Perforated eardrum (2024)

A perforated (burst) eardrum is a hole or tear in your eardrum. It usually gets better on its own within 2 months, but you may need treatment such as antibiotics.

Check if you have a perforated eardrum

Symptoms of a perforated eardrum usually start suddenly after an:

  • ear infection
  • injury (such as getting hit on your ear)
  • loud noise
  • sudden change in air pressure (such as flying on a plane)

Most of the time symptoms affect 1 ear and include:

  • hearing loss
  • a ringing or buzzing sound in your ear (tinnitus)
  • earache or ear pain
  • itching in your ear
  • clear fluid, blood or pus leaking from your ear
  • feeling dizzy
  • a high temperature

Information:

If you're not sure if it's a perforated eardrum, find out about other conditions that can cause earache, hearing loss or tinnitus.

Urgent advice: Ask for an urgent GP appointment or get help from NHS 111 if:

  • you have sudden hearing loss in 1 or both ears
  • your hearing has been getting worse over the last few days or weeks
  • you have hearing loss along with other symptoms, such as earache or discharge coming out of the ear

It might not be anything serious, but it's best to get help as it may need to be treated quickly.

You can call 111 orget help from 111 online.

Treatment for a perforated eardrum

A perforated eardrum usually gets better on its own within 2 months and your hearing returns to normal.

A GP may prescribe antibiotics if you have an ear infection, or to stop you getting an ear infection while your eardrum heals.

Sometimes, surgery to repair the eardrum (myringoplasty) may be needed if the eardrum is not healing by itself.

Important

Go back to your GP if your symptoms have not started to improve after a few weeks.

Things you can do if you have a perforated eardrum

There are some things you can do to help heal a perforated eardrum and ease symptoms.

Do

  • take painkillers like paracetamol or ibuprofen to ease any pain

  • put a large piece of cotton wool covered in petroleum jelly in your outer ear when you wash your hair to stop water getting in

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)

  • trynot toblow your nose too hard because this can damage your eardrum as it heals

Information:

Flying with a perforated eardrum

It's safe to fly if you have a perforated eardrum. But if you've had surgery to repair a perforated eardrum (myringoplasty), do not fly until you're told it's safe to.

Page last reviewed: 19 April 2023
Next review due: 19 April 2026

Perforated eardrum (2024)

FAQs

Perforated eardrum? ›

A ruptured eardrum (tympanic membrane perforation) is a hole or tear in the thin tissue that separates the ear canal from the middle ear (eardrum). A ruptured eardrum can result in hearing loss.

How serious is a perforated eardrum? ›

“A perforated eardrum disrupts normal sound amplification and sound transmission, which can lead to hearing loss,” Adams said. “If the hole in the eardrum is large enough, there is also a higher risk of getting an infection of the middle ear, especially if water gets into that area.”

What is the best treatment for a perforated eardrum? ›

Most ruptured (perforated) eardrums heal without treatment within a few weeks. Your provider may prescribe antibiotic drops if there's evidence of infection. If the tear or hole in the eardrum doesn't heal by itself, treatment will likely involve procedures to close the tear or hole.

Should I go to the ER for a 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.

Can ruptured eardrum heal by itself? ›

Most perforated eardrums heal on their own in a few weeks without treatment. Over-the-counter pain relievers can help ease pain. To help prevent or treat an infection, the doctor may prescribe antibiotics. These might be a pill that your child swallows, but sometimes can be ear drops.

What not to do with a ruptured ear drum? ›

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.

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

Does a ruptured eardrum feel like it's clogged? At the time your eardrum ruptures, you will likely feel a sharp pain in your ear that can be intense. Before your eardrum ruptures, you may have a feeling of pressure in your ear that may feel clogged.

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.

How long off work with a perforated eardrum? ›

A perforated eardrum usually heals within a few weeks or months provided the ear is kept dry and there's no infection.

What happens if you get water in a perforated eardrum? ›

Although most perforations heal on their own over time, sometimes treatment is needed. Keep your ear dry. It's very important to keep your ear dry if the eardrum membrane has been ruptured, because any water that gets inside the ear could lead to infection.

How painful is a burst eardrum? ›

A ruptured eardrum may feel like a sudden sharp pain in your ear. This usually happens if your eardrum is torn or punctured by a sharp object or because something hit your ear very hard.

What earplugs are good for perforated eardrum? ›

Custom-made Elacin Swim earplugs can help. If you have tubes or a perforated eardrum, it is important that no water enters the ear canal while swimming. Protect your ears with Elacin Swim. These custom-made earplugs do not have filters and completely seal the ear canal from water.

Should I stay away from loud noises with a ruptured eardrum? ›

If your eardrum perforation was indeed caused by loud noise, it would be wise to try and avoid such environments in the future. It may not be possible, especially if it's a noisy work setting, but you could always use some ear protection to keep your precious ears and hearing safe from harm.

Which ear drops are safe for perforated eardrum? ›

Comments. Antibiotic ear drops are acceptable even with a perforated eardrum, although there is a small risk of ototoxicity with certain medications (i.e., neomycin). Ofloxacin is the preferred fluoroquinolone ear drop for patients with perforation.

How do I know if I perforated my eardrum? ›

Signs and symptoms of a ruptured eardrum may include: Ear pain that may subside quickly. Mucuslike, pus-filled or bloody drainage from the ear. Hearing loss.

Why does my ear feel clogged? ›

Many people experience clogged ears at some point. Allergies, head colds, pregnancy, and changes in air pressure are common reasons it may feel like your ears are full. Typically, plugged ears settle after a few days.

How long does it take to fix a perforated eardrum? ›

In most cases, the eardrum will heal by itself without any treatment within 6-8 weeks. Painkillers such as paracetamol and ibuprofen are sometimes used to relieve ear discomfort. Your doctor may prescribe antibiotics if there is an infection or if there is a high risk of an infection whilst the eardrum heals.

Is perforated eardrum surgery painful? ›

Is tympanoplasty surgery painful? You may have some moderate pain for the first few days after your surgery. Most people can manage any pain with over-the-counter (OTC) pain medication.

Can you still hear with a ruptured eardrum? ›

A perforated eardrum can cause a lot of pain. It can also affect hearing, but this usually is temporary. A tear in the eardrum can allow bacteria and other things to get into the middle ear and inner ear. This could lead to an infection that might cause more permanent hearing damage.

How long does the ear drain after a ruptured eardrum? ›

The ear then drains cloudy fluid or pus. This small hole most often heals over in 2 or 3 days.

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