How to Treat Ear Injuries: Blood, Pain, and Odor Concerns - Otolaryngology

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Injury inside the ear?


Hello, doctor.
A few days ago, while I was cleaning my ears, my child accidentally bumped into me, and the ear cleaning stick went in deep.
When I took it out, it was bleeding.
I noticed that it had grazed some tissue, and now there is fluid inside that smells bad.
What should I do?

Yu, 10~19 year old female. Ask Date: 2015/10/27

Dr. Zheng Jueyi reply Otolaryngology


It is recommended to seek medical examination to confirm whether there is a perforation of the eardrum or just a laceration of the external auditory canal.
If there is a continuous discharge, there may be an infection, so it is advisable to have a doctor check it.
Wishing you safety and good health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2015/10/27

More Info


When dealing with ear injuries, especially those involving bleeding, pain, and odor, it is crucial to approach the situation with caution and seek appropriate medical attention. Based on your description, it sounds like you may have sustained an injury to the ear canal, possibly leading to a laceration or even a perforation of the eardrum. Here’s a comprehensive guide on how to manage such injuries and what to expect during treatment.


Immediate Steps to Take
1. Do Not Insert Anything into the Ear: Avoid using cotton swabs or any other objects to clean the ear canal further. Inserting items can exacerbate the injury or push debris deeper into the ear.

2. Keep the Area Clean: If there is visible blood or discharge, gently clean the outer ear with a soft cloth. Avoid getting water into the ear canal while showering or bathing until you have seen a doctor.

3. Monitor Symptoms: Pay attention to any changes in your symptoms. If you experience increased pain, swelling, or discharge that has a foul odor, these could be signs of infection.

4. Pain Management: Over-the-counter pain relievers such as acetaminophen or ibuprofen can help alleviate discomfort. Follow the recommended dosages on the packaging.

5. Avoid Water Exposure: Until you have been evaluated by a healthcare professional, it is advisable to keep the ear dry. This includes avoiding swimming or submerging the ear in water.


When to Seek Medical Attention
You should seek medical care if you notice any of the following:
- Persistent Bleeding: If the bleeding does not stop or is profuse, it requires immediate medical evaluation.

- Foul Odor: An unpleasant smell from the ear can indicate an infection, which may require antibiotics.

- Fluid Discharge: If you notice clear, yellow, or bloody fluid leaking from the ear, this could suggest a perforated eardrum or an infection.

- Hearing Changes: Any sudden loss of hearing or changes in hearing should be assessed by a healthcare provider.

- Severe Pain: If the pain worsens or becomes unbearable, it is essential to see a doctor.


Medical Evaluation
During your visit to a healthcare provider, they will likely perform the following:
- Physical Examination: A thorough examination of the ear using an otoscope to assess the ear canal and eardrum.

- History Taking: Discussing the incident that led to the injury, your symptoms, and any other relevant medical history.

- Possible Imaging: In some cases, imaging studies may be necessary to rule out more severe injuries, especially if there is concern about the surrounding structures.


Treatment Options
Depending on the findings, treatment may include:
- Antibiotics: If an infection is present, antibiotics may be prescribed to help clear the infection.

- Ear Drops: Medicated ear drops may be recommended to reduce inflammation or treat infection.

- Surgical Intervention: In cases of significant damage, such as a perforated eardrum, surgical repair may be necessary.


Conclusion
In summary, ear injuries can range from minor to serious, and it is essential to take them seriously, especially when symptoms like bleeding, pain, and odor are present. Prompt medical evaluation is crucial to ensure proper treatment and to prevent complications such as infections or hearing loss. Always prioritize your health and consult with a healthcare professional when in doubt.

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