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Symptoms of Eardrum Burst

Woman experiencing ear discomfort on an aeroplane, showing symptoms of a burst eardrum

A woman reacts to sudden ear pain during a flight, which can be a sign of a burst eardrum

Symptoms of Eardrum Burst

The symptoms of eardrum burst can appear suddenly and range in severity depending on the size and location of the tear. While some people experience sharp pain followed by relief, others may not notice a rupture until hearing loss or discharge becomes apparent. Recognising these symptoms early is crucial for avoiding further damage and infection.

A sudden, sharp ear pain is often the first sign of a perforation. This pain may resolve quickly once the eardrum tears, as the pressure inside the middle ear is released. However, discomfort may persist if the surrounding tissue remains inflamed or infected.

One of the most common symptoms of eardrum burst is fluid drainage from the ear. This may include:

Clear, pus-like, or bloody fluid

A foul smell, especially if infection is present

Continuous or intermittent leakage

Hearing loss in the affected ear is also common. This may range from mild to moderate, depending on the size of the perforation. People often describe it as muffled or echoing sound, making it difficult to follow conversations, especially in noisy environments.

Other symptoms include:

A sensation of fullness or pressure in the ear

Tinnitus (ringing or buzzing sounds)

Dizziness or vertigo, especially if the inner ear is involved

Nausea (in rare cases, due to balance disruption)

In children, signs of a burst eardrum may include crying, pulling at the ear, restlessness at night, or refusing to eat. If discharge is visible on a pillow or clothing, it’s a clear sign that the eardrum may have ruptured.

In South Africa, children are frequently seen with ear discharge, often dismissed as “just an infection.” Without proper examination, a burst eardrum can go unnoticed. Left untreated, it may lead to chronic drainage, long-term hearing issues, or secondary infections such as mastoiditis.

Adults working in noisy environments may mistake symptoms for general hearing fatigue. Sudden tinnitus or muffled sound should not be ignored—especially if preceded by loud noise exposure or ear pain.

Symptoms of Eardrum Burst

The presence of symptoms of eardrum burst does not always mean permanent damage. Many small tears heal on their own within a few weeks. However, persistent symptoms, worsening pain, or ongoing discharge require medical attention.

Prompt recognition allows for early treatment, reducing the risk of complications and supporting the natural healing process. Ear protection, proper hygiene, and avoiding self-cleaning with objects can prevent repeat injury.

[Next: Diagnosis of Eardrum Burst →]

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