<s>[INST] My grandchild is not sleeping at night but crying, She is one yr old and definitely teething, She is her happy self all day does her normal routine with two naps but after bath and nightly routine to go to bed she wakes crying, stops for a short time, but does not go back in bed or off to sleep her parents hold her try to rock to sleep but acts as if overtired or in pain. she has had Tylenol for teething pain. right now trying a car ride to get to sleep. What is causing her to wake and not go back to sleep? [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. There may be multiple reasons, for that we need to know whether she is running fever or not, or any other symptoms. One reason may be ear ache due to water retention after bath , that can lead to simple earache and otitis externa (ear infection), so that should be sorted out and taken care of. Teething can also be a reason that requires symptomatic relief with local application of gels and if not relieved then paracetamol. Hope I have answered your query. Let me know if I can assist you further. </s>