Blood in Ear After Fall: When to Seek Medical Attention? - Otolaryngology

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Bleeding from the ear?


Yesterday, I fainted and my right ear hit the floor directly.
I lost consciousness for about five seconds, but when I woke up, my awareness and hearing were normal.
I didn't have a headache or nausea, but my ear was red, swollen, hot, and painful.
I applied ice at the time.
Today, when I woke up, the pain in my right ear has decreased compared to yesterday, but when I gently probed with my finger, I noticed some blood (not flowing out).
I am currently abroad.
Should I see a doctor because of this?

Na, 20~29 year old female. Ask Date: 2017/05/06

Dr. Zheng Jueyi reply Otolaryngology


Hello: If there are no significant hearing abnormalities, common causes of bleeding and pain may be due to a rupture in the external auditory canal.
You can monitor the situation, but if it persists without improvement, you should seek medical evaluation.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2017/05/06

More Info


When it comes to experiencing blood in the ear after a fall, it is crucial to assess the situation carefully. Based on the details you've provided, you fainted and hit your right ear on the floor, resulting in some swelling, redness, and pain. Although you mentioned that your hearing is normal and you do not have any headaches or nausea, the presence of blood in the ear is a sign that warrants further evaluation.

In general, bleeding from the ear can occur due to various reasons, including trauma to the ear canal, a ruptured eardrum, or even more serious internal injuries. Since you experienced a fall and lost consciousness, there is a possibility that you could have sustained an injury that may not be immediately apparent. Even if you feel fine now, it is essential to consider that some injuries can manifest symptoms later.

Here are some key points to consider regarding your situation:
1. Observation of Symptoms: While you currently do not have any alarming symptoms like severe pain, dizziness, or hearing loss, it is important to monitor your condition closely. If you notice any changes, such as increased pain, drainage from the ear, or changes in hearing, you should seek medical attention promptly.

2. Potential Complications: Blood in the ear can indicate a ruptured eardrum or damage to the structures of the ear. If the bleeding is due to a ruptured eardrum, it may lead to complications such as infections or hearing loss if not treated properly.
3. When to Seek Medical Attention: Given that you have blood in your ear after a fall, it is advisable to consult a healthcare professional. Even if you feel stable, a medical evaluation can help rule out any serious injuries. A doctor may perform a physical examination and possibly imaging studies to assess for any underlying damage.

4. Treatment Options: If the bleeding is minor and there are no signs of a more serious injury, the doctor may recommend conservative treatment, such as keeping the ear dry and avoiding inserting anything into the ear canal. However, if there is a significant injury, further intervention may be necessary.

5. Self-Care Measures: In the meantime, continue to ice the area to reduce swelling and take over-the-counter pain relief if needed. Avoid any activities that could exacerbate the injury, such as swimming or flying, until you have been evaluated by a healthcare provider.

In summary, while you may not feel any immediate distress, the presence of blood in your ear after a fall is a reason to seek medical attention. It is better to err on the side of caution and have a professional evaluate your condition to ensure there are no serious injuries that could lead to complications. Please consider visiting a local healthcare facility as soon as possible for a thorough examination. Your health and safety should always be the top priority.

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