
Tinnitus, a condition that causes ringing or buzzing in the ears, can often make it difficult to fall asleep or lead to frequent awakenings. The quietness of the bedroom can make tinnitus more noticeable, and the stress and anxiety caused by the condition can further interfere with sleep. To improve sleep quality, people with tinnitus can try masking techniques, such as playing light background noise or using a white noise machine, adjusting their sleeping position, reducing caffeine intake, and seeking treatments like cognitive behavioural therapy (CBT) or sound therapy. These strategies can help manage tinnitus symptoms and improve sleep.
| Characteristics | Values |
|---|---|
| Sleeping position | Sleeping propped up on pillows or using an incline bed may help people with tinnitus due to IIH (Idiopathic Intracranial Hypertension) |
| Caffeine intake | Caffeine is a stimulant that can keep you awake and trigger tinnitus symptoms. Reduce or cut out caffeine, especially close to bedtime |
| Nicotine intake | Nicotine is a stimulant that can keep your mind awake |
| Temperature | Set the thermostat between 60 and 68 degrees Fahrenheit for deeper, more efficient sleep |
| Sound therapy | Use a white noise machine or sound therapy devices to mask tinnitus with light background noise or soothing sounds |
| Cognitive Behavioral Therapy (CBT) | CBT can teach methods to manage tinnitus symptoms and improve sleep |
| Acoustic therapy | Acoustic therapy can help manage tinnitus symptoms |
| Tinnitus Retraining Therapy (TRT) | TRT can help manage tinnitus symptoms |
| Hearing aids | Hearing aids can help manage tinnitus symptoms |
| Counseling | Counseling can help manage tinnitus symptoms |
| Medication | Consult a doctor for medication to help mitigate tinnitus symptoms and promote better sleep quality |
| Exercise | Stay active during the day to help improve sleep |
| Reading | Read a book to help you feel tired |
| Avoid screens | Avoid screens 90 minutes before bed |
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What You'll Learn
- Avoid caffeine and nicotine, which are stimulants that can make it harder to fall asleep
- Reduce screen time before bed and opt for a calming activity like reading instead
- Try sound therapy, such as listening to soothing sounds or white noise, to mask tinnitus
- Consult a doctor or hearing specialist for treatments like acoustic therapy, tinnitus retraining therapy, or counselling
- Improve your sleep environment by adjusting the temperature and sleeping position

Avoid caffeine and nicotine, which are stimulants that can make it harder to fall asleep
Tinnitus, which is often described as a ringing in the ears, can be a distracting and distressing condition that interferes with your sleep. The shift from a noisy daytime environment to the quietness of the bedroom can make tinnitus noises more noticeable at night, making it difficult to fall asleep.
To improve your sleep quality, it is important to avoid stimulants such as caffeine and nicotine, which can make it harder to fall asleep. Caffeine, found in coffee, tea, cola, cocoa, and energy drinks, is a well-known stimulant that can keep you awake and trigger tinnitus symptoms. It affects the nervous system, increasing stress and anxiety, leading to further difficulty sleeping. To improve your sleep, reduce your caffeine intake, especially after lunch, and opt for decaffeinated beverages.
Nicotine, found in cigarettes, is another stimulant that can disrupt your sleep. Quitting smoking can improve your sleep quality, as nicotine keeps your mind awake, making it challenging to fall asleep. In addition to avoiding stimulants, creating a bedtime routine that promotes relaxation can help you fall asleep more easily. This may include reading a book, listening to soft music, or engaging in deep breathing exercises.
If you are struggling to fall asleep due to tinnitus, consider masking techniques by playing background noise or soft music that is slightly quieter than your tinnitus. This can help your brain adjust and eventually tune out the ringing in your ears. Additionally, maintaining a consistent sleep schedule, optimizing your bedroom temperature, and consulting a healthcare professional for personalized advice are all strategies that can improve your sleep quality when dealing with tinnitus.
Remember, it is normal to experience periods of sleep loss or poor sleep due to tinnitus, and seeking support from a doctor or hearing specialist can provide you with tailored treatments and techniques to improve your sleep hygiene and overall well-being.
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Reduce screen time before bed and opt for a calming activity like reading instead
If you have tinnitus, you may find that the quietness of bedtime makes your symptoms more noticeable and distracting. This can lead to a vicious cycle of stress arousal and anxiety, which can further interfere with your sleep. To break this cycle, it is important to reduce your screen time before bed. Scrolling through your phone or staring at other screens can negatively impact your sleep quality. Instead, opt for a calming activity like reading.
It is recommended to put away your phone and avoid screens at least 90 minutes before bedtime. You can then pick up a book and start reading. If you prefer, you can also play soft music in the background while you read. This activity can help you relax and reduce any anxiety related to your tinnitus symptoms.
Reading a book before bed can be especially beneficial if you choose a calming read. Opt for a book that is not too stimulating or exciting, as the goal is to create a soothing atmosphere that will help you wind down and prepare for sleep. If you start to feel tired or begin yawning, you can then go back to bed, and your body should be ready for sleep.
In addition to reducing screen time and reading, there are other strategies you can try to improve your sleep with tinnitus. These include sound therapy, behavioural therapies, and, in some cases, medication. Sound therapy involves using a white noise machine or other sound therapy devices to create constant, soothing background noise that can help mask your tinnitus. Behavioural therapies, such as cognitive behavioural therapy (CBT), can teach you methods to manage your symptoms and improve your sleep.
Remember, if your tinnitus is severely impacting your sleep, it is important to consult a healthcare professional or a hearing specialist. They can provide personalized advice and treatment options to help you manage your tinnitus and improve your sleep quality.
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Try sound therapy, such as listening to soothing sounds or white noise, to mask tinnitus
Sound therapy is a popular method for managing tinnitus, a condition that causes a sound in the head with no external source. It involves using external noise to alter your perception of or reaction to tinnitus. The goal is to provide relief and help you focus on other tasks by masking the internal soundtrack of tinnitus.
There are two common types of sound therapy: masking and habituation. Masking involves exposing yourself to background noise, such as white noise, nature sounds, or ambient sounds, at a volume slightly quieter than your tinnitus. This helps to distract your attention from the tinnitus and allows your brain to adjust to the ringing in your ears, eventually tuning it out. Household items like electric fans, radios, and TVs can also be used to create background noise.
Habituation, also known as tinnitus retraining therapy, is a process that trains your brain to become more accustomed to the presence of tinnitus. During this therapy, you listen to noise similar to your tinnitus sound for extended periods. Over time, your brain learns to ignore both the therapy noise and the tinnitus itself, similar to how you stop noticing the feeling of glasses on your nose. This form of therapy is done under the guidance of a specialist and can take anywhere from 12 to 24 months, depending on the individual.
Sound therapy options are readily available on streaming services like Spotify and YouTube. The American Tinnitus Association (ATA) also provides a Masking Sound Library with a range of sounds to help manage tinnitus. These sounds can be downloaded and used to work, sleep, and relax more comfortably.
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Consult a doctor or hearing specialist for treatments like acoustic therapy, tinnitus retraining therapy, or counselling
If you are experiencing tinnitus, it is important to consult a doctor or hearing specialist. They can advise on treatments such as acoustic therapy, tinnitus retraining therapy, or counselling, which can help you manage your symptoms and improve your quality of life.
Acoustic therapy, also known as sound therapy, involves the use of pleasant or calming sounds to diminish the presence of tinnitus. The idea is that because the brain can only focus on one thing at a time, using sound can provide immediate relief or help you focus on something else. This can be done through streaming services such as Spotify, or YouTube, which offer a wide array of sound therapy options to help you sleep, work, and relax.
Tinnitus retraining therapy (TRT) is a treatment option for moderate or severe tinnitus. It combines counselling and sound therapy to train your brain to ignore the sound in your ear. During TRT, you will wear a device behind your ear that plays masking or white noise at an intensity slightly below that of your tinnitus. This helps your brain get used to the tinnitus sound by decreasing the contrast between it and external sounds. While some studies have found TRT to be effective, there is limited evidence that it outperforms other treatments.
Counselling for tinnitus can be an effective way to help manage symptoms and improve your quality of life. It involves meeting with an experienced tinnitus audiologist, psychologist, or trained counsellor who will help you understand your condition and learn how to cope with the symptoms. Counselling can teach you techniques for reducing anxiety and stress, improving sleep, and developing a more positive outlook on life. It can also help you control your emotional reactions to tinnitus, as negative reactions can exacerbate symptoms.
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Improve your sleep environment by adjusting the temperature and sleeping position
Tinnitus can adversely affect sleep quality and duration, with the quietness of the bedroom sometimes making tinnitus noises more obvious and noticeable. It is important to note that the sleeping position may affect tinnitus for some people, particularly if their tinnitus has an objective, underlying cause. For instance, some people may experience tinnitus due to idiopathic intracranial hypertension (IIH), which occurs due to increased pressure in the brain without a known cause. This pressure may improve when standing up, so sleeping propped up on pillows or using an incline bed may help.
To improve your sleep environment, you can adjust the temperature to the optimal range for sleep, which is between 60 and 68 degrees Fahrenheit. Setting your thermostat within this range will encourage deeper, more efficient sleep. If you get cold feet, consider wearing socks to bed.
Additionally, caffeine is a stimulant that can keep you awake and trigger tinnitus symptoms. It can increase stress and anxiety, making it difficult to fall asleep and reducing sleep quality. Try reducing your caffeine intake, especially after lunch, and opt for decaffeinated drinks if possible.
If you are struggling to fall asleep, it is recommended to get up and go to another room. You can try reading a book or listening to soft music until you feel tired. Then, return to your bed and try again.
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Frequently asked questions
Tinnitus is described as a ringing in the ears. However, some people experience it as a hissing, buzzing, roaring, clicking, or other noise as well.
The shift from a relatively noisy daytime environment to the quietness of the bedroom can make tinnitus noises more noticeable. This can lead to worrying thoughts, creating a level of stress arousal (anxiety) that makes it difficult to fall asleep.
Sleeping position may affect tinnitus for some people, particularly if their tinnitus has an objective, underlying cause. For example, people with tinnitus due to idiopathic intracranial hypertension (IIH) may experience improved symptoms if they sleep propped up on pillows or using an incline bed.
Sound therapy devices like white noise machines can provide a constant, soothing sound that masks tinnitus, potentially making it easier to fall asleep. Other options include listening to quiet, calming classical music, ASMR, or environmental sounds.
Yes, here are some general tips:
- Avoid caffeine and nicotine as they are stimulants that can keep you awake.
- Avoid screens 90 minutes before bed.
- Exercise during the day and stay active, but avoid exercising right before bed.
- If you can't sleep, get up and go to another room.
- Try cognitive behavioral therapy (CBT) to manage symptoms.
- Consult a doctor or hearing specialist for personalized advice and treatment options.











































