How loud is your tinnitus during the day when you are up? How loud is your tinnitus when you go to bed or lay down? If your tinnitus is much louder when you wake up than when you lay down, I suspect that your neck is out of whack and when you lay down–maybe your pillow is at the wrong height–it just makes your neck worse and this in turn makes your tinnitus worse. Thus you have the loud tinnitus when you wake up. When you get up and move around, your neck moves back into the correct position (or at least a better position), and your tinnitus goes away, at least to some degree.