Perforated Eardrum: Care Instructions (2024)

Perforated Eardrum: Care Instructions (1)

Overview

A tear or hole in the membrane of the middle ear is called a perforated or ruptured eardrum. This can happen if an infection builds up inside the ear or if the eardrum gets injured. You may find it hard to hear out of that ear or may hear a buzzing sound. You may have an earache or have fluids that drain from the ear.

Your eardrum should heal on its own in a few weeks, and you should hear normally then. If you have an infection, your doctor may prescribe antibiotics. Over-the-counter pain reliever may help your earache.

Your doctor will check to see if your eardrum has healed. If not, you may need surgery to repair the eardrum.

Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.

How can you care for yourself at home?

  • If your doctor prescribed antibiotics, take them as directed. Do not stop taking them just because you feel better. You need to take the full course of antibiotics.
  • Take an over-the-counter pain medicine, such as acetaminophen (Tylenol), ibuprofen (Advil, Motrin), or naproxen (Aleve), as needed. Read and follow all instructions on the label.
  • Do not take two or more pain medicines at the same time unless the doctor told you to. Many pain medicines have acetaminophen, which is Tylenol. Too much acetaminophen (Tylenol) can be harmful.
  • To ease pain, put a warm face cloth or a heating pad set on low on your ear. You may have some drainage from the ear.
  • Be careful when taking over-the-counter cold or influenza (flu) medicines and Tylenol at the same time. Many of these medicines have acetaminophen, which is Tylenol. Read the labels to make sure that you are not taking more than the recommended dose. Too much Tylenol can be harmful.
  • Keep your ears dry.
    • Take baths until your doctor says you can take showers again.
    • When you wash your hair, use cotton lightly coated with petroleum jelly as an earplug. Or ask your doctor about using earplugs.
    • Do not swim until your doctor says you can.
    • If you get water in your ears, turn your head to each side and pull the earlobe in different directions. This will help the water run out. If your ears are still wet, use a hair dryer set on the lowest heat. Hold the dryer 8 to 10 centimetres (3 to 4 inches) from your ear.
  • Do not put anything into your ear canal. For example, do not use a cotton swab to clean the inside of your ear. It can damage your ear. If you think you have something inside your ear, ask your doctor to check it.

When should you call for help?

Perforated Eardrum: Care Instructions (2)

Call your doctor or nurse advice line now or seek immediate medical care if:

  • You have signs of infection, such as:
    • Increased pain, swelling, warmth, or redness.
    • Pus draining from the ear.
    • A fever.

Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if:

  • You have changes in hearing.
  • You do not get better as expected.

Where can you learn more?

Go to https://www.healthwise.net/patientEd

Enter E774 in the search box to learn more about "Perforated Eardrum: Care Instructions".

Current as of: February 28, 2023

Author: Healthwise Staff

Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

Perforated Eardrum: Care Instructions (2024)

FAQs

Perforated Eardrum: Care Instructions? ›

Ruptured eardrum healing time

Small holes generally start to heal over in 1-2 days, but it may take several months to completely heal. If you're still having pain, drainage, or hearing loss after 2-3 days, go talk to your doctor because you may need to start or change your treatment.

What are the do's and don'ts of a perforated eardrum? ›

You may do that by:
  • Keeping your eardrum dry: Use waterproof earplugs or cotton balls coated with petroleum jelly when you shower or take a bath. ...
  • Don't clean your ears: Even gentle cleaning may keep your eardrum from healing.
  • Avoid blowing your nose: If possible, don't blow your nose while your eardrum is healing.

How long does it take for a perforated eardrum to stop hurting? ›

Ruptured eardrum healing time

Small holes generally start to heal over in 1-2 days, but it may take several months to completely heal. If you're still having pain, drainage, or hearing loss after 2-3 days, go talk to your doctor because you may need to start or change your treatment.

What happens if a perforated eardrum gets wet? ›

A wet ear will affect healing and may result in a serious infection. “We usually recommend placing a cotton ball covered in Vaseline in the ear when showering and avoiding putting your head under water,” Adams said. With proper care, a small, punctured eardrum may recover in a few weeks or few months.

Should you put drops in a perforated eardrum? ›

While recovering from a perforated eardrum, kids should: Never use over-the-counter ear drops unless the doctor says to. With a hole in the eardrum, some kinds of ear drops can get into the middle ear or cochlea and cause problems. Try to keep the ear canal dry.

How can I speed up the healing of a ruptured eardrum? ›

Self care
  1. Keeping the ear dry. Place a waterproof silicone earplug or cotton ball coated with petroleum jelly in the ear when showering or bathing.
  2. Refraining from cleaning the ears. Give the eardrum time to heal completely.
  3. Avoiding blowing your nose.

Can you make a ruptured eardrum worse? ›

Anything you put into your ear canal can make the rupture worse. Don't blow your nose hard. This can damage your eardrum from the inner side out. Don't get water in your ear.

How to sleep with ruptured eardrum? ›

If only one eardrum is ruptured, then they may feel more comfortable sleeping on their back or on the side of the opposite ear, with the ruptured ear facing up. Side sleeping in this way may also help ear drops to absorb, if they are prescribed or recommended by a doctor.

What is the best pain relief for a perforated eardrum? ›

try not to blow your nose too hard, as this can damage your eardrum as it heals. hold a warm flannel against your ear to help reduce any pain. take painkillers such as paracetamol or ibuprofen to relieve pain if you need to (do not give aspirin to children under 16)

Does a ruptured eardrum feel like it's clogged? ›

Common Symptoms

A decrease in hearing: When your ear feels clogged, or there is a whistling or buzzing sound accompanied by a partial (or total) loss of hearing, these are often signs of a ruptured eardrum.

How to get water out of your ear with a perforated eardrum? ›

Do not swim until your doctor says you can. If you get water in your ears, turn your head to each side and pull the earlobe in different directions. This will help the water run out. If your ears are still wet, use a hair dryer set on the lowest heat.

What is the difference between a ruptured eardrum and a perforated eardrum? ›

Perforated Eardrum and Ruptured Eardrum – About

In many cases a perforated eardrum my never have healed on its own and is chronic. In such cases hearing loss or infections may occur. A ruptured eardrum is an eardrum that abruptly bursts. This can happen due to trauma or infection.

Should I go to urgent care for ruptured eardrum? ›

A ruptured eardrum from an ear infection usually isn't an emergency. In fact, the rupture often relieves pressure and pain. It usually heals within hours or days. But you should have the ear looked at by a healthcare provider within 24 hours.

Should I use a QTIP after ear drops? ›

Experts recommend you avoid the use of cotton swabs in your ears. The American Academy of Otolaryngology – Head and Neck Surgery explains that the use of cotton-tipped swabs or other home instruments pose a serious risk of damage to the eardrum and ear bones.

What should you avoid with a hole in your eardrum? ›

Don't
  • do not go swimming or get your ear wet until your eardrum heals.
  • do not put anything inside your ear, such as cotton buds or eardrops (unless a doctor recommends them)
  • try not to blow your nose too hard because this can damage your eardrum as it heals.

Can I use peroxide ear drops with a perforated eardrum? ›

Using too much hydrogen peroxide can irritate the skin inside the ear, leading to inflammation and earaches. People should not use ear drops if they have an ear infection or a damaged eardrum.

How to wash hair with ruptured eardrum? ›

When you wash your hair, use cotton lightly coated with petroleum jelly as an earplug. Or ask your doctor about using earplugs. Do not swim until your doctor says you can. If you get water in your ears, turn your head to each side and pull the earlobe in different directions.

What can I eat to heal a ruptured eardrum? ›

Broccoli, kale, Swiss chard and spinach (of course) contain folate (vitamin B9), which contributes to the health of the inner ear. Loaded with vitamin D, eggs are associated with lower odds of hearing problems. Both are rich in zinc, which helps ward off infections that can affect the inner ear.

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