Difficulty falling asleep and waking up in the middle of the night to use the bathroom are common concerns but can be influenced by various factors. Trouble falling asleep, despite going to bed early, may result from poor sleep hygiene, stress, anxiety, or even circadian rhythm disruptions. To improve this, consider creating a consistent bedtime routine, avoiding stimulants and screens in the evening, and trying relaxation techniques such as deep breathing or meditation. Waking up in the middle of the night to urinate (nocturia) can occur due to excessive fluid intake before bedtime, consuming diuretics like caffeine or alcohol, or underlying medical issues. These may include overactive bladder, urinary tract infections, diabetes, or prostate conditions. Limiting fluid intake a few hours before sleep and emptying your bladder before bed may help. Waking up too early may be due to fragmented sleep, stress, or age-related changes in sleep patterns. Stress-reduction techniques and improving overall sleep quality can address this. If you find that your total sleep duration is consistently inadequate or these issues significantly affect your daily life, seeking advice from a sleep specialist or doctor is recommended If you have ever been diagnosed with medical conditions such as benign prostatic hyperplasia (BPH), diabetes, or other relevant health concerns, it is important to mention these to your doctor as they can contribute to these symptoms and guide appropriate management.