Ruptured Eardrum - Symptoms, Causes and Treatments (2025)

A rupture in the eardrum, also called tympanic membrane perforation, is hole in the eardrum caused by an injury, such as using a cotton swab or a hit to the ear or head, or from the pressure caused by an ear infection.

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    About This Condition

    Understanding Tympanic Membrane Perforations (Ruptured Eardrum)

    Your eardrum is a thin membrane between your outer and middle ear. Sound waves entering your ear cause the membrane to vibrate. This helps you hear. An injury or infection can cause your eardrum to tear (rupture). This creates a hole (perforation) that may affect your hearing.

    Causes of eardrum perforation

    Causes of a ruptured eardrum include:

    • Pressure from an ear infection.

    • Putting an object such as a cotton swab or pencil into the ear.

    • A very loud noise such as a gunshot close to the ear.

    • Rapid changes in air pressure. These can happen during scuba diving or traveling at high altitudes.

    • A slap or blow to the ear.

    When to go to the emergency room (ER)

    Seek medical care right away if you:

    • Have severe pain, bleeding, or ringing in your ear.

    • Lose your hearing suddenly.

    • Become very dizzy for no reason.

    • Have an object lodged in your ear.

    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.

    What to expect in the ER

    Your ear will be examined. Treatment will depend on how severe the damage is. Small holes often heal on their own. A small patch may be placed over a minor eardrum tear. Large tears may need to be repaired during an operation. If you are very dizzy or have severe hearing loss, you are likely to stay in the hospital for treatment for one or more days.

    Don't clean inside the ear canal with cotton swabs or any other object.

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    Ruptured Eardrum - Symptoms, Causes and Treatments (2025)

    FAQs

    Ruptured Eardrum - Symptoms, Causes and Treatments? ›

    A ruptured eardrum can result in hearing loss. It can also make the middle ear vulnerable to infections. A ruptured eardrum usually heals within a few weeks without treatment. But sometimes it requires a patch or surgical repair to heal.

    What is the main cause of ruptured eardrum? ›

    What causes a ruptured eardrum? Middle ear infections are the most common reason for ruptured eardrums. Other ways you may develop a ruptured eardrum include: Foreign objects: You can rupture your eardrum by using cotton swabs or other small pointed objects to clean your ears or scratch an itch in your ear.

    What is the first treatment for ruptured 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.

    Do you need to 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.

    How long does it take for a ruptured eardrum to repair itself? ›

    Most small eardrum perforations will heal within three to six weeks. Other eardrums may heal many months after the initial rupture. This time frame varies depending on the size of the hole in your eardrum. Your ear may take longer to heal if you have an ear infection or other complications.

    What not to do with a ruptured ear? ›

    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.

    How bad does a ruptured eardrum feel? ›

    You may not notice any symptoms until your eardrum ruptures, especially if it's caused by a sudden noise or injury. Once your eardrum ruptures, you may have the following, usually in one ear: Sudden, sharp ear pain or, if you've had pain from an ear infection, a sudden decrease in ear pain.

    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 do you soothe a ruptured ear? ›

    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.

    How do I know if my eardrum is perforated? ›

    Symptoms of a perforated eardrum

    Signs of a perforated eardrum or ear infection caused by a perforated eardrum include: sudden hearing loss – you may find it difficult to hear anything or your hearing may just be slightly muffled. earache or pain in your ear. itching in your ear.

    What happens if a ruptured eardrum goes untreated? ›

    And know that seeking care is crucial because, left untreated, a non-healing ruptured eardrum can lead to serious complications, including hearing loss and chronic or recurrent middle ear infections.

    Can you rupture your eardrum by blowing your nose? ›

    So what's the worst that could happen? Vigorous blowing of the nose can cause esophageal lacerations and severe headaches due to air being pushed into the skull. Although unlikely, blowing your nose too hard can also cause a perforated eardrum or even a ruptured eye socket.

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

    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.

    What's the difference between an ear infection and a ruptured eardrum? ›

    Normally a doctor can diagnose a bacterial ear infection by looking at the eardrum. It will be bulging and have pus behind it. If the eardrum ruptures, the eardrum can't be seen because it's covered with pus. So the presence of the discharge makes the diagnosis.

    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.

    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.

    What is the difference between a ruptured eardrum and a burst 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.

    Can a ruptured eardrum be life threatening? ›

    In most cases, a ruptured eardrum isn't serious, but it's important to see your health care provider or an ear, nose and throat specialist so they can assess and treat accordingly. If there is an infection that caused the perforation, they'll most likely want to prescribe antibiotics to treat it first.

    What side should I sleep on with a ruptured eardrum? ›

    Keep pressure off the ear that has a ruptured eardrum. If you have a ruptured eardrum in just one ear, sleep on the other side of your body. Or if you usually sleep on your back or you have ruptures in both eardrums, sleep with your head elevated a couple of inches above the rest of your body.

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