Why does a newborn cry and refuse to sleep at night, with constant flailing of hands and feet?

May 14, 2023 Source: Cainiu Health
Dr. Ma Yan
Introduction
A newborn crying at night, unable to sleep, and constantly flailing their arms and legs may be experiencing a normal physiological phenomenon, which usually requires no special treatment; however, it could also be due to pathological causes such as indigestion or calcium deficiency. The specific underlying cause should be identified and treated with medication under a doctor's guidance. Besides the above factors, conditions such as infantile seizures, pediatric enteritis, or epilepsy might also be responsible. If any of these conditions occur, prompt medical attention at a hospital is necessary.

It is possible for newborns to cry at night, be unable to sleep, and constantly move their hands and feet due to physiological reasons, which generally do not require special treatment; however, it could also be caused by pathological conditions related to indigestion, calcium deficiency, etc. The specific underlying cause should be identified and treated with medication under a doctor's guidance. Detailed analysis is as follows:

1. Physiological Causes

A newborn's nervous system gradually matures after birth, and they are unable to fully control the muscles in their limbs and other body parts, leading to restlessness and crying. If there are no other discomforts, close observation is sufficient and no special intervention is needed.

2. Pathological Causes

2.1 Indigestion

The gastrointestinal function of newborns is not yet fully developed. Overfeeding or exposure of the abdomen to cold can easily lead to indigestion symptoms such as vomiting and bloating, which may manifest as crying and abnormal limb movements. Under medical guidance, medications such as Bifidobacterium triple viable powder, Lactasin granules, or Pediatric Compound Chicken Gizzard Powder may be administered, along with ensuring adequate warmth for the abdomen.

2.2 Calcium Deficiency

Calcium is crucial for the growth of newborns. A lack of calcium can impair nerve regulation, causing muscles and nerves to remain in an excited state, resulting in twitching and crying. Mild cases may be managed by supplementing cod liver oil; when necessary, calcium supplements such as calcium gluconate oral solution, calcium carbonate D3 granules, or calcium acetate granules may be taken as directed by a physician to replenish calcium levels and support the infant’s growth and development.

In addition to the above factors, conditions such as infantile seizures, pediatric enteritis, or epilepsy may also be responsible. It is recommended that infants showing these symptoms seek prompt medical evaluation and treatment.

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