A perforated eardrum is a hole or tear in your eardrum. It may result from an infection, foreign objects in the ear (cotton swabs, fingers, etc.), physical trauma, loud noise exposure or sudden pressure changes. While most cases heal on their own, proper care is essential to avoid complications.
One common question people have when dealing with this condition is: What side should I sleep on with a perforated eardrum? The short answer is that you should sleep on whichever ear is most comfortable, usually the healthy one.
Why Is It Important To Sleep With the Affected Ear Upward?

Keeping the affected ear upward helps reduce pressure and pain, allowing you to sleep better.
What if Both Eardrums Are Perforated?
If both your eardrums are perforated, it’s best to sleep on your back. If you feel a lot of pressure in your ears, you may be more comfortable sleeping upright or with your head on multiple pillows.
How to Care for a Perforated Eardrum
Protecting your perforated eardrum is key to the healing process. A few tips to keep in mind include:
- Avoid swimming until the eardrum has healed
- Use waterproof earplugs or cotton swabs when you shower. Avoid earplugs that go too deep in the canal. Shallow silicone plugs are a good option.
- Avoid blowing your nose, as the resulting ear pressure could disrupt eardrum healing
- Don’t attempt to clean your ears at home
Tips for Sleeping With a Perforated Eardrum
Even under perfect conditions, falling asleep can be difficult, but sleeping with a damaged eardrum can feel nearly impossible. If you’re struggling to get your eight hours, try a few of these tips for easier rest:
- Apply a warm compress to the ear, being careful not to drip any water into the ear canal
- Take over-the-counter pain medication 30 minutes to an hour before bed
- Drink a cup of chamomile tea about an hour before bed
- Stop drinking caffeine after noon
- Turn off electronic devices (TV, phone, etc.) an hour before bed
Make an Appointment With an ENT Specialist
If your perforated eardrum doesn’t heal within a few weeks or is accompanied by severe pain or fluid drainage, contact Advantage ENT & Audiology to schedule a treatment consultation with one of our specialists.