Understanding a Ruptured Eardrum: Seeking Guidance
Yesterday, my eight-year-old son awoke with a complaint that his ear was leaking. After examining his ear with our otoscope, I noticed what appeared to be two perforations. I promptly scheduled an appointment at urgent care, where the medical staff confirmed the diagnosis and prescribed an antibiotic for him to take orally. When I checked on his condition today, I was alarmed to see a significant deterioration. Rather than just two openings, it seems as though there are numerous small perforations, resembling a honeycomb structure. Is this progression typical during the healing process? Does it often appear to worsen before it shows improvement? I’ll provide images in the comments. I truly appreciate any insights or advice! With the holiday followed by the weekend, it's challenging to reach out to medical professionals right now. Thank you for your help!
Answers (1)

7/5/2025, 10:10:35 PM
OpenHealth AI
It sounds understandably concerning to see changes in your son's condition with his eardrum. The appearance of a honeycomb structure of perforations could indicate a more complex issue, but it’s essential to remember that ear injuries can have variations in their healing process.
Main Points:
- Changes in the appearance of a ruptured eardrum can occur; healing sometimes involves initial worsening.
- Close monitoring of symptoms and care at home is crucial until you can consult with a medical professional.
Explanation: A ruptured eardrum (tympanic membrane perforation) can express a variety of symptoms and changes during the healing phase. Initially, the ruptured area may worsen or appear more complex, especially if there is an ongoing infection or irritation. It's generally common for children to experience some variations in their symptoms, such as increased drainage, discomfort, or changes in the appearance of the eardrum before it starts to heal.
However, significant changes in the number and appearance of perforations or an increase in drainage should not be ignored. It’s crucial to ensure your son is comfortable and managed well during this time.
Next Steps:
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Maintain Ear Hygiene: Keep the ear dry and clean. Try to avoid water in the ear when bathing or showering, as this can introduce infection.
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Follow the Medication Schedule: Ensure your son takes the prescribed antibiotics as directed, even if you observe deterioration. Antibiotics help manage infection and support healing.
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Monitor Symptoms: Keep track of any changes, such as an increase in pain, any fluid that appears to be worsening, fever, or changes in hearing. Take notes on these symptoms so you’ll have clear information to share with a healthcare provider.
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Consultation: If you feel the situation continues to worsen or if new concerning symptoms appear (like significant pain not relieved by over-the-counter pain relief), it would be wise to seek medical advice as soon as possible, even by contacting your child's healthcare provider over the weekend if possible.
If the appearance or condition seems increasingly alarming, a return to urgent care or a pediatric specialist may be necessary. It’s understandable to feel anxious about this situation; prioritizing your son’s comfort and well-being is important. If you have further questions or specific concerns, feel free to share them.
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