A 10-month-old baby cries intensely before sleep and is very difficult to soothe.

A 10-month-old baby who cries intensely before sleep and is particularly difficult to soothe may be affected by physiological factors or pathological conditions such as colds or acute gastroenteritis. Management should be based on the underlying cause. The details are as follows:

1. Physiological Factors

If the room temperature is too high or the baby is dressed in thick clothing, discomfort may occur, affecting normal sleep and leading to irritability and crying. Adjusting the indoor temperature appropriately can help alleviate these symptoms.

2. Pathological Factors

1) Cold

If the baby has a cold, symptoms such as coughing and sneezing may interfere with sleep quality and lead to crying. Medications such as pediatric paracetamol–chlorpheniramine granules, pediatric cold granules, or cefixime dispersible tablets may be used under medical guidance.

2) Acute Gastroenteritis

Poor daily care may allow pathogens to invade the gastrointestinal tract, causing acute gastroenteritis with symptoms like abdominal pain and diarrhea, making it difficult for the baby to fall asleep. Treatments may include medications such as smectite powder, compound bacillus subtilis granules, or bacillus licheniformis live bacterial granules, taken as directed by a physician.

Besides the above causes, conditions such as pneumonia, otitis media, or upper respiratory tract infections should also be considered. Given the baby's young age, self-administration of medication is not recommended. For the baby's health, a comprehensive evaluation at a reputable hospital is necessary to identify the exact cause and receive appropriate treatment, preventing worsening symptoms and potential adverse effects on health.