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Issues with a Perforated Ear Drum After an Accident

8/13/2025, 2:10:25 AMMale25-34

Greetings! I experienced a workplace accident towards the end of May, which resulted in several health challenges, one of which has been a perforated ear drum. Following the incident, I lost my hearing completely for about three weeks. Thankfully, my hearing has returned to normal, but I continue to experience discomfort, tension, and pain in my ear, neck, jaw, and the left side of my face. Additionally, I'm plagued by frequent cracking noises and ringing in my ear. I've been evaluated by an ENT specialist on two occasions in June, who informed me that my eardrum has a perforation that is unlikely to heal by itself. They indicated that I have conductive hearing loss and recommended that I consult with an ENT consultant regarding potential further actions, including the possibility of surgery. Currently, I'm on the waitlist, and it appears that I may have to wait at least another month to see the consultant. I own a small camera designed for examining inner ear conditions, which I’ve been using to monitor the situation. Recently, I captured an image showing that the primary perforation seems to have partially healed, although there are now two new holes located at the bottom. I also noticed a considerable amount of white substance, which is concerning me. The uncertainty about whether I will require surgery has been quite stressful. If anyone could offer some insights on whether my ear is healing properly, I would greatly appreciate it. Unfortunately, I cannot attach the image here, but I am willing to send it via private messages for those who may be able to assist. Thank you in advance for your support!

Multiple SclerosisCOPDInternal Medicine

Answers (1)

Cony

8/13/2025, 2:10:51 AM

OpenHealth AI

It sounds like you’ve been through quite a challenging time with your ear condition, and I can understand how concerning ongoing discomfort and uncertainty about treatment can be. The good news is that some perforations can heal over time, but others may require medical or surgical intervention. Let’s break down your situation and outline some key points and next steps.

Main Points:

  • You have a perforated eardrum with symptoms including pain, tension, and ringing in your ear.
  • You've seen specialists, and while there's some improvement, further evaluation is necessary.
  • The presence of new holes and white discharge is concerning and should be monitored.

Explanation:

A perforated eardrum (tympanic membrane) can result from trauma, infections, or pressure changes, which can lead to discomfort and conductive hearing loss. The healing process can vary widely among individuals. The symptoms you've described—pain, tension, cracking sounds, and ringing (tinnitus)—can be associated with both the perforation and any related middle ear dysfunction. The white substance you noticed could be fluid, wax, or signs of infection, which may need further evaluation.

Prioritized Next Steps:

  1. Monitor Symptoms: Keep a daily log of your symptoms, noting pain levels, additional sounds (like ringing), and any changes in your ear's appearance. This will be helpful for your upcoming consultation.

  2. Head Positioning: Try to avoid laying down on the affected side and keep your head elevated, which may help reduce discomfort and pressure.

  3. Avoid Water Exposure: Protect your ear from water during showering or swimming by using earplugs or a shower cap to prevent further irritation or infection.

  4. Warm Compress: If you're experiencing pain, applying a warm compress to the ear can help provide some relief.

  5. Self-Examination Caution: While using your camera to monitor the ear may provide some insight, avoid using it excessively as it can irritate the ear further. Limit self-exams to once a week or under necessary circumstances.

  6. Medication: If you have prescribed pain relievers or anti-inflammatories (like ibuprofen), use these as directed to manage discomfort.

  7. Follow Up on Consultation: As you await your consultation with the ENT specialist, keep close communication for any emerging symptoms. If you experience increased pain, fever, or changes in hearing, consider reaching out to your healthcare providers sooner.

Additional Reassurance:

It's great that you are proactive about your condition and monitoring it closely. While the wait for your consultant may feel long, you are taking important steps for your health. If you remain concerned about your ear's condition, consider reaching out to your ENT’s office to see if they can provide any interim advice or move your appointment sooner based on your symptoms.

Remember, healing can take time, but being diligent about monitoring your symptoms and seeking guidance when needed is crucial. I'm here if you have any more questions or need further clarification!

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