Tinnitus worsens when lying down
Dec 29, 2022
Source: Cainiu Health
Dr. Guo Xiheng
Introduction
The ringing in the ears becomes very loud upon lying down, which may be related to the speed and posture of lying down. This is generally a normal phenomenon and can be effectively relieved by resting a while or changing body position. However, certain medical conditions could also cause such symptoms, commonly seen in patients with ear inflammation. Loud tinnitus when lying down might not be caused by disease. The ears may produce sounds due to blood flow, breathing, and other reasons, although these are usually not easily noticeable.
Tinnitus is a common otolaryngological condition, and there are many factors that can worsen it. So why does tinnitus get worse when lying down?
Tinnitus Worsens When Lying Down
When you lie down, tinnitus may suddenly become louder, which could be related to the speed and posture of lying down. Generally, this is a normal phenomenon and can be effectively relieved by resting briefly or changing body position. However, certain medical conditions may also cause this symptom, commonly seen in patients with ear inflammation. Increased tinnitus when lying down may not necessarily be caused by disease. The ears can produce sounds due to blood flow or breathing, which are usually imperceptible. When lying down, changes in body position alter blood flow, amplifying these sounds and making them more noticeable in quiet surroundings. Intense physical activity may also accelerate blood flow in the ears, potentially leading to pulsatile tinnitus when lying down. Additionally, sleeping on one side might compress the superficial temporal artery in front of the ear, impairing circulation. This may also result in pulsatile tinnitus. Typically, tinnitus symptoms disappear simply by adjusting body posture.
Moreover, loud tinnitus upon lying down may be caused by underlying diseases. If there is an ear infection such as otitis media, fluid may accumulate in the Eustachian tube. This fluid can cover the oval window or cochlear window, causing significant and persistent tinnitus when lying flat. Patients may also experience symptoms such as ear pain, ear discharge, and hearing loss.
You can perform a self-assessment based on your symptoms. If you suspect an illness, seek medical attention promptly. Treatment should primarily focus on controlling infection and improving middle ear ventilation and drainage function, including both medication and surgical options. We hope this information helps you. Wishing you good health and happiness!
