Quick read
Key points
- 1
A perforated eardrum is a tear or hole in the thin membrane that separates the ear canal from the middle ear. It can result from ear infections, injury from inserting objects into the ear, sudden pressure changes (such as diving or a blow to the ear), or loud noise.
- 2
Topic-specific prevention and risk reduction will be added during the article-specific evidence audit.
- 3
You have ear pain, discharge, or sudden hearing loss following an injury or infection
01 · Know
What is Perforated eardrum?
A perforated eardrum is a tear or hole in the thin membrane that separates the ear canal from the middle ear. It can result from ear infections, injury from inserting objects into the ear, sudden pressure changes (such as diving or a blow to the ear), or loud noise.
Symptoms can include ear pain that suddenly eases, hearing loss, a discharge from the ear, ringing (tinnitus), or dizziness. Most perforations heal on their own within a few weeks.
02 · Understand
Clinical context
Self-care advice
See your GP if pain, discharge, or hearing loss doesn't improve within a couple of weeks, as further treatment or specialist review may be needed.
03 · Act
When to see a doctor
- 1You have ear pain, discharge, or sudden hearing loss following an injury or infection
- 2You experience dizziness or ringing in the ear alongside suspected perforation
- 3Symptoms don't improve within a couple of weeks
- 4You have ongoing hearing loss or discharge
- 5You need to fly or swim and aren't sure if it's safe with a perforated eardrum
04 · Prevent & manage
Practical steps
Take these self-care steps
These measures can help ease symptoms, support recovery, and reduce the chance of things worsening — but they don't replace medical advice if symptoms are severe or persistent.
- 1Keep the ear dry.Avoid getting water in the affected ear while it heals — use a cotton ball coated in a small amount of petroleum jelly as a shower guard if advised.
- 2Avoid inserting anything into the ear.This includes cotton buds, which can worsen or delay healing of the perforation.
- 3Avoid swimming and flying until healed.Both can introduce water or pressure changes that interfere with healing.
- 4Take pain relief if needed.Paracetamol or ibuprofen can help manage any discomfort while the eardrum heals.
- 5Attend follow-up if advised.Your doctor may want to check the eardrum has healed fully, especially if there was significant hearing loss.
Evidence
References
BarnMD Health Intelligence uses authoritative and clinically relevant sources appropriate to the topic. References are shown so readers can inspect the evidence directly.
- HSE: Perforated eardrum ↗
Medical information notice
Health education, not individual medical advice
BarnMD Health Library provides general health education for public health literacy. Reading this article does not establish a doctor-patient relationship and this information is not a diagnosis, prescription, or personalised treatment plan. If you have symptoms or concerns about your health, seek appropriate advice from a qualified healthcare professional. If you develop emergency warning signs, seek urgent or emergency medical attention.
BarnMD Bottom Line
Most perforated eardrums heal naturally within a few weeks without any specific treatment, as long as the ear is kept dry and protected.
Keeping the ear completely dry is the single most important thing you can do while a perforated eardrum heals.