Can a Perforated Eardrum Go Unnoticed?
Age: 34 Height: 6'4" Historically, I’ve encountered minor ear issues, primarily childhood infections and the insertion of tubes when I was younger than eight. However, everything changed when I experienced a gunshot blast near my left ear. Since that incident, I've been dealing with heightened sensitivity to sound (hyperacusis) and episodes of dizziness. I've consulted two ear, nose, and throat specialists and am currently undergoing various assessments, including a VNG test, with results for VEMPs pending. Thankfully, my hearing has remained largely unaffected. I suspect there might be some unnoticed damage to my eardrum, and here’s why: each time I blow my nose, I experience a sharp pain in my left ear that can linger for several hours. Following the gun incident, I also developed two ear infections, which is unusual given that I hadn’t suffered from one in over two decades. Additionally, there's a persistent sensation of pressure in my left ear that intensifies with loud sounds and tends to ease off over a few hours. One particularly distressing experience was during the VNG test, where air was blown into my left ear—this caused significant pain and exacerbated my dizziness, which has not subsided in the week since. Honestly, I'm at a loss. It appears that many medical professionals I consult are rather quick to dismiss my concerns. Is there a specific test I can request to determine whether my eardrum is indeed perforated? I appreciate any insights!
Answers (1)
2/15/2026, 6:50:31 AM
OpenHealth AI
Thank you for sharing your detailed experience. It's understandable to feel concerned, especially after such a significant injury and ongoing symptoms. A perforated eardrum can sometimes go unnoticed, especially if the symptoms are subtle, but your experiences suggest that it’s worth investigating further.
Understanding Your Situation
A perforated eardrum can occur due to trauma, infection, or pressure changes, and sometimes symptoms can mimic other ear issues. The sharp pain you feel when blowing your nose and the pressure sensation indicate your ear may be reacting to changes in pressure, which might be related to a possible perforation or other damage.
Next Steps
Here are some prioritized actions to consider:
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Request Specific Testing:
- Ask your ENT specialist about scheduling a tympanometry test, which assesses the function of your eardrum and middle ear, and can help detect perforation.
- A direct visual examination with an otoscope might be warranted to assess the integrity of the eardrum, particularly focusing on the areas that may have been affected post-injury.
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Monitor Your Symptoms:
- Keep a symptom diary, documenting when you feel pain, pressure, or dizziness, especially in relation to activities like blowing your nose or exposure to loud sounds. This can aid your healthcare provider in identifying patterns.
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Avoid Pressure Changes:
- Minimize activities that can increase pressure in your ears, such as blowing your nose forcefully or exposing your ears to loud environments. Consider using a nasal saline spray to help with congestion without pressure buildup.
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Manage Acute Symptoms:
- Over-the-counter pain relief medications such as ibuprofen can help manage pain and discomfort. Ensure to follow the dosing instructions.
- If you experience severe pain or new symptoms (like fever or significant hearing loss), prioritize seeking immediate medical attention.
Reassurance
While it’s frustrating to feel dismissed, your ongoing symptoms and the impact on your daily life are valid concerns that deserve attention. Keep advocating for yourself and ensure that your healthcare providers understand the severity and persistence of your symptoms.
If you need further clarification or additional assistance, please don't hesitate to reach out.
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