Man in bed at night suffering insomnia from severe tinnitus and ringing in the ear.

If you are one of the millions of people in the U.S. suffering from a medical condition known as tinnitus then you probably know that it often gets worse when you are attempting to fall asleep. But why should this be? The ringing or buzzing in one or both ears is not a real noise but a side-effect of a medical problem like hearing loss, either permanent or temporary. Naturally, knowing what it is will not clarify why you have this buzzing, ringing, or whooshing noise more frequently at night.

The real reason is pretty simple. But first, we have to discover a little more about this all-too-common disorder.

Tinnitus, what is it?

To say tinnitus isn’t an actual sound just adds to the confusion, but, for most people, that is the case. The person with tinnitus can hear the sound but no one else can. It sounds like air-raid sirens are ringing in your ears but the person sleeping right near you can’t hear it at all.

Tinnitus is a sign that something is wrong, not a condition on its own. Substantial hearing loss is generally the root of this condition. Tinnitus is often the first sign that hearing loss is setting in. Hearing loss is typically gradual, so they don’t detect it until that ringing or buzzing starts. Your hearing is changing if you start to hear these sounds, and they’re alerting you of those changes.

What causes tinnitus?

Tinnitus is one of medical science’s biggest mysteries and doctors don’t have a clear comprehension of why it happens. It could be a symptom of numerous medical problems including inner ear damage. There are very small hair cells inside of your ears that vibrate in response to sound. Tinnitus can indicate there is damage to those hair cells, enough to keep them from transmitting electrical signals to the brain. These electrical messages are how the brain converts sound into something it can clearly comprehend like a car horn or somebody talking.

The absence of sound is the basis of the current theory. Your brain will start to fill in for information that it’s not getting because of hearing loss. It gets perplexed by the lack of input from the ear and attempts to compensate for it.

That would explain some things regarding tinnitus. For starters, why it’s a symptom of so many different illnesses that affect the ear: mild infections, concussions, and age-related hearing loss. That could also be the reason why the symptoms get worse at night sometimes.

Why are tinnitus sounds worse at night?

You may not even detect it, but your ear receives some sounds during the day. It will faintly hear sounds coming from a different room or around the corner. At the very least, you hear your own voice, but that all stops at night when you try to go to sleep.

Suddenly, all the sound disappears and the level of confusion in the brain goes up in response. It only knows one response when faced with total silence – generate noise even if it’s not real. Sensory deprivation has been demonstrated to trigger hallucinations as the brain attempts to insert information, like auditory input, into a place where there isn’t any.

In other words, it’s too quiet at night so your tinnitus seems worse. If you are having a hard time sleeping because your tinnitus symptoms are so loud, creating some noise might be the solution.

How to generate noise at night

For some people dealing with tinnitus, all they require is a fan running in the background. The loudness of the ringing is decreased just by the sound of the motor of the fan.

But, there are also devices made to help people with tinnitus get to sleep. White noise machines simulate nature sounds like rain or ocean waves. If you were to keep a TV on, it may be distracting, but white noise machines produce soothing sounds that you can sleep through. Your smartphone also has the capability to download apps that will play calming sounds.

What else can worsen tinnitus symptoms?

Lack of sound isn’t the only thing that can trigger an upsurge in your tinnitus. Too much alcohol before bed can contribute to more severe tinnitus symptoms. Other things, like high blood pressure and stress can also be a contributing factor. If adding sound into your nighttime regimen doesn’t help or you feel dizzy when the ringing is present, it’s time to learn about treatment options by making an appointment with us right away.

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References
https://hearinghealthfoundation.org/hearing-loss-tinnitus-statistics/

The site information is for educational and informational purposes only and does not constitute medical advice. To receive personalized advice or treatment, schedule an appointment.
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