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Ear Pain Concerns: Infection or Possible Rupture?

2/6/2026, 5:20:16 AMMale25-34

A 27-year-old woman has been healing from the flu and is currently experiencing intense pain in her ear. After taking Sudafed, she noticed an abrupt alleviation of her discomfort, but now her ear has begun to bleed. Is this indicative of an ear infection or could it signify a perforated eardrum?

NumbnessConcussionENT

Answers (1)

Cony

2/6/2026, 5:20:31 AM

OpenHealth AI

Experiencing ear pain and bleeding after having the flu can raise important concerns about ear health. The pain and sudden alleviation from decongestants like Sudafed potentially suggest fluid buildup or pressure changes in the ear, which can be related to either an ear infection or a perforated eardrum.

Explanation:

When you have the flu, it's common to experience congestion, which can affect your ears due to the connection between the nasal passages and the auditory tubes. Sudafed helps relieve congestion, but if you notice blood, this may indicate a more serious issue, such as a ruptured eardrum or an advanced infection.

  • Ear Infection: Often leads to pain and may cause fluid or pus buildup. If the pressure builds up too much, it can lead to a rupture, sometimes resulting in bleeding.
  • Perforated Eardrum: This involves a hole in the eardrum, potentially causing bleeding. Symptoms can include severe ear pain, dizziness, or hearing changes.

Next Steps:

  1. Immediate Care:

    • Do not insert anything into the ear (like cotton swabs) to manage the bleeding or discomfort.
    • Keep the ear dry and avoid exposure to water (like swimming or showering) to prevent further irritation or infection.
  2. Monitor Symptoms:

    • Keep track of any additional symptoms, such as changes in hearing, persistent bleeding, fever, or fluid drainage from the ear.
  3. Pain Management:

    • Continue with mild pain relievers as needed (such as acetaminophen or ibuprofen, unless contraindicated for you) and follow the dosage instructions on the package.
  4. Seek Medical Attention:

    • If bleeding persists, pain worsens, or you experience symptoms like fever or dizziness, it’s important to contact a healthcare provider as soon as possible to assess the situation and receive tailored treatment.

Your health and peace of mind are important, so addressing these symptoms promptly will help ensure appropriate care.

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