Bleeding Ear and Pain During Hiccups: When to See an ENT Specialist? - Otolaryngology

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Bleeding from the ear and experiencing pain in the ear when burping?


Four days ago, I dug too deep in my ear, which was very painful at the time.
The next day, I noticed some bleeding from my ear.
Now, there is no bleeding, but I experience ear pain when I burp.
Should I see an otolaryngologist, or can I wait and observe for a while? Thank you.

Qiu, 20~29 year old female. Ask Date: 2016/04/07

Dr. Zheng Jueyi reply Otolaryngology


Hello: Commonly, it is otitis externa.
If there is no fever and the pain is gradually improving, you may observe the situation.
However, if symptoms worsen, it is advisable to seek medical examination and treatment.
Wishing you safety and health.
Sincerely, Dr.
Jue-Yi Cheng, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2016/04/07

More Info


When it comes to ear health, any incident involving bleeding, pain, or discomfort should be taken seriously. Based on your description, it seems that you may have caused some trauma to your ear canal or possibly even to the eardrum while attempting to clean your ears. The immediate pain you felt and the subsequent bleeding are concerning signs that indicate potential injury.

The fact that you experienced bleeding from your ear after digging too deep suggests that there may have been damage to the delicate structures within the ear. While the bleeding has stopped, the pain you are experiencing during hiccups is noteworthy. This pain could be related to several factors, including:
1. Eustachian Tube Dysfunction: The Eustachian tube connects the middle ear to the back of the throat and helps equalize pressure. If there is any swelling or irritation in the ear or throat due to trauma, it can lead to dysfunction, causing pain during activities like hiccups, which involve sudden movements of the diaphragm and can affect pressure in the ear.

2. Injury to the Ear Canal or Eardrum: If you have injured the ear canal or eardrum, it can lead to pain, especially when there are changes in pressure, such as during hiccups. The eardrum is a sensitive structure, and any trauma can lead to discomfort.

3. Infection: While you may not currently have bleeding, any trauma to the ear can increase the risk of infection. If bacteria enter through the injured skin, it could lead to otitis externa (outer ear infection) or otitis media (middle ear infection), both of which can cause pain.

Given these considerations, it is advisable to see an Ear, Nose, and Throat (ENT) specialist. An ENT doctor can perform a thorough examination of your ear, including using an otoscope to look inside the ear canal and assess the eardrum for any signs of perforation or infection. They may also evaluate the Eustachian tube function to determine if that is contributing to your pain during hiccups.

While it might be tempting to wait and see if the symptoms resolve on their own, it is crucial to seek medical attention, especially since you have experienced bleeding. Delaying a visit could lead to complications, such as chronic pain or infection, which could require more extensive treatment.

In summary, I recommend that you schedule an appointment with an ENT specialist as soon as possible. They will be able to provide a proper diagnosis and treatment plan tailored to your specific situation. Remember, taking care of ear health is vital, especially after any trauma, to prevent long-term issues.

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