Ear Symptoms: Did I Puncture My Eardrum? - Otolaryngology

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Ear problems


Hello, doctor.
Recently, while cleaning my ears, I felt some water enter.
I used a piece of tissue to clean my ears, and it seems I accidentally went a bit too deep.
Although I didn't apply much force, I felt a slight poke to my eardrum, which caused a brief pain that quickly subsided.
I'm not sure if I actually touched my eardrum.
This morning, when I pressed on my ear, I noticed a crackling sound that only occurs when I apply pressure; otherwise, I don't feel anything.
I would like to know what this symptom might be.
I have been concerned that I might have perforated my eardrum, but I don't experience any tinnitus or pain.

DD, 10~19 year old female. Ask Date: 2021/08/21

Dr. Zheng Jueyi reply Otolaryngology


Hello, if you notice any changes in your hearing or experience persistent discomfort from tinnitus, it is recommended to visit an otolaryngology clinic for examination and confirmation.
Wishing you peace and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2021/08/21

More Info


It sounds like you're experiencing some concerning symptoms related to your ear after an incident where you may have inadvertently inserted something too deeply into your ear canal. Given your description, let's break down the potential issues and what you might consider doing next.

First and foremost, it's important to understand the anatomy of the ear. The ear consists of three main parts: the outer ear (which includes the ear canal), the middle ear (which contains the eardrum and ossicles), and the inner ear (which is responsible for hearing and balance). The eardrum, or tympanic membrane, is a thin membrane that separates the outer ear from the middle ear. If you accidentally punctured your eardrum, it could lead to various symptoms, including pain, hearing loss, and possibly fluid drainage from the ear.

From your description, you mentioned that you felt a slight pain when you "gently poked" at your ear, but this pain subsided quickly. The presence of a "gravelly" sound when you apply pressure to your ear could indicate a few things. It might be related to the movement of fluid or air in the ear canal or middle ear, or it could be a result of the eustachian tube (which connects the middle ear to the back of the throat) not functioning properly. This tube helps equalize pressure in the ear, and if it becomes blocked or doesn't open properly, it can lead to sensations of fullness or pressure, and sometimes sounds like crackling or popping.

The absence of severe pain, significant hearing loss, or drainage from the ear is a good sign, as these symptoms could indicate a more serious injury or infection. However, the fact that you are experiencing unusual sounds and sensations in your ear warrants further evaluation. It's possible that you may have caused some irritation or minor trauma to the ear canal or eardrum, which could lead to temporary symptoms.

Here are some recommendations for what you should do next:
1. Avoid Inserting Anything into Your Ear: It's crucial to refrain from using cotton swabs, fingers, or any other objects to clean your ears, as this can exacerbate any potential injury or irritation.

2. Monitor Your Symptoms: Keep an eye on your symptoms over the next few days. If you notice any worsening of pain, the development of drainage, or significant changes in your hearing, you should seek medical attention promptly.

3. Consult an Ear, Nose, and Throat (ENT) Specialist: Given your concerns about possibly puncturing your eardrum, it would be wise to consult an ENT specialist. They can perform a thorough examination of your ear using an otoscope, which will allow them to visualize the eardrum and determine if there is any damage.

4. Consider Possible Eustachian Tube Dysfunction: If your symptoms persist, it may be worth discussing the possibility of eustachian tube dysfunction with your doctor. This condition can cause sensations of fullness, pressure, and sounds in the ear, especially when changing altitude or during activities like swallowing or yawning.

5. Stay Hydrated and Avoid Allergens: Sometimes, allergies or sinus congestion can contribute to ear discomfort. Staying hydrated and avoiding known allergens may help alleviate some symptoms.

In conclusion, while your symptoms may not indicate a severe issue, it's essential to take them seriously and seek professional evaluation to rule out any potential damage to your eardrum or other complications. Early intervention can help prevent further issues and ensure your ear health is maintained, especially as you prepare for your future career as a pilot.

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