Should you sleep on the side of a ruptured eardrum?

What is a ruptured eardrum?
What side should I sleep on with a ruptured eardrum?
How to sleep with a ruptured eardrum
How to fall asleep with an ear infection
Falling asleep with an ear infection can be challenging due to pain and discomfort. To ease the process, try elevating your head with extra pillows. Sleeping with your head raised can help reduce pressure in the ear, which may alleviate pain. Taking pain relievers like ibuprofen or acetaminophen before bed, as recommended by a healthcare professional, can also reduce discomfort and make it easier to fall asleep. Warm compresses placed gently over the infected ear for 10-15 minutes may provide additional relief by reducing inflammation and soothing pain.
It is important to keep the ear dry, especially if fluid drainage is present. If advised by your doctor, you can use cotton balls to protect the ear during sleep. Maintaining a calm and quiet environment in your bedroom can help improve sleep quality, as well as practising relaxation techniques like deep breathing before bed. If the pain persists or worsens, it’s important to consult a healthcare provider for proper treatment and advice.

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Should you sleep on the side of a ruptured eardrum?
What is the best position for a ruptured eardrum?
Should I take time off work with a perforated eardrum?

Whether you need to take time off work with a perforated eardrum depends on the severity of your symptoms and the nature of your job. In many cases, people with a perforated eardrum can continue with their daily activities, including work, if their symptoms are mild and manageable. However, if you experience significant pain, dizziness, hearing loss, or fluid discharge from the ear, it may be wise to take time off to rest and recover. If your job involves physical activities, heavy lifting, or exposure to water, dust, or loud noises, it’s advisable to consult with your doctor. These environments could aggravate the condition or slow down the healing process. In such cases, your doctor might recommend a temporary break or adjustments to your work environment. A perforated eardrum typically heals within a few weeks, but it's important to follow your healthcare provider's advice regarding rest and treatment. Taking the necessary precautions can help prevent complications, such as infections or delayed healing.
What not to do with a ruptured ear drum?
When dealing with a ruptured eardrum, it’s important to avoid certain actions that could worsen the condition or delay healing.
- First and foremost, do not insert anything into your ear, such as cotton swabs, fingers, or earbuds. Inserting objects into the ear can further damage the eardrum or introduce bacteria, leading to infection.
- Avoid getting water into the ear. Keeping the ear dry is crucial for preventing infections, which can complicate the healing process. When bathing or showering, use a cotton ball covered in petroleum jelly to protect the ear from moisture. It is also important to avoid swimming until the eardrum has fully healed, as water in the ear canal can lead to further complications.
- Refrain from blowing your nose forcefully. Blowing your nose with too much pressure can create more stress on the eardrum and may slow healing. If you need to blow your nose, do so gently and one nostril at a time.
- It is also recommended to avoid exposure to loud noises or environments with sudden changes in pressure, such as flying or diving, until the eardrum has healed. Loud sounds or pressure changes can aggravate the rupture and prolong recovery.
- Lastly, do not ignore symptoms like persistent pain, fluid discharge, or hearing loss. If these symptoms continue, consult a healthcare professional, as they could indicate an infection or the need for further treatment. Following your doctor’s advice and avoiding these risky actions will help promote faster healing of the ruptured eardrum.
What happens if you get water in a perforated eardrum?

If water enters a perforated eardrum, it can lead to several complications that may slow down healing or cause additional problems. The ear’s natural defense system is compromised when the eardrum is perforated, making it easier for water, bacteria, and other contaminants to enter the middle ear. This increases the risk of developing an ear infection (otitis media), which can lead to symptoms such as pain, swelling, hearing loss, and discharge from the ear. Water entering the middle ear can also disrupt the normal drainage and balance of fluids, potentially causing dizziness or vertigo. Infections that develop due to water exposure may prolong the healing process and, in some cases, require antibiotics or medical intervention. In rare situations, untreated infections could lead to more serious complications, such as chronic ear infections or hearing loss. To prevent water from entering the ear, it is crucial to keep the ear dry while the eardrum heals. Avoid swimming and protect the ear during showers or baths by using a cotton ball covered in petroleum jelly or a waterproof ear covering. If water does enter the ear and you experience symptoms like pain or discharge, seek medical advice promptly to avoid complications.
Can a perforated eardrum heal on its own?
How long does a perforated ear take to heal?
How to heal a ruptured eardrum faster
How long will a ruptured eardrum leak?
Is a ruptured eardrum painful?

Yes, a ruptured eardrum can be painful, though the level of discomfort varies from person to person. Eardrum pain is a common symptom, and it can range from mild discomfort to sharp, severe pain, particularly at the time of the rupture. The pain may be sudden and intense, often described as a sharp or throbbing sensation. In some cases, the pain subsides quickly after the rupture due to a release of pressure that had built up behind the eardrum, especially if the rupture was caused by an infection. Eardrum throbbing pain may continue for a short time as the ear heals, but the discomfort generally decreases as the healing process progresses. Along with the eardrum pain, people may also experience other symptoms, such as hearing loss, ringing in the ear (tinnitus), and fluid drainage from the ear. Additionally, some people report experiencing headaches in conjunction with a ruptured eardrum, especially if an ear infection is present or if pressure in the ear has built up over time. If the pain persists or worsens, or if symptoms like headaches and fluid drainage continue, it's important to seek medical advice. In most cases, the pain improves as the eardrum heals over the course of a few weeks.
How do you know if you have a perforated eardrum?
What does a ruptured eardrum feel like?
Perforated eardrum signs and symptoms
Symptoms often begin after you have:
- Had an ear infection
- Suffered an injury to your ear
- Been exposed to a sudden, loud noise (such as fireworks or gunfire)
- Experienced a sudden change in pressure
You may not notice any symptoms until the eardrum ruptures, especially if the rupture is caused by a sudden noise or injury. Once your eardrum has ruptured, you may experience the following symptoms, typically in one ear:
- A sudden, sharp pain in the ear or, if you've had pain due to an ear infection, a sudden reduction in that pain
- Fluid draining from the ear, which may be bloody, clear, or cloudy
- Ringing or buzzing in the ear (tinnitus)
- Itching in the ear canal
- Hearing loss, which may be partial or complete in the affected ear
- Dizziness or vertigo
- Nausea or vomiting due to vertigo
- Fever
- In severe cases, facial weakness
When your eardrum ruptures, you may feel a sudden, sharp pain, followed by symptoms such as ear bleeding, hearing loss, and tinnitus. If an infection is the cause, the pain may become intense before suddenly subsiding as the pressure in the ear reduces.
Ruptured Eardrum Bleeding
Some bleeding may occur after the eardrum ruptures, which is quite common, especially in cases involving ear infections. While the bleeding usually stops shortly, a cloudy fluid may continue to leak for a few days.
Can you hear with a ruptured eardrum?
What causes a burst eardrum?
A burst (or ruptured) eardrum can be caused by several factors, including:
- Ear infections (Otitis Media): Infections in the middle ear are a common cause of eardrum rupture. When fluid builds up behind the eardrum due to infection, it can create pressure that causes the eardrum to tear.
- Sudden pressure changes (Barotrauma): A sudden change in air or water pressure can cause a perforated eardrum. This often occurs during activities like flying, scuba diving, or driving in the mountains, where pressure inside the ear doesn't equalise quickly enough with the external pressure.
- Loud noises (Acoustic trauma): Exposure to extremely loud sounds, such as explosions, gunfire, or fireworks, can cause the eardrum to burst. This is known as acoustic trauma and typically results from a sudden, intense noise.
- Injury or trauma to the ear: Physical injury, such as being hit in the ear, inserting objects like cotton swabs too deeply, or an accidental injury during ear cleaning, can tear the eardrum.
- Foreign objects in the ear: Small objects like cotton buds or sharp items, if inserted too far into the ear canal, can puncture the eardrum.
- Head trauma: Severe head injuries or skull fractures can also cause the eardrum to rupture due to the direct impact on the ear structures.
These causes can lead to symptoms such as ear pain, hearing loss, and fluid discharge, and often require medical attention.

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What to do for a perforated ear: precautions
Protect the affected ear
Apply a warm compress
Use over-the-counter pain medicine
Do not insert objects into the ear canal
Never insert items into the ear, ruptured or otherwise. Cotton swabs and other objects can cause damage to the eardrum. Studies have shown that a significant number of ruptured eardrums are caused by cotton-tipped swabs. If something becomes lodged in the ear, seek medical attention rather than trying to remove it yourself.
If fluid or blood drains from the ear, gently wipe the outer ear, but avoid cleaning the ear canal without medical advice. Additionally, avoid using over-the-counter or herbal ear drops unless specifically instructed by a doctor.
Avoid air travel until healed
Burst eardrum surgery and other remedies
Typically, no specific treatment is required for a ruptured eardrum, as most cases heal on their own within 2 to 3 months. Your doctor may prescribe antibiotics, either in oral form or as ear drops, to prevent or treat an ear infection. If you are experiencing pain in your ear, your doctor may suggest over-the-counter pain relief, such as paracetamol or ibuprofen. Additionally, applying a warm or cool compress to the ear can help alleviate discomfort.
Burst eardrum surgery
If your eardrum takes longer than 3 to 4 weeks to heal, it may be worth consulting an ear, nose, and throat specialist. They may recommend a procedure to close or patch the hole. These procedures are typically performed on an outpatient basis, allowing you to return home the same day.
- Myringoplasty: In this procedure, the doctor applies a paper patch over the tear or hole, often treated with medication to promote healing. This may need to be repeated for full recovery.
- Tympanoplasty: If a patch isn’t sufficient or previous attempts haven’t worked, the doctor may use a small graft of your own tissue to cover the hole.
Home care
To assist with healing and ease symptoms, consider the following:
- Take over-the-counter pain relief, such as paracetamol or ibuprofen.
- Avoid swimming and ensure no water enters your ear until you are fully healed or given the all-clear by your doctor.
- Do not insert anything into your ear, including cotton swabs, unless advised by your doctor.
- Be cautious when blowing your nose, as blowing too forcefully could hinder the healing process.
Burst eardrum complications
Hearing loss
Middle ear infections
Cholesteatoma (cyst in the middle ear)
Mastoiditis
Long-term vertigo or dizziness
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