never change this timing or routine. 2. Bedtime and wake-up time should be about the same time. There should not be more than about an hour difference from one day to another. 3. Make the hour before bed shared quiet time. Avoid high energy activities, such as rough play, and stimulating activities, such as watching television or playing computer games, just before bed. 4. Don’t send your child to bed hungry. A light snack (such as milk and cookies) before bed is a good idea. Heavy meals within an hour or 2 of bedtime, however, may interfere with sleep. 5. Avoid products containing caffeine for at least several hours before bedtime. These include caffeinated sodas, coffee, tea, and chocolate. 6. Make sure your child spends time outside every day, whenever possible, and is involved in regular exercise. 7. Keep your child’s bedroom quiet and dark. A low-level night light is acceptable for children who find completely dark rooms frightening. 8. Keep your child’s bedroom at a comfortable temperature during the night (<24°C [75°F]). 9. Don’t use your child’s bedroom for time-out or punishment. 10. Keep the television set out of your child’s bedroom. Children can easily develop the bad habit of “needing” the television to fall asleep. It’s also much more difficult. Regards - Dr. Sumanth