Blood from the ears due to otitis media

Posted on by admin

Bleeding from the ear: want to know the causes and treatments?

Ear bleeding is a serious symptom that occurs in a number of diseases. The problem is rare, but is a signal for an early visit to an otolaryngologist.

Table of contents:

Occurs due to various reasons and at any age.

The girl holds her hand on her ear

Thanks to the structure of the auditory analyzer and sulfur, which has protective properties, the human brain is reliably protected from infection. The ears themselves do not require special care or protection. The only thing that is necessary is daily cleaning and protecting them from cold and loud noises.

Children most often bleed from the ears due to visible damage in the form of a scratch. Such a wound can be easily treated without the participation of a doctor. But, if blood appears from the ear canal, you should go to the clinic as soon as possible.

Why is blood flowing from my ear?

Bleeding from the ear is caused by the following factors:

  1. mechanical damage;
  2. infectious pathology;
  3. tumor;
  4. pressure surges.

Mechanical damage occurs for various reasons:

  • Cleaning with cotton swabs may cause scratches. This is a fairly common cause of the formation of a small accumulation of blood in the ear opening or shell. Such a wound is treated independently using a cotton pad soaked in an alcohol solution.
  • Rupture of the eardrum associated with cleaning the ears with objects not intended for this purpose: matches, pins.
  • Entry of a foreign object. In this case, the tympanic membrane may be damaged, followed by bleeding. In addition, dizziness, pain, and hearing loss additionally appear.
  • Trauma to the skull is often accompanied by loss of blood, which is life-threatening. When a bone is hit or broken, the temporal region and blood vessels are injured, and the tympanic membrane breaks. This causes blood to leak out of the ear canal.

Skull trauma may be linked to ear bleeding

The cause of bleeding may be infectious and inflammatory processes:
  • Candidiasis caused by yeast fungi. They affect the mucous membrane and skin of the ear, which leads to loss of elasticity and breakage of blood vessels. Itching in the ears, strong sulfur discharge, and swelling of the skin appear. In advanced cases, bleeding and deafness occur. The disease occurs as a result of long-term treatment with antibiotics.
  • Inflammation of the hair follicle provokes the appearance of boils. When the immune system is weakened, the ear canal is damaged and Staphylococcus aureus gets into it, an abscess develops. Additional other symptoms of the disease appear: throbbing pain in the ear opening, fever. Relief occurs after the boil breaks out, causing blood to flow from the ear.
  • The most common cause of discharge is otitis media. Inflammation of the middle ear is caused by infection, fungi or viruses. Bacteria enter the passage through the Eustachian tube, blood, or due to a rupture of the tympanum. The disease is accompanied by fever, pain and congestion in the ear. With purulent or influenza inflammation, severe intoxication of the body occurs. If there is bleeding from the ear due to otitis media in a child, you should definitely consult a doctor. Otherwise, this can provoke loss of consciousness, hearing, and the development of meningitis.

Important! Bloody discharge from the ear during otitis with purulent discharge is a serious symptom of the disease, which indicates the destruction of deep tissues.

  • Changes in pressure also cause bleeding. With a sharp jump, dizziness, the appearance of white dots before the eyes, and pain in the back of the head are observed. A rush of fluid to the head manifests itself in the form of ear or nosebleeds. Divers are most prone to the appearance of such discharge.

The cause of bleeding from the ear is cancer. As the tumor grows, it causes bleeding.

  • Neoplasm in the auditory canal. It can be seen with the naked eye. As the tumor grows, it extends beyond the edges of the outer ear. Patients complain of pain and hearing loss.
  • Paraganglioma, a benign neoplasm that forms in the internal jugular vein. During growth, it compresses the tympanic membrane, which manifests itself in hearing loss, pain, dizziness, and bleeding.
  • Polyps appear as a complication after purulent otitis media. As the mucous membrane increases, the growth protrudes, and discharge appears in the form of pus and blood with an unpleasant odor.

Treatment of ear bleeding

Therapy depends on the factor that caused the bleeding. What to do if fluid is leaking from your ear?

Important! The patient is positioned so that the blood flows freely from the ear. It is strictly forbidden to cover the ear canal with a tampon.

With light scratches, the bleeding is scanty and heals quickly. The ear is washed with clean water and lubricated with an antiseptic.

If blood is flowing from a child’s ear due to a foreign object getting into it, you should not remove it yourself. Such actions lead to the opposite effect (pushing it further) and worsening the condition. All manipulations are carried out only in the clinic by a specialist.

Treatment of otitis media is carried out after visiting an otolaryngologist. For the bacterial form, antibiotics are prescribed; for the fungal form, drops and cream are prescribed. If blood appears from the ear during otitis, it means that deep tissues have been damaged. Then complex therapy is required.

In case of a boil, local treatment of the ear canal with antiseptics is carried out, and after that the abscess is opened, the pus is removed, and the wound is lubricated with a special solution.

Damage to the eardrum is often accompanied by bleeding. After examination, the doctor treats the ear and inserts a swab soaked in the drug into the ear canal.

Traumatic brain injury requires urgent medical attention. A bruise forms in the skull, which bursts and blood comes out of the ear. The patient is laid down and the fluid is allowed to calmly drain from the wound. Ear candidiasis is treated with Candibiotic drops and Clotrimazole ointment. In some cases, the patient is prescribed tablets.

If you experience any bleeding, you should immediately seek medical help. It is forbidden to stop bleeding on your own; this can lead to irreversible consequences.

Source: http://nasmorkoff.ru/ear/krovotechenie-iz-uxa-xotite-uznat-prichiny-i-sposoby-lecheniya/

Blood in the ear due to otitis media

The appearance of blood in the ear during otitis is caused by the development of inflammation in the mucous membranes of the middle and inner ear, as well as damage to the eardrum or the opening of a boil in the external auditory canal. Catarrhal processes in the ear lead to morphological changes in tissue, which may result in bleeding.

The presence of blood impurities in serous or purulent exudate indicates the severity of the disease. If hemorrhagic exudate is detected in the ear canal, you should immediately seek help from a specialist. Delayed therapy often causes serious complications.

Prerequisites

Often, the occurrence of bloody discharge is caused by the development of otolaryngological diseases, accompanied by inflammation of the epithelial tissues in the hearing aid. Inflammation of the mucous membranes of the hearing organ can be provoked by:

  • infections;
  • chronic inflammation;
  • tumors in the ear;
  • perforation of the eardrum;
  • eczematous rashes;
  • mechanical damage.

The prerequisites for the occurrence of hemorrhagic exudate are shooting pain in the ear, pain on palpation of the tragus, purulent discharge from the ear canal, and hearing impairment. When pathological processes occur in the mucosa, tissue trophism is disrupted, which leads to its degradation. Subsequently, the walls of the blood vessels become thinner, which increases their permeability. This is one of the key reasons for the appearance of bloody discharge from the ear.

Causes of bleeding

There are several types of ENT diseases in which serious degenerative changes occur in the epithelial tissues of the hearing organ. The appearance of blood from the ear during otitis may be due to the presence of the following types of ear pathology:

  • acute otitis media is a disease in which catarrhal processes occur in the ear cavity, eustachian tube and mastoid process. At one of the stages of disease development (perforated stage), perforated holes form in the ear membrane. Their occurrence leads to the rupture of capillaries that permeate the membrane. At the same time, small amounts of blood may be found in serous secretions;
  • purulent otitis is a purulent inflammation of the mucous membranes of the ear, accompanied by a change in the structure of the ciliated epithelium. Pathological processes lead to ulceration of the walls of the ear cavity, as a result of which bloody impurities appear in the purulent exudate;
  • Bullous otitis is a post-influenza complication in which small blisters filled with hemorrhagic exudate form on the walls of the eardrum and tympanic cavity. Their spontaneous opening causes the appearance of blood in the external auditory canal;
  • myringitis - catarrhal processes in the eardrum, leading to the appearance of hemorrhagic rashes on its surface. As a result of stretching of the elastic membrane, the bubbles burst, after which bloody discharge occurs in the ear;
  • limited external otitis – inflammation in the hair follicle, which leads to the formation of a purulent abscess. With further infiltration of the affected tissues, the boil opens, which leads to the leakage of not only purulent masses, but also blood.

The appearance of hemorrhagic exudate in the ear canal may indicate the development of inflammation in the ear labyrinth.

In rare cases, minor hemorrhages in the ear canal occur due to the development of a fungal infection. As a rule, the proliferation of fungal flora leads to the appearance of allergic blisters filled with serous exudate and blood. Mechanical damage to the vesicles when scratching leads to the evacuation of the contents into the ear canal.

Neoplasms

Ineffective and untimely therapy for ENT diseases can cause local complications. In particular, chronic tissue inflammation leads to the appearance of benign or malignant neoplasms. Their growth can cause hemorrhages. Among the most common complications, experts include:

  • cholesteatoma - small tumors that form in the middle ear from keratinized epithelial cells and connective tissue. As they grow, they destroy healthy tissue, which leads to inflammation and, as a result, bleeding;
  • polyps are a complication of purulent inflammation in the middle ear, which is characterized by the proliferation of tissue in the auditory canal. Polyps are localized mainly on the surface of the mucous membrane of the ear cavity. Their spread often causes short-term bleeding;
  • carcinoma is a malignant neoplasm that occurs as a result of uncontrolled division of epithelial cells. Due to an increase in their volume, blood vessels are damaged, which leads to hemorrhage.

Important! In case of severe bleeding, cotton wool should not be placed in the ear canal.

A blockage in the ear canal can cause blood to enter the ear labyrinth. Damage to the semicircular canals is fraught with auditory dysfunction and vestibular disorders.

Aerootite

The appearance of blood from the ear during otitis may be due to a sharp change in internal and external pressure on the eardrum. ENT disease is considered an occupational disease and is called aerootitis. The following categories of people are most susceptible to the development of ear pathology:

When there is a sharp increase or decrease in external pressure, the eardrum either bulges or is pressed into the ear. If the pressure difference is low, a person feels stuffy ears. However, excessive pressure on the ear membrane provokes disturbances in the structures of the middle ear. This leads to inflammation or perforation of the membrane itself, which causes hemorrhages.

First aid

If bleeding occurs from the ear canal, you should immediately seek help from a specialist. If the bleeding is severe, before the doctor arrives, the patient needs to provide first aid:

  1. position the patient so that blood flows freely from the ear canal;
  2. fold a sterile bandage into 5-6 layers and apply to the sore ear;
  3. if the appearance of blood is most likely due to the opening of a boil, treat the wound with boric alcohol.

Important! Before a specialist arrives, you should not put medications in your ear. If there are perforations in the eardrum, they can cause hearing impairment and even greater swelling of the mucous membrane.

In case of serious damage to the eardrum, its regeneration without surgical intervention is almost impossible. To restore the integrity of the membrane, the surgeon performs tympanoplasty, due to which recovery occurs within 3-4 weeks.

Drug treatment

The principle of treatment of the disease is determined by the cause of hemorrhage, which depends on the type and stage of development of otitis media. After a comprehensive examination, pathologists may prescribe the following types of pharmaceuticals to relieve symptoms:

  • systemic anti-inflammatory drugs (Nurofen, Nise) - eliminate inflammation in tissues, which promotes their regeneration;
  • local antiseptics (“Chlorhexidine”, “Miramistin”) – eliminate pathogenic flora in areas of inflammation, which prevents the occurrence of complications;
  • antimycotics (“Miramidez”, “Pimafucil”) – kill yeast-like and mold fungi that lead to the development of otomycosis;
  • systemic antibiotics (“Ceftriaxone”, “Amoxicillin”) - eliminate the manifestations of purulent otitis and labyrinthitis;
  • antimicrobial drops (“Otirelax”, “Otofa”) - relieve inflammation and swelling of tissues by destroying pathogenic bacteria in the mucous membranes of the ear.

If benign tumors are detected in the ear, conservative treatment will be ineffective. Surgery will be required to eliminate the tumor. In the presence of malignant processes, therapy is carried out under the supervision of not only an otolaryngologist, but also an oncologist.

Author: Guseinova Irada

Comments and reviews

Blood in the ear when cleaning: causes

  • Why is there blood coming from my ear?

  • Ear discharge after tympanoplasty

    • You may also be interested in

    Current prices and products

    A drug made according to an old folk recipe. Find out how it got on the coat of arms of the city of Shenkursk.

    Famous drops for preventing diseases and increasing immunity.

    Monastic tea for ENT diseases

    For the prevention and assistance in the treatment of diseases of the throat and nose according to the prescription of Schema-Archimandrite George (Sava).

    Any use of site materials is permitted only with the consent of the portal editors and by installing an active link to the source.

    The information published on the site is intended for informational purposes only and in no way calls for independent diagnosis and treatment. To make informed decisions about treatment and medications, consultation with a qualified physician is required. The information posted on the site is obtained from open sources. The portal's editors are not responsible for its accuracy.

    Higher medical education, anesthesiologist.

    Source: http://lorcabinet.com/vospalenie/o-bolezni/krov-iz-uha-pri-otite.html

    What to do if there is bleeding from the ear due to otitis media?

    Content

    Blood appears from the ear due to otitis media - what could this mean? The appearance of bloody discharge from the ear canal in this disease, if not frightening, then puzzles patients: it seems that there is nowhere for bleeding to appear. A healthy person, indeed, never experiences ear bleeding, but with inflammation of the middle ear, bleeding is possible, and it is not always a dangerous sign.

    Anatomy of the disease

    Blood from the ear, if otitis media occurs, appears infrequently. But if there is heavy bleeding, then after first aid you need to urgently visit a doctor.

    How does the human hearing organ work?

    It includes:

    • middle ear (consists of the eardrum and a cavity to ensure its oscillatory movements under the influence of auditory impulses);
    • inner ear (where sound vibrations are transformed into nerve impulses).

    How well a person hears depends on the full functioning of all parts of the hearing organ.

    But the human ear is not an isolated system, and when the immune system is weakened under the influence of unfavorable factors (bacteria, fungi or viruses), an inflammatory process can develop in it. The focus of catarrhal, serous or purulent inflammation is localized behind the eardrum, in the cavity of the middle ear. The disease is accompanied by fever and hearing loss in the inflamed organ; in severe forms, coordination may be impaired.

    With the catarrhal form of the disease, there is no discharge from the ears, but with other types of pathology, small leaks of clear or purulent fluid are possible.

    Causes of bleeding

    Bloody discharge may appear for 2 reasons:

    • ear canal injury;
    • rupture of the eardrum.

    Injury

    Injuries can occur:

    • When treating during an illness of the ear canal, scratches or abrasions are inadvertently caused by hard objects.
    • With frequent use of certain medications (this happens in patients who instill ear drops more often than recommended by the doctor), erosions and ulcers can form.

    In both cases, bleeding is very slight; if there is no exudate, it goes unnoticed by patients. When serous (less often purulent) exudate flows from the ear, small drops of blood will be visible in the discharge during treatment or when replacing a tampon with medications.

    Rupture of the eardrum

    With complicated otitis media, pus or serous fluid accumulates in the middle ear cavity. If liquid serous exudate, leaking, is gradually removed outward, then pus in most cases accumulates in the middle ear cavity and puts pressure on the eardrum.

    Under pressure, the membrane ruptures, and the purulent contents, along with blood, are discharged from the damaged vessels.

    Is it good or bad?

    It is worth considering what happens during a break:

    • Purulent masses come out. Elimination of pus contributes to the subsidence of the inflammatory process and recovery. This can be called a positive thing.
    • Rupture of the membrane disrupts its vibrational properties and ability to conduct sound waves. Additionally, the hearing aid may be affected, leading to loss of coordination, nausea and vision problems. Complete infection of this part of the auditory organ does not always lead to restoration of impaired functions. ENT doctors prefer not to wait for the abscess to break through, but to make a careful incision in the auditory membrane, facilitating the release of pus - this method is less traumatic for the patient.
    • Entry of purulent-blood masses into the cavity of the inner ear, which is very rich in nerve processes. The penetration of the pathogen into the nervous tissue can provoke such a serious complication as meningitis.

    When profuse purulent-bloody discharge appears, it is always necessary to seek medical advice.

    Ways to stop bleeding

    Of course, conditions when blood is released from the ear along with pus or serous exudate are always dangerous and require medical attention.

    You need to call an ambulance or go to the hospital, but first you need to stop the bleeding that has occurred by providing the patient with first aid:

    • Sit or lay the person down so that the head is facing down with the injured side. It is impossible to do the opposite - this will contribute to the flow of pathological discharge into the inner ear. Blood and exudate should come out easily.
    • Place a layer of gauze on the auricle and secure with a bandage. It is not recommended to insert tampons into the ear canal.
    • Apply an ice pack or medical cold pack over the bandage. Cold causes blood vessels to constrict and reduce the amount of blood flowing out.

    After this, the patient must be taken to a medical facility, even if the ear bleeding has stopped.

    Source: http://boleznikrovi.com/krovotecheniya/krov-iz-uha-pri-otite.html

    Blood from the ear with otitis media

    Bleeding from the ear: how dangerous is it?

    Bleeding from the ear is a very serious and most often dangerous symptom that appears as a result of injury or some disease. In any case, remember that any discharge from the ear canal requires immediate medical attention.

    As already mentioned, ear bleeding can occur for completely different reasons. But do not forget that this is a very dangerous sign and self-medication is inappropriate here. So why does my ear bleed?

    • Acute or purulent otitis media is the most common cause. This is an inflammation of the middle ear, which is accompanied by an increase in body temperature and unbearable, shooting pain. This disease is accompanied by the release of pus mixed with blood. If you have such symptoms, you should immediately contact an ENT specialist.
    • Blood from the ear can appear as a result of fractures of the skull bones - in such cases there is a severe headache, partial loss of vision, as well as tissue swelling, concussion, and sometimes nosebleeds. Remember that if left untreated, a fracture of the temporal bones can lead to complete hearing loss and even more serious problems.
    • A ruptured eardrum is also accompanied by bleeding. As a rule, such an injury is caused by the penetration of foreign objects into the auditory canal. For example, children often harm themselves while playing, or when cleaning their ears with improvised, sharp objects. A rupture can also be caused by a sudden change in pressure, for example, in divers who dive or ascend too quickly.
    • In some cases, blood from the ear may be a symptom of a well-known fungal disease called candidiasis. Of course, fungi of the genus Candida relatively rarely affect the ear cavity, but, nevertheless, with a strong decrease in immunity, this is quite possible. The disease is accompanied by pain, itching in the ear canal, hearing loss and bleeding. For treatment, special antifungal agents are used.
    • Another reason is a boil that occurs as a result of damage to the hair follicle by Staphylococcus aureus. By the way, a similar disease also occurs when the immune system is weakened. As a rule, a boil grows on the walls of the ear canal or in close proximity to the eardrum. The disease is accompanied by pain, swelling and redness of the external tissues. After a few days, the boil bursts, resulting in the release of pus with bloody impurities.
    • Sometimes bleeding from the ear can be caused by damage to the outer tissues of the auricle and ear canal. As a rule, wounds and scratches appear after penetration by a foreign, sharp object. This is the only case when you can do without medical help - you just need to treat the damaged areas of the skin with an antiseptic solution. But if the injury is accompanied by severe, prolonged pain, you need to seek medical help - the eardrum may be damaged.

    In fact, blood from the ear can be a symptom of other problems - only the most common causes are listed above. For example, bleeding can be caused by the growth of polyps, the development of a malignant or benign tumor, etc. It is almost impossible to diagnose the disease on your own, so be sure to consult an otolaryngologist. Only a doctor can prescribe the correct treatment.

    Bleeding from the ear: causes and treatment

    Bleeding from the ear, as well as other ear discharge of a dubious nature, is a reason for immediate consultation with a medical specialist. Medical research data indicate that most often bleeding from the ear is due to otitis media, polyps or glomus tumor of the jugular vesicle. Bleeding from the ear can also be caused by traumatic brain injury. There may be other factors causing this disease.

    Why bleeding comes from the ear, and what methods are used to treat bleeding, you will learn on this page.

    Why blood flows from the ear and treatment of ear bleeding

    If you are experiencing bleeding from your ear, you should definitely contact a medical facility to find out the cause of the bleeding. Most conditions that cause blood or other fluid to leak from the ear require immediate treatment in a hospital setting.

    Bleeding is preceded by a violation of the integrity of the skin of the auricle or external auditory canal as a result of mechanical damage (wounds, scratches). This is the only reason that does not require medical attention. In this case, the bleeding is light and quickly stops on its own. In case of damage to the eardrum, a foreign body in the ear canal, or barotrauma, moderate-intensity bleeding is accompanied by tinnitus, headache, dizziness, and, less commonly, temporary visual impairment.

    Polyps of the auricle (growths of the mucous membrane protruding above its surface) are accompanied by purulent-hemorrhagic discharge from the ear with an unpleasant odor. With this condition, a decrease in hearing acuity is sometimes observed.

    Another reason why blood flows from the ear may be a glomus tumor (a benign tumor of the jugular vesicle), which forms in the area of ​​the jugular vein bulb. Its growth usually goes in the direction of the tympanic cavity, the external auditory canal. This process is accompanied by repeated heavy bleeding from the ear, tinnitus, and sometimes decreased hearing acuity. Also causing frequent ear bleeding is squamous cell carcinoma of the middle ear, a malignant tumor that affects epithelial cells.

    Bleeding from the ear in children is often due to acute otitis media. When it occurs, bloody-purulent discharge from the ear, an increase in temperature up to ° C, and intense pain in the ear are observed. Bloody discharge with virtually no admixture of pus is a poor prognostic sign, a symptom of the progression of the process, its transition to deep-lying tissues, up to inflammation of the meninges (meningitis).

    Ear candidiasis is characterized by periodic heavy or moderate bleeding, as well as severe itching in the ear and progressive deafness.

    A fracture of the base of the skull (open traumatic brain injury), namely a fracture of the middle cranial fossa, which damages the middle and inner ear, is the cause of heavy bleeding from the ear, bruising in the area of ​​the temporal muscle and mastoid process, decreased hearing acuity or irreversible deafness.

    Any bleeding from the ear requires urgent diagnosis of its cause. If there is bleeding from the ear, treatment must begin at the initial stage. The slightest delay is fraught with progression of the pathology or the addition of extremely serious complications. Therefore, even with mild bleeding, you should immediately seek help from an otolaryngologist.

    What are the signs of otitis media in an adult?

    Otitis media is a disease that affects hearing and other vital processes. Having discovered signs of otitis in an adult, treatment should be started immediately to avoid serious consequences (Fig. 1). Some types of otitis media have irreversible effects on hearing; the patient’s quality of life depends on its timely detection and effective treatment.

    Figure 1. Diagnosis of otitis media in adults.

    Classification of otitis media

    Otitis is the name given to inflammatory processes that develop in the inner ear (labyrinth), middle ear or in the auricle and external auditory canals. Depending on the process of the disease, there are:

    Figure 2. Diagram of otitis media.

    • acute otitis media, which occurs suddenly with pronounced symptoms;
    • chronic otitis, with prolonged inflammation and periodic exacerbations.
    • For the reasons for the development of otitis media, the following forms are distinguished:
    • allergic;
    • bacterial;
    • traumatic;
    • viral.

    During the course of the disease, according to the methods of its manifestation, they are distinguished:

    • purulent otitis, in which pus accumulates behind the eardrum (Fig. 2);
    • catarrhal otitis media with swelling and redness of the tissues, but without liquid or purulent discharge;
    • exudative otitis media, which involves the accumulation of fluids (blood, lymph) in the middle ear, which create a favorable environment for the development of pathogenic microbes.

    Otitis media manifests itself differently in everyone. Signs of the disease can vary significantly.

    Causes of otitis media

    For inflammation to appear in the external auditory canals, a slight damage to the skin is enough. From a blow, scratch or careless cleaning of the ear, the infection gets under the skin. Otitis media can be caused by an insect bite to the lobe or other area of ​​the ear.

    During bathing or swimming, water that gets into the ear is a favorable environment for the development of microbes. Foreign objects (crumbs, soil, sawdust) provoke otitis media in adults.

    Figure 3. Hydrogen peroxide for the treatment of otitis media.

    In addition to the listed reasons, which cause the disease by accident or carelessness, there are otitis media caused by infection. They arise due to such factors:

    1. Diseases of the nose and sinuses (sinusitis, sinusitis, sinusitis). With swelling of the respiratory tract, fluid stagnates in the middle ear, in which pathogenic microorganisms develop.
    2. If you blow your nose incorrectly during a cold, the infection does not leave the body, but spreads to neighboring organs.
    3. Against the background of diabetes, kidney disease, eczema, psoriasis and other diseases, the immune system is weakened, which is why any respiratory disease spreads to the middle ear.

    Often the profession contributes to the development of the disease. Scuba divers or pilots constantly have to experience pressure changes, which negatively affect the health of their hearing organs.

    Symptoms of otitis in an adult

    Depending on the location of the source of inflammation, the sensations experienced by a patient with otitis differ. With external otitis, pain symptoms occur when pressure is applied to the skin. If a boil is present, the pain is localized near it, and as it matures, a purulent discharge forms. In the last phase, throbbing pain bothers the person constantly, without physical impact on the skin. If the source of inflammation is located in the ear canal, there is a feeling of pressure on the eardrum, a feeling of stuffiness in the ear.

    As a result of the spread of infection, otitis media occurs. It affects the area between the external auditory canals and the inner ear. The patient complains of the following symptoms:

    Figure 4. Ear drops for otitis media.

    • temperature increase;
    • severe headaches;
    • shooting pain in the ear;
    • noise, ringing in the ears;
    • bloody or purulent discharge from the ear due to perforation of the eardrum;
    • hearing impairment.

    With inflammation in the labyrinth of the auditory canals (otitis interna), the most severe disturbances are observed. This form of the disease can appear some time after recovery from a cold. It is accompanied by the following symptoms:

    • dizziness;
    • lack of coordination;
    • nausea; rapid motion sickness in transport;
    • complete or partial hearing loss;
    • frequent movements of the eyeballs.

    Adhesive inflammation of the ear is characterized by thickening of the mucous membrane of the auditory tubes and eardrum. As a result, a gradual decrease in hearing occurs. Thickenings prevent the outflow of exudate, in which pathogenic bacteria develop. Ear inflammation is accompanied by fever, headaches and weakness.

    With allergic otitis media, mucus is observed in the purulent discharge. The temperature does not increase, but hearing loss is present. The patient is bothered by severe itching in the ear and a feeling of iridescent fluid in the head.

    Otitis media begins to manifest itself as symptoms of a general malaise, but gradually specific signs of the disease are revealed.

    The sooner treatment is started, the less the body suffers. For example, with prolonged suppuration, there is a danger of infection of the blood and membranes of the brain, which provokes meningitis.

    Therefore, even with slight ear congestion that does not go away for 2-3 days, you should consult an otolaryngologist.

    Methods for treating otitis media

    The most common treatment is pharmaceutical medications. They are aimed at relieving the main symptoms of the disease. After examination and diagnosis, the ENT prescribes drugs from the following groups to the patient:

    1. Antihistamines. They will help alleviate the condition of allergic otitis media and reduce the manifestations of edema (Suprastin, Erius, Cetrin).
    2. Analgesics. They will reduce attacks of pain and have an anti-inflammatory effect. For otitis media, they are prescribed in the form of ear drops. Adults should instill 5-8 drops into the ear 3-4 times a day. For prevention, they are instilled into both ears, even if the second one does not bother you (Otipax, Otix).
    3. Vagotonics. These drugs relieve swelling and promote the outflow of pus and exudative without perforation of the eardrum (Nazivin, Naphthyzin).

    Hydrogen peroxide and alcohol are used to clean the external auditory canal from pus (Fig. 3). Use a cotton swab to carefully remove all dirt, without plunging it deep into the ear, so as not to damage the eardrum.

    If the cause of otitis is a bacterial infection, the doctor will prescribe an antibiotic. The course of taking the drugs is 6-9 days. During this period, the doctor conducts visual observations and prescribes tests to determine the effectiveness of the prescribed medications.

    Physiotherapy (laser therapy, magnetic therapy, UHF, phototherapy, electrophoresis) helps speed up the healing process.

    If drug treatment does not bring significant relief for several days, and the patient experiences severe pain due to pus accumulated behind the eardrum, then surgical intervention is performed. Under local anesthesia, a puncture is made in the stretched tissues so that the pus can flow freely out. After the patient is cured, the puncture heals and hearing is restored.

    Traditional methods of combating otitis media

    Traditional medicine methods can be combined with home treatments. Here are some recipes for treating otitis media at home.

    1. Add 3 tablespoons of olive oil to a tablespoon of pharmaceutical propolis tincture. Warm the mixture to body temperature. Soak a cotton swab in the mixture and place it in the ear, change it every hour.
    2. Crush the head of garlic and add 50 ml of purified sunflower oil to the pulp. Leave in the light for at least 4-5 days, then strain and store in the refrigerator. Place 2-3 drops in each ear several times a day (Fig. 4).
    3. Peel a few aloe leaves and squeeze out the juice, which is instilled into the ear canal.

    Prevention of ear diseases

    Instead of long-term treatment, it is recommended to prevent diseases. Here are some tips for preventing ear inflammation:

    • avoid contact with people suffering from colds, strengthen the immune system;
    • prevent hypothermia of the head, wear a hat in the cold season;
    • when swimming, swimming or diving, use special plugs that protect against water ingress;
    • Avoid cleaning your ears too thoroughly to avoid damaging your skin and hearing.

    Often otitis media becomes a complication of other diseases, so you shouldn’t test your body’s strength for a long time. The earlier treatment of diseases begins, the fewer additional ailments will have to be treated.

    Blood flows from the ear after otitis media, what should I do?

    Answers:

    Twilight Sparkle

    This is what damaged 100% because after otitis their ear only pus flows (Acute purulent otitis) or the ear simply stops hurting and that’s it (Acute otitis).

    Bleeding is usually observed with a ruptured eardrum and/or soft tissue wounds in the auricle. Sometimes after a serious head injury. Overdone

    It's worth going to the doctor again

    Alexander

    it’s good that the question “you can’t edit it”

    Otherwise, with ready-made answers, they will correct their questions.

    maybe some “chiropractors” will help)))

    Doctor MAMMOTH

    Why the hell ask a question where you won’t be answered with 100% accuracy.

    Or do you think that only experienced otorhinolaryngologists sit here?

    Go to the doctor before your ears fall off.

    kind smiley

    You need to see a doctor, the ear is very dangerous, fraught with all sorts of complications, including brain cancer.

    Slava Prokhorov

    he didn’t harm you anything there, you had purulent otitis media, which by the way causes slight bleeding, go see him again and he’ll tell you what to do

    Lyudmila

    Go to the doctor, but you can’t clean your ears with chopsticks (they are cosmetic and not for the ears) and matches - since they cause a lot of injuries, you can only wipe them carefully, like for children, with cotton wicks, and you can also dry them with a hairdryer after a bath

    Perforated otitis: stages of occurrence

    • Membrane puncture
    • Membrane with otitis media
    • Perforation of membrane

    Acute purulent otitis media (perforated otitis) is an inflammatory process that occurs in the mucous membrane of the tympanic cavity. A distinctive sign of the disease is the presence of purulent fluid in the middle ear. It is very common in children under three years of age.

    In babies, the middle ear cavity can be easily infected by the penetration of microorganisms from the nasopharynx through the Eustachian tube.

    The incidence of such inflammatory diseases (eg, sinusitis) peaks in early childhood before the immune system matures. However, this does not mean that adolescents and adults are free from the risk of purulent otitis media.

    There are three stages of suppurative otitis media:

    • Preperforative. It is characterized by the development of inflammation of the middle ear cavity and the accumulation of fluid with its subsequent transformation into pus. Upon examination, a reddened (hyperemic) eardrum is visible.
    • Perforated. With perforated otitis media, the eardrum ruptures and accumulated pus begins to pour out of the ear. In this case, the patient usually notices a decrease in pain and feels better. Purulent discharge from the ear is initially profuse, sometimes containing blood. During a medical examination, the doctor may observe pus visible through the perforation and pulsating “in time” with the pulse.
    • Reparative. Healing and scarring of damaged tissue occurs.

    Puncture of the eardrum with otitis media: signs and symptoms

    What is a perforated eardrum? A tear in the membrane (the thin membrane that separates the external auditory canal from the middle ear) is called a perforation (puncture) of the eardrum. A puncture of the eardrum during otitis media is often accompanied by decreased hearing and sometimes leakage of fluid (pus). Perforation caused by injury or infection is usually accompanied by pain in the eardrum that burst.

    Symptoms and signs of a ruptured eardrum may include:

    • painful (sometimes unbearable) sensations in the ears;
    • discharge of purulent fluid (possibly with blood) from the ear;
    • partial or complete hearing loss;
    • ringing in the ear(s);
    • feeling of dizziness and associated nausea or vomiting.

    You can see what a ruptured eardrum looks like in the photo above.

    Contact an otolaryngologist, an ENT specialist, if any of the above-described signs or symptoms of a puncture of the eardrum due to otitis occur. The middle and inner ear are very sensitive to damage or infection. Quick and correct treatment will help preserve your hearing.

    If you think you have a punctured eardrum, do not get your ears wet to avoid infection.

    • Don't swim.
    • To protect your ear, use a shower cap or place a cotton ball covered in Vaseline in your outer ear when showering or bathing.
    • When the eardrum is punctured, some drops, as well as folk remedies (for example, aloe for otitis) can only cause harm and increase pain.

    Eardrum with otitis media: diagnosis and effect on hearing

    Diagnosis of eardrum damage is carried out by examining the ear using an otoscope.

    • Visually, the perforation looks like a triangle-shaped gap with torn edges.
    • Perforation most often occurs in the lower quadrant of the eardrum.

    Typically, the size of the perforation determines the level of hearing loss—a larger hole causes more hearing loss than a small hole.

    • If the eardrum during otitis media has been damaged as a result of severe trauma (for example, a fracture of the skull) and this is accompanied by disruption of the inner ear, then hearing loss can be serious, including deafness.
    • The result of chronic infection due to damage to the eardrum due to otitis media can be long-term deterioration or loss of hearing.

    Perforation of the eardrum due to otitis media - stages of treatment

    Important!

    A hearing test should be performed before any perforation repair is performed.

    The benefits of closing a perforated eardrum for otitis media include:

    • preventing water from entering the middle ear during water procedures, which can worsen the patient’s condition;
    • improved hearing;
    • reduction of tinnitus;
    • preventing the occurrence of skin cysts in the middle ear, which can lead to the development of a protracted infection and damage to the structure of the ear.

    If the perforation is very small, an otolaryngologist (ear, nose, throat, and throat doctor) may choose to monitor it over time to see if the damage heals on its own. The doctor may also try to “patch” the patient’s eardrum in the hospital and prescribe ear drops containing pain-relieving ingredients. Do not use ear drops for otitis media that are not prescribed by your doctor.

    • To ensure that the injury heals faster and does not become infected, it is covered with tissue paper.
    • If your doctor feels that tissue paper will not provide quick or adequate closure of the hole in the eardrum, or if this method does not work, surgery may be necessary. It is usually quite successful in treating eardrum perforation due to otitis media.

    Typically, hearing improves after the eardrum heals.

    Source: http://neb0ley.ru/otit/krov-iz-uha-pri-otite.html

    Bleeding from the ear: what are the reasons and what to do

    Sometimes you can observe in yourself or in a child such an unpleasant and naturally concerning symptom as bleeding from the ear. There can be several reasons for this phenomenon: from simple and quickly removable to quite serious. In this article we will look at this issue and find out why bleeding from the ears occurs. We will also learn how to eliminate this dangerous symptom in an adult and a child.

    In adults

    Let's find out why bleeding from the ear can occur in an adult.

    Otitis media in the acute phase is a common cause. Please note that if this is indeed otitis media, then the released blood will certainly contain an admixture of pus. In this case, bleeding will be accompanied by acute shooting pain, ear congestion, and possibly fever.

    A ruptured eardrum also results in bleeding from the ear. As a rule, perforation of the membrane occurs as a result of purulent otitis, and is accompanied by severe pain.

    • Myringitis. This is called inflammation of the eardrum. Myringitis leads to severe pain, and as a result of bursting small capillaries on the membrane, it leads to the release of blood mixed with serous fluid. It is impossible to make this diagnosis on your own, since the symptoms of myringitis are similar to the symptoms of otitis media.
    • Injury. The possibility of injury to the ear canal cannot be ruled out: scratches or abrasions. Sometimes even careless ear cleaning can lead to such an injury, since the skin inside the ear canals is very delicate and thin. If the cause is a minor injury, then the blood will be released in very scanty quantities and will soon stop. In case of a more serious injury, a visit to the doctor is required: examination, ear rinsing, antiseptic treatment, and other measures to relieve possible complications are required.
    • Perforation of the eardrum. Although rare, membrane rupture does occur. Most often this occurs as a result of purulent otitis media, or a foreign body entering the ear cavity. Perforation is accompanied by severe pain and a noticeable decrease in hearing levels.
    • Sometimes benign formations may appear in the ear canals. They burst, causing exudate and blood to flow out of the ear. Often such discharge has an unpleasant putrid odor. Headache and dizziness are also associated with this pathology.
    • A boil in the ear canal is a likely cause of bleeding from the ear. This happens when a boil breaks through: pus with blood comes out. Very strong and sharp pain will accompany the appearance of discharge from the ear in this case.
    • Carcinoma is a malignant tumor located in the ear. This reason does not happen often, but nevertheless, to complete the picture, it is necessary to talk about it. In this case, bleeding will be frequent, but there will be no pain. With advanced carcinoma, hearing deteriorates greatly, and an unpleasant odor appears from the ear.

    All of the listed reasons for the appearance of blood from the ears may well be the causes of this disease in a pregnant woman. In this case, special requirements are placed on health, so a visit to the doctor is necessary.

    In the video, what are the reasons for bleeding from the ear and what to do about it:

    In children

    What reasons can cause blood to appear from a child’s ear.

    • A traumatic brain injury that a child can receive “out of the blue” during active play leads to ear bleeding. Even if the injury was so minor that it caused only a minor bruise, blood may still bleed. And in any case, an examination by a doctor is necessary to exclude serious consequences of the injury.
    • Perforation of the eardrum due to external circumstances. Children can place both a pencil and a stick in the ear to, for example, relieve itching. Sometimes such actions lead to a rupture of the membrane, and, naturally, blood flows. Along with bleeding, in this case the level of auditory perception will also drop significantly.
    • Sometimes a child may develop a boil in the ear, after which it ruptures and releases pus and blood from the ear canals. If the cause is a boil, the child will complain of ear pain, and the area around it will become very inflamed and red.
    • A disease such as myringitis can also cause bleeding from the ears. Myringitis is an inflammation of the eardrum, characterized by severe pain, high fever, and the formation of a bubble with serous fluid in the ear. After the bubble bursts, blood and exudate begin to flow out of it through the ear canals.
    • Ear candidiasis is a likely cause of bleeding from the ears. Many factors lead to the occurrence of fungal disease in the ear canals. The most common is long-term use of antibiotics, which suppress the normal microflora of the body and weaken the immune system.
    • Well, the most common cause of ear bleeding in children is various types of otitis media. Otitis media mainly leads to the appearance of blood. This disease is also accompanied by severe ear pain, weakness, dizziness, and other unpleasant and alarming symptoms. Immediate medical attention is required, as advanced otitis develops into purulent, and then meningitis is possible.

    Sometimes, although not often, the appearance of blood is associated with oncological problems. Various tumors that arise in the ear area, in the head, can put pressure on the blood vessels. Small vessels cannot withstand the pressure and burst. As a result of this, blood can be observed from the child’s ear. To exclude the possibility of this terrible cause, be sure to visit a doctor and carry out all the prescribed examinations.

    What drops are used to treat external otitis, and which of them are the most effective, is described in this article.

    But this article will help you understand which ear drops for otitis media with antibiotics are the most popular: http://prolor.ru/u/lechenie-u/kak-pravilno-lechit-otit-antibiotikami.html

    This article will help you understand what to do when your throat itches from the inside and coughs.

    Urgent Care

    If blood flows from the ear, before the doctor arrives, you can take some measures that will help alleviate the patient’s condition and, at the same time, will not harm.

    Fold a sterile bandage in several layers and apply it to the bleeding ear. If bleeding from the ear is caused by an injury, and the latter is clearly noticeable, you can treat the wound with peroxide. You can also make a turunda out of gauze, soak it in peroxide, and insert it into the bleeding ear to eliminate the infection.

    If the blood is caused by a boil located near the ear opening, the burst neoplasm should be treated with boric alcohol, and the remaining pus should be removed with a gauze swab.

    If the causes of bleeding are unclear, it is better to wait for a doctor, removing only the stains from outside the ear.

    Drug therapy

    Let's find out which medications can be useful to eliminate various causes of ear bleeding.

    If bleeding is caused by a fungal infection, antifungal agents are needed:

    To carry out antiseptic treatment of the ear, the following drugs are needed:

    • Chlorhexidine (this article will help you understand how to rinse your mouth with Chlorhexidine for a sore throat);

    They will be useful, including for injuries, boils, and otitis externa.

    If the bleeding is caused by otitis, you will need ear drops containing an antibiotic:

    If the blood is caused by an inflammatory process, antipyretic drugs may also be needed:

    • Nurofen;

    Antibiotics of targeted, pronounced action are necessary for purulent otitis media. Tools such as:

    How to treat

    Let's find out what methods will help cope with the elimination of ear bleeding.

    If bleeding from the ear is due to some external damage to the soft tissues, then the external auditory organs are usually washed. After this, cotton wool with an anti-inflammatory agent is placed in the ear canals, and the abrasions are lubricated with brilliant green to eliminate the possibility of suppuration. If the bruise is of sufficient size, then a cold compress to relieve swelling will not hurt.

    In the event of an injury that leads to the appearance of blood from the ear, the patient must be ensured rest and immobility in order to eliminate the possibility of damage to internal organs before a medical examination.

    Until the bleeding stops completely, the doctor provides the patient with appropriate assistance, which consists of administering vasoconstrictors and medications that improve blood clotting. In case of severe trauma, the help of a neurosurgeon and neurologist is necessary. And if a rapidly growing internal hematoma is detected, urgent surgery is prescribed. Also, if bleeding from the ear is caused by injury, the patient must take antibiotics to eliminate the possibility of developing a bacterial infection and inflammation.

    In the video, what to do if blood appears in the ear:

    If bleeding from the ear is the result of otitis media, treatment will be appropriate for the disease. The patient is prescribed antibiotics, antifungals and antihistamines to relieve swelling of the mucous membrane. Most often, for this disease, the main form of drug therapy is ear drops, which have all the properties described above.

    If bleeding is accompanied by ear pain, local painkillers are prescribed. Many ear drops, for example, contain a component such as lidocaine, which can quickly relieve pain.

    Otitis media in the chronic phase can be easily treated with physiotherapy. At the same time, it is necessary to eliminate foci of infection that led to the development of a chronic disease.

    Physiotherapy for the ear

    If bleeding from the ear is caused by a foreign body that has entered the ear canal, it must be removed, but only in a medical office. If a small object is deep enough and cannot be reached from the outside by any means, an operation is prescribed under general anesthesia. The presence of a foreign body in the ear canal not only causes bleeding and affects auditory perception, but also leads to inflammatory processes, purulent otitis, and other serious consequences.

    If bleeding from the ear is caused by tumors, an oncologist will treat the patient and eliminate this problem. Surgery may also be necessary.

    It is necessary to pay as much attention to this problem as possible. The close location of the auditory organs to the brain makes the latter very vulnerable in this case. If purulent otitis or other inflammatory process is not treated, the infection can spread to the lining of the brain, causing meningitis. Seek medical help if you notice blood from your ear: the sooner adequate treatment is provided, the sooner you will forget about this problem.

    Source: http://prolor.ru/u/simptomy-u/krov-iz-uxa-prichiny-chto-delat.html