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Perforated Eardrum

WHAT YOU SHOULD KNOW

The eardrum--also known as the tympanic (tim-PAN-ik) membrane--is a thin, round sheet of tissue that divides the ear canal from the middle ear. This fragile membrane is easily torn or perforated. The injury usually heals in 2 months without treatment. Your hearing should not be affected.

Causes

The culprit is often a sharp object jammed into the ear. The membrane can also rupture under the sudden increase in pressure that occurs during an explosion or while diving. A blow to the outer ear sometimes damages the eardrum; and a middle ear infection also can lead to perforation.

Signs/Symptoms

Typical symptoms include sudden ear pain, hearing loss, dizziness, ringing in the ear, and bleeding or discharge from the ear. Signs of a serious problem are hearing loss in both ears, severe dizziness, or feeling as though you are spinning.

Care

If you develop an infection, your doctor may prescribe an antibiotic. Surgery may be needed if the eardrum does not heal on its own.

WHAT YOU SHOULD DO

  • Keep your ear dry. Water inside the ear may delay or prevent healing.
    • Do not swim or take showers until the eardrum is healed.
    • When taking a bath, place a piece of cotton covered with petroleum jelly in the outer ear canal to prevent water from entering the ear.
  • To help relieve pain, apply heat to the ear with a warm water bottle or a heating pad set on low. Avoid high temperatures that could burn your ear or face.
  • You may use over-the counter medicines such as acetaminophen or ibuprofen to relieve pain. Be sure to use them exactly as directed.
  • Blow your nose gently to avoid changes in pressure that could further damage the ear.
  • You may resume normal activities when you feel better.

Call Your Doctor If...

  • You have increased bleeding or a pus-like discharge from the ear.
  • You still feel dizzy after 12 to 24 hours.
  • You feel nauseated or start to vomit.
  • You develop a high temperature.
  • You continue to have pain in your ear despite treatment.

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