A perforated (burst) eardrum is a hole or tear in your eardrum. It usually gets better on its own within 2 months, but you may need treatment such as antibiotics.
Symptoms of a perforated eardrum usually start suddenly after an:
- ear infection
- injury (such as getting hit on your ear)
- loud noise
- sudden change in air pressure (such as flying on a plane)
Most of the time symptoms affect 1 ear and include:
- hearing loss
- a ringing or buzzing sound in your ear (tinnitus)
- earache or ear pain
- itching in your ear
- clear fluid, blood or pus leaking from your ear
- feeling dizzy
- a high temperature
If you're not sure if it's a perforated eardrum, find out about other conditions that can cause earache, hearing loss or tinnitus.
Ask for an urgent GP appointment or get help from NHS 111 if:
- you have sudden hearing loss in 1 or both ears
- your hearing has been getting worse over the last few days or weeks
- you have hearing loss along with other symptoms, such as earache or discharge coming out of the ear
It might not be anything serious, but it's best to get help as it may need to be treated quickly.
You can call 111 or get help from 111 online.
A perforated eardrum usually gets better on its own within 2 months and your hearing returns to normal.
You may need antibiotics if you have an ear infection, or to stop you getting an ear infection while your eardrum heals.
Sometimes, surgery to repair the eardrum (myringoplasty) may be needed if the eardrum is not healing by itself.
Important
See a GP if your symptoms have not started to improve after a few weeks.
More information
Find out more about myringoplasty surgery on the ENT UK website
There are some things you can do to help heal a perforated eardrum and ease symptoms.
Do
take painkillers like paracetamol or ibuprofen to ease any pain
put a large piece of cotton wool covered in petroleum jelly in your outer ear when you wash your hair to stop water getting in
Don't
do not go swimming or get your ear wet until your eardrum heals
do not put anything inside your ear, such as cotton buds or eardrops (unless a doctor recommends them)
try not to blow your nose too hard because this can damage your eardrum as it heals
Flying with a perforated eardrum
It's safe to fly if you have a perforated eardrum. But if you've had surgery to repair a perforated eardrum (myringoplasty), do not fly until you're told it's safe to.
