How to Sleep with Ear Infection or Tinnitus: 16 Best Ways

Sleep disturbances are common when experiencing ear discomfort from an infection and tinnitus. Understandably, no one can sleep peacefully with the throbbing earache or constant ringing due to tinnitus.

Scientific research finds a close-knit bond between ear infections or tinnitus and sleep. A research article cited that up to 76% of tinnitus patients had insomnia. The more severe the tinnitus, the worse the sleep quality.

Ear infections cause throbbing pain in the middle ear, making it hard to relax and find a comfortable sleeping position, leading to a restless night. Unpleasant symptoms also include fever, ear-aches, and fatigue. The strange sounds in the ear due to tinnitus can also make it hard to sleep comfortably. 

In this blog, we will shed light on how to sleep comfortably if you are suffering from an ear infection or tinnitus. 

Table of Contents:

Ear Infection vs. Tinnitus

Tinnitus is the feeling of noise or ringing in the ears not caused by an external sound. It’s often described as ringing, buzzing, or hissing and can be a symptom of an underlying condition like hearing loss or ear injury.

An ear infection, on the other hand, is an inflammation caused by bacteria or viruses affecting different parts of the ear. Middle ear infection (otitis media) occurs in the air-filled space behind the eardrum and can cause ear pain and fever. 

• Outer ear infection (otitis externa), also known as swimmer’s ear, affects the ear canal and can result in itching and discharge.

• Inner ear infection (otitis interna) can lead to dizziness and balance issues, often following a cold or flu.

The key difference is that tinnitus is a symptom, often chronic, that can result from various conditions, including ear infections. In contrast, ear infections are acute conditions that directly affect the ear’s structure and function. Tinnitus can sometimes be caused by ear infections due to blockages or pressure changes in the ear.

Ear Infection Causes

• Prolonged exposure to loud noise: Exposure to loud sounds can lead to fluid buildup and nerve damage in the inner ear, causing hearing loss. This type of damage is often associated with noise levels encountered in daily life and may be preventable

• Earwax buildup: Earwax blockage occurs when your body’s natural ear cleaning process is disrupted, leading to a buildup that can cause hearing loss and discomfort. Attempting to clean earwax with cotton swabs or other items can push the wax deeper, exacerbating the problem.

• Age-related hearing loss: Hearing loss as we age can result from changes in the inner ear and along the nerve pathways to the brain. Long-term noise exposure and certain medical conditions can also contribute to this type of hearing loss.

• Ear bone changes (otosclerosis): Otosclerosis involves the abnormal growth of bone in the middle ear, which can prevent structures within the ear from working properly and lead to hearing loss. It is often hereditary and may also be linked to viral infections.

• Meniere’s disease: Meniere’s disease is believed to be caused by a buildup of fluid in the inner ear’s compartments, leading to symptoms like vertigo and hearing loss. The exact cause is unknown, but it may involve issues with pressure deep inside the ear.

• TMJ disorders: TMJ disorders can cause hearing loss due to inflammation and swelling near the joint, which affects nearby tissues and structures, including the ear. Symptoms often include jaw pain, clicking, and ear pain.

• Head or neck injuries: Injuries to the head or neck can lead to inner ear damage, causing symptoms like dizziness, nausea, and hearing loss. These injuries can disrupt the normal function of the ear and lead to infections.

• Acoustic neuroma: Acoustic neuroma is a non-cancerous tumor on the nerve connecting the inner ear and brain, leading to hearing loss and tinnitus. It may be caused by a malfunctioning gene or exposure to high-dose ionizing radiation.

• Eustachian tube dysfunction: Eustachian tube dysfunction occurs when the tube connecting the middle ear to the throat fails to open properly, causing pain and hearing difficulties. Common causes include allergies, sinus infections, and altitude changes.

• Sinus infections: A sinus infection can cause ear pain as trapped fluid in the sinuses travels to the ear through the eustachian tube. This can lead to a sinus ear infection, with symptoms like nasal congestion and blockage.

Optimal Sleeping Positions for Ear Infections

The right sleeping posture can help reduce pressure on the affected ear, reduce discomfort, and potentially improve sleep quality. Proper positioning can also prevent the worsening of the infection and tinnitus symptoms so that you can sleep comfortably. 

1. Side Sleeping on the Unaffected Ear

Sleeping on the side that is not affected by the ear infection can help reduce pressure and pain in the infected ear. This position allows the infected ear to stay elevated, promoting drainage and healing, rather than trapping it against the pillow under the weight of your head.

2. Elevated Head Position

Elevating your head helps with overall sinus and nasal congestion, which often accompanies ear infections. By keeping your head higher than your chest, fluid drainage from the sinuses improves, which can indirectly help clear the Eustachian tube and reduce pressure in the middle ear. 

Standard pillow sizes, such as 20” x 30”, accommodate most sleeping positions. Utilizing two or three standard pillows can offer the elevation needed for enhanced sleep comfort.

3. Best Side to Sleep On

Sleeping on the side opposite the infected ear is recommended for those with a unilateral ear infection. If both ears are infected, sleeping with the head elevated is beneficial. Resting with the head on two or more pillows, so the affected ear is higher than the rest of the body, can lessen pressure and pain.

Tinnitus Remedies and Treatments for Quality Sleep

Tinnitus can be a persistent and bothersome condition, especially when you are trying to sleep. The perception of those annoying noises augments in the quiet atmosphere. However, some several remedies and treatments can help manage tinnitus and improve sleep quality.

4. Ear Irrigation

Ear irrigation involves flushing out earwax with a gentle stream of water. It should only be attempted if your doctor recommends it and after discussing any potential risks specific to your situation. Ear wax removal tool can also be used as an alternative to gently remove wax without causing damage to the ear canal. Here’s a  guide through the steps for safe ear irrigation at home:

You’ll need a bulb syringe (20-30 ml), warm water (body temperature or slightly warmer), a basin to catch drainage, a towel, and doctor-recommended ear drops (if needed for softening wax beforehand). If your doctor advised using ear drops to soften the wax before irrigation, follow their instructions on application and duration (usually a few days).

1. Warm the Water: Fill the bulb syringe with warm water.  Do not use hot water, as it can damage the ear canal. 

2. Position Yourself: Sit upright with a towel around your neck to catch any water runoff. Tilt your head sideways with the affected ear facing upwards.

3. Gently Straighten the Ear Canal:  Pull the top of your ear (cartilage) slightly upwards and backward to straighten the ear canal for easier flow.

4. Irrigate: Aim the tip of the syringe at the outer ear canal wall, not directly at the eardrum. Gently squeeze the bulb to release a slow, steady stream of water.

5. Observe and Repeat (if needed):  Look for any dislodged wax draining out. Stop irrigating if you feel any pain, dizziness, or pressure increase. You can repeat the irrigation with small amounts of water only if recommended by your doctor and there’s no discomfort.

After Irrigation, tilt your head to allow any remaining water to drain out. Gently blot the outer ear with a clean, dry towel.

5. Pain Relief Medication

Over-the-counter (OTC) pain relievers can be effective in reducing ear pain during the night caused by infections or tinnitus.

Ibuprofen is an anti-inflammatory drug that can help reduce swelling and relieve pain. It is generally taken with food to minimize stomach upset and can be effective for several hours, providing relief throughout the night.

Acetaminophen is another option that can help reduce pain and fever associated with ear infections. It’s important to follow the recommended dosage on the packaging and not exceed the daily limit to avoid potential liver damage.

When using OTC pain relievers for ear pain:

• Always read and follow the instructions on the medication label.

• Take the recommended dose with a full glass of water.

• For sustained relief, consider taking the medication before bedtime, as directed by the package instructions.

• Avoid taking multiple pain relievers at the same time unless advised by a healthcare professional.

• If the pain persists or worsens, consult a doctor for a proper diagnosis and treatment plan.

6. Warm Compresses

Applying a warm compress to the affected ear can help soothe pain and may aid in falling asleep. The warmth from the compress can help loosen congestion, providing relief from discomfort.

A warm compress can be a great way to find relief from ear pain and get some much-needed sleep. Warmth from the compress increases blood flow to the area. This can help relax tense muscles around the ear and promote healing. Earaches often involve inflammation, which contributes to the pain. Warmth can help soothe inflammation, easing the discomfort.

By reducing pain, the warm compress promotes relaxation and allows for a more restful sleep.

7. Ear Drops and Other Medications

Using ear drops properly before bedtime can help manage infection symptoms and pain effectively. Here’s how to use them:

1. Wash your hands thoroughly with soap and water before handling ear drops.

2. Warm the ear drops to body temperature by holding the bottle in your hands for a few minutes to avoid dizziness from cold drops.

3. Lie down or tilt your head to the side with the affected ear facing up.

4. Gently pull the earlobe out and up for adults, or down and back for children, to straighten the ear canal.

5. Apply the prescribed number of drops into the ear without letting the dropper touch the ear to avoid contamination.

6. Keep your head tilted or stay lying down for a few minutes to allow the medication to reach deep into the ear canal.

7. Use a clean tissue to wipe away any excess liquid that may run out of the ear.

For antibiotics, follow your healthcare provider’s instructions regarding the timing and dosage. Taking them before bedtime can help reduce inflammation and discomfort throughout the night, aiding in restful sleep. Always complete the full course of antibiotics as prescribed, even if symptoms improve, to ensure the infection is fully treated.

Enhancing Sleep Environment for Ear Infection Sufferers

Creating a comfortable sleep environment helps individuals suffering from ear infections. The right conditions can lessen discomfort and promote healing during the night. Here’s how to enhance your sleep setting:

8. Optimizing Pillow Support for Ear Comfort

Choosing the right pillow is essential for ear infection sufferers. A firmer pillow can keep the head elevated, preventing fluid accumulation in the ears. Conversely, a softer pillow may reduce pressure on the ear, making it ideal for side sleepers. 

Opting for the Derila pillow is your best bet to ensure comfortable sleep. Read our Derila pillow reviews to learn how its memory foam construction provides the necessary support while being gentle on the ears.

9. Using Humidifiers

Humidifiers play a vital role in maintaining optimal humidity levels in the bedroom, which can range from 30% to 50%. They add moisture to the air, soothing dry and irritated ears and nasal passages, thus supporting better sleep. Read our humidity level guide to understand how the right level can ensure the environment is conducive to healing.

10. Maintaining Clean Bedding

Clean bedding is paramount to prevent further irritation or infection. Regularly washing pillows and bedding in hot water can eliminate dust mites and bacteria. It’s also beneficial to use hypoallergenic covers to protect against allergens.

11. Reducing Environmental Irritants

Minimizing irritants like dust, pet dander, and smoke can significantly improve sleep quality for ear infection sufferers. Using air purifiers and maintaining a clean, dust-free bedroom can help reduce the presence of these irritants.

Additional Tips for Relief and Improve Hearing

For those dealing with tinnitus or ear infections, achieving quality sleep can be a challenge. Here are some additional tips to help relieve discomfort and improve hearing:

12. Relaxation Techniques Before Bed

Incorporating relaxation techniques into your bedtime routine can be very helpful. By promoting relaxation, the following techniques can help take your mind off the pain and allow you to fall asleep easier. 

• Deep Breathing: Focus on slow, deep breaths from your diaphragm. Breathe in through your nose for a count of 4, hold for a count of 2, and slowly exhale through your mouth for a count of 6. Repeat this for several minutes until you feel yourself calming down.

• Meditation: Meditation involves focusing your attention and quieting your mind. There are many guided meditations available online or in apps that can help you achieve a state of relaxation.

13. Hydration and Nutrition

Dehydration can thicken mucus in the ear canal, which can worsen congestion and discomfort. Aim to drink plenty of fluids throughout the day, especially water, to help keep your body’s systems functioning optimally.

Eating a balanced diet rich in fruits, vegetables, and whole grains provides your body with the essential vitamins and minerals it needs to heal and fight off infection.

14. Avoiding Pressure on the Ears

Putting additional pressure on your already uncomfortable ear can exacerbate pain. Here are some tips to minimize pressure:

• Sleeping Position: If your ear pain is on one side, try sleeping on the opposite side. Propping yourself up with extra pillows can also help elevate your head and reduce pressure in the ear canal. Consider using a specially designed memory foam pillow that keeps your head and upper body slightly elevated throughout the night.

• Headwear: Avoid wearing tight hats or headbands that put pressure on your ears.

• Air Travel: Changes in air pressure during airplane travel can worsen ear pain. Chewing gum, sucking on hard candy, or performing the Valsalva maneuver (pinching your nose closed and gently blowing out) can help equalize pressure in your ears during takeoff and landing.

15. Loose Cotton in the Affected Ear

Lightly placing loose cotton in the outer part of the ear canal can help protect against cold air and reduce discomfort. It’s important to gently insert the cotton without pushing it deep into the ear canal, as this could cause further irritation or impaction. The cotton should be clean and dry and only used for short periods, especially outdoors or in windy conditions.

16. Hygiene and Ear Care

Maintaining good hygiene and proper ear care is important during an ear infection. This includes keeping the ear dry and clean to prevent the spread of infection. Using ear wax removal tools can be beneficial, but they must be used correctly and hygienically to avoid further complications. Always follow the manufacturer’s instructions and consult with a healthcare provider if unsure.

Wearing Headphones or Earbuds with Ear Infection

It’s advisable to avoid wearing earplugs or headphones during an ear infection as they can trap moisture and create a breeding ground for bacteria, potentially worsening the infection. Headphones can also apply pressure on the affected area, causing pain and hindering the healing process. If necessary, use them sparingly and ensure they are clean and fit properly to minimize risk.

When to See the Doctor for the Hearing Test

If you’re experiencing persistent or worsening symptoms of an ear infection, such as escalating pain, fever, hearing loss, or discharge from the ear, promptly seek medical advice. These signs indicate that home care and remedies may not be sufficient, and medical intervention is needed. 

Early diagnosis and treatment of an ear infection can prevent complications. Untreated infections can spread to other parts of the head and neck, potentially leading to serious health issues.

A timely visit to the doctor ensures you receive the appropriate treatment, whether it’s antibiotics or further diagnostic tests. The sense of hearing is precious, and taking prompt action can safeguard your ear’s health and overall well-being. Don’t hesitate to reach out to a healthcare professional if you have concerns about your symptoms.

How to Sleep with Tinnitus: Final Thoughts

In conclusion, managing tinnitus and ear infections for better sleep involves a combination of strategies. Optimal pillow support with the Derila pillow, a clean and irritant-free environment, and proper ear care are essential. 

Do not forget that rest is a critical component of recovery. By creating a conducive sleep setting and following these tips, you can ease discomfort and promote healing, ensuring a more peaceful night’s rest