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After your Epley manoeuvre — patient information leaflet

  What this leaflet tells you This leaflet explains what to expect after the Epley (canalith repositioning) manoeuvre for posterior-canal BPPV, what you should and shouldn’t do, and when to seek help.   1. Quick summary — what the Epley did The manoeuvre moves tiny particles (otoconia) out of the balance canal of your inner ear and back into a place where they don’t cause spinning (vertigo). Most people feel much better after one or a few treatments. However BPPV can come back (recurrence is common).   2. How you may feel immediately afterwards You may feel dizzy or off-balance for a few minutes to a few hours; nausea is possible.   Some people feel better straightaway; others get gradual improvement over days.   Rarely ,you may have brief recurrences of vertigo — this does not always mean the manoeuvre failed.   3. Activity and posture — what the evidence says Good news: High-quality studies and recent guidelines show that strict he...

Why is ear pain worse at night?

 



Why Is Ear Pain Worse at Night? Understanding the Factors Behind Nocturnal Ear Discomfort

If you've ever experienced ear pain that intensifies as the night wears on, you're not alone. Many individuals find that their earaches become more pronounced during nighttime, disrupting sleep and causing discomfort. But why does this happen? In this blog post, we'll explore the factors contributing to nighttime ear pain and offer some tips for finding relief.


1. Changes in Position


One of the primary reasons ear pain may worsen at night is due to changes in position. When lying down, the fluid in your ears, including any trapped water or mucus, can shift, putting pressure on the eardrum and exacerbating pain. Additionally, lying flat can sometimes cause congestion in the Eustachian tubes, further contributing to discomfort.


2. Increased Sensitivity

Another factor that may contribute to nighttime ear pain is increased sensitivity. During the day, distractions such as work, social interactions, and other activities can help take your mind off the discomfort. However, when you're lying in bed with nothing else to focus on, you may become more acutely aware of the pain in your ear, making it feel more intense.


3. Sinus Congestion

Sinus congestion is a common issue that can exacerbate ear pain, particularly at night. When your sinuses are congested due to allergies, colds, or sinus infections, the pressure can affect the Eustachian tubes, leading to ear discomfort. Additionally, lying down can cause mucus to accumulate in the sinuses and nasal passages, worsening congestion and ear pain.


4. Tooth Grinding (Bruxism)

Believe it or not, tooth grinding, also known as bruxism, can contribute to nighttime ear pain. When you grind your teeth while sleeping, it can create tension in the jaw muscles connected to the muscles in the ears. This tension can lead to referred pain in the ears, causing them to ache or throb.


5. Ear Infections

Nighttime ear pain may sometimes be a symptom of an underlying ear infection. Conditions such as otitis media (middle ear infection) or otitis externa (swimmer's ear) can cause intense pain that worsens when lying down. The darkness and warmth of the ear canal can create a breeding ground for bacteria, exacerbating the infection and increasing discomfort at night.







Tips for Finding Relief

Now that we've explored some of the reasons why ear pain may worsen at night, let's discuss some strategies for finding relief:

  • Use a warm compress: Applying a warm compress to the affected ear can help alleviate pain and reduce inflammation.
  • Try over-the-counter pain relievers: Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, can help relieve pain and reduce inflammation.
  • Use a decongestant: If sinus congestion contributes to your ear pain, using a decongestant spray or oral decongestant can help relieve pressure and congestion.
  • Practice good sleep hygiene: Creating a comfortable sleep environment, such as using pillows to elevate your head or sleeping on your side with the affected ear facing up, can help alleviate nighttime ear pain.

Conclusion

While nighttime ear pain can be frustrating and disruptive, understanding the underlying factors can help you find relief. You can minimise discomfort and enjoy a restful night's sleep by addressing changes in position, increased sensitivity, sinus congestion, tooth grinding, and ear infections. If your ear pain persists or worsens, consult a healthcare professional for further evaluation and treatment.



Mr Gaurav Kumar

Consultant Ear Nose Throat Surgeon


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