Types

Ruptured Infected Eardrum (Adult)

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Inside view of ear with location of ear canal, eardrum, and eustachian tube.

The middle ear is the space behind the eardrum. You have an infection of the middle ear. This can lead to pressure that causes pain and may cause the eardrum to break (rupture). This may cause sudden worse pain. Pus or blood will drain out of the ear canal. Your hearing will also likely be affected.

The infection may be treated with antibiotics. The eardrum usually heals completely on its own. If it does not, further treatment is needed. For this reason, it’s important to have a follow-up exam with your doctor or an ear specialist.


Home care

  • Keep taking prescribed antibiotics until all of the medicine is gone. Do this even if you feel better after the first few days.

  • Take any other medicines as prescribed. Don't take any other medicine without asking your doctor, especially the first time.

  • Keep a clean cotton ball in the ear canal to absorb drainage. Change the cotton often when it becomes soiled with fluid drainage. Don’t let water get into the ear. Don’t put any medicine drops into the ear unless your doctor tells you to do so.

  • Don’t smoke and stay away from secondhand smoke.


Follow-up care

Follow up with your doctor in 2 weeks, or as advised. This is to make sure the infection is getting better, and the eardrum is healing. Also follow up with specialists if advised for a hearing test or exam.


When to get medical advice

Contact your doctor if you have:

  • A fever of 100.4°F (38°C) or higher, or as directed by your doctor.

  • Pain that gets worse or doesn’t get better.

  • Hearing loss or ringing in the ear that gets worse.


Call 911

Call 911 if you have:

  • Unusual drowsiness, dizziness, or confusion.

  • Convulsions (seizure).

  • A fever and a severe headache, neck pain, or a stiff neck.

© 2000-2026 The StayWell Company, LLC. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.

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