Ear Infection: Why Does Pain Increase At Night?

Ear infections are very common, especially in children. They can be caused by a variety of factors, including colds, allergies, sinus infections, and even changes in air pressure. The pain and pressure associated with ear infections can be exacerbated when lying down, making it difficult to sleep. This can lead to a vicious cycle, as lack of sleep can hinder the recovery process. However, there are several strategies that can help alleviate discomfort and improve sleep when dealing with an ear infection. These include sleeping with your head elevated, using warm compresses, avoiding earplugs, and taking over-the-counter pain medication.

Elevate your head when sleeping

Elevating your head while sleeping can significantly help to alleviate the pain and discomfort caused by an ear infection. This is because the position helps to drain fluid from the ear and reduces pressure on the eardrum.

To elevate your head, you can use extra pillows or a wedge pillow to keep your head higher than your body. This position doesn't only help with drainage but can also ease the pressure in your ear. It may feel strange at first, but many people find it more comfortable than lying flat. If you don't have enough pillows, you can try propping up the head of your mattress with books or blocks.

If you have a baby or toddler with an ear infection, you can slightly elevate their head by raising the head of their adjustable crib.

In addition to elevating your head, there are other strategies you can use to help you sleep with an ear infection. These include using a warm compress, taking over-the-counter pain relievers, and sleeping on your unaffected side.

Use a warm compress before bed

A warm compress can be an effective way to relieve the pain and discomfort associated with an ear infection. The warmth from the compress can help to ease the pain and increase blood flow to the area, promoting healing.

To make a warm compress, start by soaking a clean, soft cloth or towel in warm water. Ensure that the water is not too hot to the touch. Wring out any excess water so that the cloth is damp but not dripping. Test the temperature of the compress on the inside of your wrist to make sure it's comfortably warm. Fold the cloth or towel into a manageable size that covers your outer ear.

Gently place the warm compress over your affected ear, ensuring it covers the entire outer ear and extends slightly onto the surrounding skin. You can use your hand to gently press it against your ear or use a light scarf or headband to secure it in place. Hold the compress for about 15 to 20 minutes. Sit or lie down in a comfortable position while using the warm compress. After the recommended time, remove the compress and give your ear a break. You can repeat this treatment a few times a day, as needed, to help alleviate pain and promote relaxation.

In addition to warm compresses, there are other home remedies that can help relieve ear infection symptoms. These include over-the-counter pain relievers such as acetaminophen or ibuprofen, drinking plenty of fluids, and elevating your head while sleeping to help reduce pressure in the ear. It is important to note that if your ear infection symptoms persist or worsen, you should consult a healthcare professional for advice and treatment.

Avoid using earplugs

Ear infections are usually caused by a blockage in the Eustachian tube, which connects the middle ear to the throat. When the tube is blocked, fluid builds up and becomes a breeding ground for bacteria, causing an infection. The increased pressure pushes the eardrum outwards, causing pain and fever.

While it might be tempting to use earplugs to block out noise and help you sleep, this is not recommended. Earplugs can trap moisture and bacteria in the ear canal, potentially worsening the infection and increasing pain and discomfort. Introducing earplugs into the ear canal could also introduce new bacteria if they are not perfectly clean.

Instead, it is better to keep your sleeping environment as quiet as possible, as your ears may be extra sensitive due to the infection. External noise-cancelling headphones can be used to reduce ambient noise without putting pressure on the infected ear. Soft earmuffs or noise-reducing ear covers can also help to block out sound without entering the ear canal.

It is important to remember that while reducing noise exposure can be beneficial, completely blocking your hearing may interfere with the healing process or mask important symptoms. Always prioritise treating the infection as directed by your healthcare provider.

Take over-the-counter pain relievers

Ear infections are usually not dangerous and can be treated at home. Over-the-counter (OTC) pain relievers can be used to treat ear pain. Medications such as acetaminophen (Tylenol) or ibuprofen (Advil, Motrin) can be taken as directed on the label to help ease ear pain, especially if it is due to an ear infection. It is important to be cautious when giving aspirin to children or teenagers, and children recovering from chickenpox or flu-like symptoms should never take aspirin due to its association with Reye's syndrome.

OTC ear drops can also be used to treat pain if the eardrum is intact. However, it is important to avoid OTC numbing drops that contain ingredients such as benzocaine, as these can worsen ear pain.

Sleep on your unaffected side

If you are experiencing an ear infection, sleeping on your unaffected side can help alleviate the pain and discomfort. This is because the position allows fluid to drain from the affected ear, reducing pressure and pain.

To sleep on your unaffected side, you can use extra pillows to support your head and neck. This may feel strange at first, especially if you are accustomed to sleeping on the other side. However, many people have found it more comfortable than lying flat on their back. If you are still adjusting to this new position, try using extra pillows or cushions to help you feel more secure and comfortable.

Additionally, it is recommended to keep your head elevated when sleeping with an ear infection. This can be achieved by using extra pillows or a wedge pillow to prop up your head higher than your body. This elevated position further aids in draining fluid from the ear and reducing pressure on the eardrum, making it easier to sleep despite the pain.

If both of your ears are infected, sleeping on your back with your head elevated is recommended. Elevating your head can be achieved by using extra pillows or propping up the head of your mattress with books or blocks if you do not have enough pillows.

Remember, it is important to consult a doctor if you are experiencing severe or persistent ear pain, high fever, or other concerning symptoms. They can provide personalized advice and treatment options to help you manage your ear infection and improve your sleep quality.

Frequently asked questions