PATTAYA, Thailand – Many people fall asleep wearing headphones or earbuds to listen to music, block out noise or relax more easily — but medical experts are warning that the habit could quietly increase the risk of ear infections and long-term hearing problems if done improperly. According to specialists from Stanford Medicine, in-ear headphones that tightly seal the ear canal can trap moisture and create an environment where bacteria may grow more easily, increasing the risk of irritation and infection. Doctors say people who shower before bed, already suffer from ear irritation, or have existing eardrum problems may face even higher risks. Warning signs include persistent itching, ear pain, fluid leaking from the ear, muffled hearing or unusual odors.
Experts also caution that wearing earbuds for long periods may lead to excessive earwax buildup. If symptoms such as pressure in the ear, ringing sounds or reduced hearing occur, doctors recommend professional cleaning or approved earwax removal kits. Another major concern is volume level. The World Health Organization says sound levels around 60-70 decibels — similar to normal conversation — are generally considered safe.
However, listening at volumes above 80 decibels for extended periods over time may begin damaging hearing permanently. Doctors further warn that noise-canceling headphones or loud audio during sleep may prevent users from hearing fire alarms, emergency warnings or alarm clocks.
For those who rely on audio to sleep, specialists recommend softer headphones that do not tightly seal the ear canal, over-ear models, or flat pillow speakers placed beneath pillowcases to reduce moisture and irritation risks.
