Blood from the ears: possible consequences. Bleeding from the ear: causes and treatments

Ear bleeding is an alarming symptom that may indicate damage to the skin in the ear canal or perforation of the eardrum. Blood in the ear after cleaning is a good reason to seek help from an otolaryngologist. Mechanical damage to tissue leads to a decrease in local immunity, which is fraught with the development of opportunistic microorganisms.

According to experts, the problem in 95% of cases is caused by non-compliance with hygiene procedures. If blood appears on a cotton swab when cleaning your ears, this indicates damage to the blood vessels in the tissues being treated. To restore the integrity of the skin and membrane, you need to use local antiseptic drugs that have analgesic, decongestant and regenerating properties.

Causes of injury

Improper hygiene measures often cause injuries, resulting in blood appearing in the ear when cleaning. The causes of hemorrhages lie in damage to the network of small capillaries located in the upper layers of the skin. Less commonly, bloody discharge accumulates in the outer ear when the integrity of the membrane is damaged, which is associated with injury from sharp objects or cotton swabs.

Persistent ear bleeding may indicate damage to benign tumors in the outer ear.

When tissue is injured, hemorrhages are extremely rarely profuse. However, experts warn that if a problem occurs, it is necessary to undergo simple treatment using local agents. In this way, it is possible to prevent the occurrence of complications caused by the penetration of pathogens into the middle ear cavity through a damaged ear membrane.

Harm of cleaning

The ears do not require regular care, due to the ability of the ear canal to self-clean. Most often, blood from the ear occurs after cleaning with a cotton swab, which experts do not recommend using for hygiene procedures. Cleaning the ear canal with hard sticks leads to injuries, which is due to the specific structural features of the outer ear.

The auditory canal is conventionally divided into two sections:

  1. bone - a narrow canal located in front of the tympanic membrane;
  2. membranous-cartilaginous - the outer part of the auditory canal, which contains more than 2000 exocrine glands.

Sulfur is secreted exclusively in the membranous-cartilaginous region, from where it is easily evacuated to the outside due to the superficial growth of epidermal cells. The ability to self-cleanse eliminates the need for regular ear cleaning in the absence of ear diseases accompanied by exudation from the tympanic cavity.

Why does blood appear in the ear when cleaning? Using cotton swabs for hygienic purposes leads to damage to the eardrum or thin skin in the bony part of the ear canal. Mechanical injuries reduce local immunity, resulting in uncontrolled proliferation of opportunistic microorganisms.

Symptoms of damage

Perforation of the ear membrane is indicated not only by blood in the ear during cleaning, but also by sharp pain that quickly subsides. Untimely treatment can lead to the development of complications, as indicated by the following symptoms:

  • hearing loss;
  • dizziness;
  • gagging;
  • aching pain;
  • tinnitus.

If there are large perforated holes in the membrane, patients feel how air is evacuated from the sore ear when they sneeze or cough. Despite the ability of the membrane to regenerate, significant damage can only be repaired through surgery. Myringoplasty helps restore the integrity of the membrane, resulting in improved hearing in patients.

Important! Untimely surgical intervention can cause irreversible morphological changes in the eardrum.

Diagnostics

If blood appears on the stick when cleaning your ear, it is advisable to undergo an examination by an otolaryngologist. To make a diagnosis, palpation examinations and otoscopy are performed. Carrying out diagnostic procedures allows you to:
detect swelling;

  • identify damage in the ear canal;
  • assess the degree of damage to the ear membrane;
  • determine the presence of foci of inflammation;
  • detect bloody discharge.

With extensive perforation of the ear membrane, otoscopy can be used to determine the condition of the mucous membrane in the middle ear. An otolaryngologist conducts research using a frontal reflector and a metal funnel. If inflammatory reactions are detected in the organ of hearing, the membrane will have a reddish tint.

First aid

If damage occurs in the ear after performing hygiene procedures, you should seek help from an ENT doctor. It is not advisable to pour alcohol solutions into the ear canal for disinfection. If there are perforated holes in the ear membrane, fluid will leak into the tympanic cavity, which will cause aseptic inflammation.

Important! You cannot wash your ears and remove bloody discharge from them yourself. This can cause infection of the middle ear with bacterial, fungal or viral pathogens.

First aid should be limited to inserting a sterile gauze turunda secured with a bandage into the ear canal. In case of severe pain, it is allowed to give the patient a painkiller such as Paracetamol or Diclofenac. During transportation of the patient, it is advisable to ensure that he does not throw his head back. This can cause bloody discharge to end up in the middle ear rather than the outer ear canal.

The principles of pharmacological treatment are largely determined by the nature of the complications that arise when the tissues of the outer ear are damaged. In order to relieve symptoms of pathology and prevent the development of infectious inflammation, the following can be used:

  • antibacterial drugs (Amoxicillin, Spiramycin) - prevent the proliferation of microbial pathogens in injured tissues;
  • vasoconstrictor drops (“Tizin”, “Sanorin”) - eliminate swelling in damaged skin and eardrum;
  • mucolytic agents (“Fluimucil”, “ACC”) - accelerate the process of evacuation of liquid secretions from the ear canal, which occurs during inflammatory processes;
  • anti-inflammatory drugs (“Otinum”, “Phenazone”) - relieve swelling and prevent the spread of inflammation into the middle ear cavity.

After using ear drops, it is advisable to seal the ear canal with a sterile turunda made of cotton wool or gauze.

Prevention

Blood in the ears during cleaning occurs only when the rules of hygiene procedures are not followed. According to experts, you should not use cotton swabs to clean the ear canals. In addition, cleaning can be done no more than once a month, subject to the following rules:

  1. dilute 3% hydrogen peroxide in boiled water in a ratio of 1:2;
  2. heat the solution to 37-38 degrees;
  3. drop 2 drops of the prepared drug into each ear;
  4. after 10 minutes, remove the liquid using gauze turundas.

Experts recommend using only hydrogen peroxide diluted in water, since a concentrated solution leads to dehydration of the skin in the ear canal. Tissue irritation can cause earwax dysfunction and ear plugs.

Causes of bleeding from the ear and their treatment

Blood from the ear, whether it is a slight discharge or a profuse leakage, requires mandatory and urgent consultation with a doctor. The fact is that there can be many reasons for bleeding from the organ of hearing, and some of them are very dangerous. Only a specialist will be able to find out the causes of pathology affecting the ears and prescribe adequate treatment.

Prerequisites and accompanying symptoms

The reasons for bleeding from the ear are varied. There are those that are more common than others and are directly related to ENT diseases, but there are also pathologies that are not related to the hearing aid, but are manifested by just such symptoms. In each specific situation, based on the accompanying clinical picture and during the examination, the doctor will be able to make the correct diagnosis. The most common causes of the condition when there is bleeding from the ear:

  1. Acute otitis media. Infectious pathologies of the middle ear and dirty water most often cause the appearance of otitis media and blood from the ear. But blood in otitis must necessarily be mixed with pus, and even, what is even more likely, pus with streaks of blood flows out. Heavy bleeding is unlikely to indicate otitis media, which, among other things, is characterized by acute, throbbing, shooting pain, ear congestion, and temperature. Also, blood with pus can mean perforation of the eardrum due to otitis media, and during this condition the pain becomes acute and sharp.
  2. Myringitis, or inflammation of the eardrum. This pathology causes the appearance of inflammatory vesicles on the membrane, which, after opening, cause blood from the ear in small quantities, mixed with serous exudate. With myringitis, all the symptoms resemble those of otitis externa (pain, itching, burning), and it is impossible to independently differentiate these diseases.
  3. A scratch or other injury to the ear canal. It is very easy to get a wound or scratch on the delicate skin of the ear canal, especially in children, when cleaning the ear or introducing a foreign body. When examining the initial parts of the outer ear, you can detect such a scratch, but in case of a more serious injury, you should urgently consult a doctor. If the cause of the bleeding lies in a simple scratch, then after a few drops of blood are released, it stops.
  4. Trauma (rupture) of the eardrum. In fact, it is impossible to damage the membrane unnoticed, since it is quite strong. This usually occurs when a foreign body enters the ear and is accompanied by severe pain, noise in the ear, the appearance of blood and hearing loss.
  5. Hyperplastic processes in the ear. Various benign tumors can become injured, fester, their membrane bursts, resulting in bleeding from the ear. Usually, in the presence of such problems, an unpleasant odor from the ear, congestion, gradual deterioration of hearing, and sometimes headache, dizziness, and visual disturbances appear.
  6. Furuncle of the auditory canal, or limited external otitis. The inflammatory process in the hair follicle leads to suppuration of the latter due to infection with Staphylococcus aureus. Associated symptoms with a boil are sharp pain in the ear, swelling of the ear canal, its hyperemia, increased pain when pressing on the ear nodule. After opening the boil, pus flows out of it along with blood.
  7. Candidiasis of the ear cavity. This pathology is caused by candida - yeast-like fungi. Typically, the disease occurs after the abuse of ear antibiotics, when active proliferation of fungi begins in the ear canal or middle ear. Bleeding with ear candidiasis is not profuse, accompanied by itching, discomfort, and a white, curd-like coating is noticeable on the ear canal.

Less often, but still a malignant process in the ear - carcinoma - can occur. This disease is characterized by frequent bleeding, but no pain. In advanced stages, the patient's hearing is severely impaired and an unpleasant odor appears from the ear. There is another disease accompanied by bleeding - malignant otitis externa, which causes deep damage to the tissues of the ear and bones. This disease causes severe pain, high body temperature, and hearing loss.

After a head injury, if bleeding from the ear is detected, a fracture of the base of the skull can be suspected. In this case, there may be copious leakage of blood, bruising is visible around the temporalis muscle, as well as in the area of ​​the mastoid process of the temporal bone. Other injuries in which blood from the ear can be recorded are head injury, contusion of the labyrinth.

Treatment of ear bleeding in hospital and first aid

In many situations, after examining the patient, the otolaryngologist directs him to undergo a course of therapy at home, but sometimes the patient requires urgent hospitalization. If blood appears due to a foreign body entering the ear, after a head or eardrum injury, the person should be immediately taken to the emergency room to see a traumatologist, who will decide on further treatment tactics.

In addition, you should urgently consult a doctor if you have severe ringing in your ears, sudden loss of hearing, sudden vomiting, nausea, dizziness, and all these symptoms are combined with bleeding from the ear canal. Emergency care at home before the arrival of an ambulance doctor may include the following measures:

  1. fold the sterile bandage 5-6 times and apply to the ear;
  2. if there is a clearly noticeable injury to the ear canal, carefully treat the wound with hydrogen peroxide or place a tampon with peroxide in the ear;
  3. If a small burst boil is detected near the external opening of the ear canal, it should be treated with boric alcohol, removing the remaining pus with a gauze swab.

After providing first aid, it is still better to consult a doctor to rule out severe pathologies and serious causes of bleeding from the ear. Injuries require treatment in a specialized department of the hospital, depending on which organ was damaged (skull, spine, labyrinth, brain, etc.). If the eardrum is severely ruptured, a person may require tympanoplasty surgery. Small perforations heal on their own in 2-4 weeks.

Medicines for bleeding

It is impossible to prescribe a person any universal medicine that would help get rid of bleeding from the ear. After establishing an accurate diagnosis, the doctor will select a treatment package, which will include medications to eliminate the cause of the pathology. The most commonly recommended drugs are:

  1. antimycotic drops and ointments (for ear candidiasis) - Candibiotic, Miramidez, Clotrimazole, Terbinafine, Pimafucil;
  2. local antiseptics (for external otitis) - boric alcohol, Miramistin, Chlorhexidine;
  3. combined action drops, antibacterial drops, drugs with NSAIDs (for different types of otitis) - Otofa, Normax, Anauran, Polydexa, Dexona, Sofradex, Otinum, Otipax, Otirelax;
  4. systemic anti-inflammatory drugs (for otitis with fever) - Nise, Ibuprofen, Nurofen;
  5. systemic antibiotics (for purulent otitis, myringitis, labyrinthitis and other serious diseases) - Amoxicillin, Ceftriaxone.

If benign ear tumors are detected, surgery may be necessary. In case of malignant processes, treatment is carried out under the supervision of an oncologist and otolaryngologist.

Therapy with folk remedies

Only with external otitis, as well as with a confirmed diagnosis of catarrhal otitis media, can folk remedies for bleeding from the ear be used. All other causes must be eliminated strictly in accordance with the doctor’s recommendations through conservative therapy.

Among the methods of treatment “from the people” the following are used:

  • Dilute hydrogen peroxide to 0.3% concentration and drop 5 drops into the ear. Repeat three times a day.
  • Infuse the pulp from a clove of garlic in a tablespoon of boiling vegetable oil, drop 3 drops into the ear three times a day.
  • Squeeze the juice from the onion, mix a spoonful of juice and 50 ml of olive oil and half a teaspoon of sea salt. Heat on fire for 5 minutes, after cooling, drop 2 drops three times a day into the ear.

What not to do

It is prohibited to do the following if even a minimal amount of blood appears in the ear:

  1. try to look deeper into the ear by pulling it back;
  2. try to remove the foreign body yourself, especially in a child;
  3. instill any drops until the ear is examined by a doctor;
  4. warm the ear;
  5. apply cold lotions and compresses to the affected area.

Thus, bleeding from the ear can have both trivial and serious causes, and the situation cannot be left to chance!

In the next video you will learn what to do when a child has an earache and how to get rid of earache at home.

Are you one of those millions who want to strengthen their immune system?

Have all your attempts been unsuccessful?

Have you already thought about radical measures? This is understandable, because a strong body is an indicator of health and a reason for pride. In addition, this is at least human longevity. And the fact that a healthy person looks younger is an axiom that does not require proof.

What to do if blood flows from the ear due to otitis media?

Any disease is an unpleasant event for a person, but otitis media has, perhaps, surpassed many of them. These terrible shootings in the ears, headaches, and weakness can knock a person out of the usual rhythm of life for quite a long time.

Unfortunately, many of us are in no hurry to visit a doctor, most likely not realizing what complications otitis media is rich in. Trying to treat on their own, they turn to a specialist only when they are frightened by the appearance of blood from the ear due to otitis media. Let's talk in more detail about this phenomenon, when it appears and what to do in this case.

Causes of blood in the ear during otitis media

Otitis- a rather serious disease that requires careful monitoring by a doctor. If the patient still postpones a visit to the otolaryngologist when minor symptoms of ear inflammation appear, apparently hoping that it will go away on its own, then if there is discharge from the ears, you can’t wait any longer.

Any fluid coming from the ear, especially blood, requires immediate examination by a competent specialist.

Such actions are necessary to prevent negative consequences, including hearing loss.

When considering such a phenomenon as blood from the ear during otitis in a child and an adult, you must first of all pay attention to the factors that provoke its appearance.

So, in some cases this may be the norm, and in some cases it may be a real threat to the patient’s health.

Reference. Bleeding can be caused by a long-term inflammatory process.

The main causes of ear bleeding due to otitis media are the following:

  • at the initial stage otitis of the outer ear - bleeding can occur as a result of mechanical damage to the ear canal (irritated skin, the appearance of small cracks, as a result of which the vascular system of the ear is damaged);

Reference. In this situation, the bleeding will be short and light, since the blood will quickly clot.

  • at purulent form of otitis - when the eardrum ruptures, a certain amount of blood may be released along with pus and this is a normal phenomenon. This is a sign that the patient’s condition will improve in the coming hours;

Attention! However, if after perforation of the eardrum blood leaks out of the ear, there is no purulent mass, and the pain has subsided - this is an alarm bell that requires immediate medical attention.

  • at otitis media - if only blood flows out, then this is a very serious symptom. This phenomenon indicates damage to deep-lying tissues, and there is a threat of meningitis.

Important! In this case, there can be only one course of action - immediate contact with a medical institution.

Blood from the ear with otitis media - what to do

The most correct decision when detecting blood from the ear during otitis in adults and children is a visit to a competent specialist - an otolaryngologist.

Since there are conditions that cause this phenomenon, which require emergency medical care in a hospital setting.

However, in situations like these, it is a good idea to do first aid before going to the hospital.

To do this, you need to do the following at home:

  1. Sit the patient down and tilt his head down and to the side, which will allow the blood to flow out freely.
  2. Apply a sterile bandage to the ear, but under no circumstances should it be completely blocked.
  3. You can apply something cold over the sterile dressing. This will help stop the bleeding. Cold water can only be applied for a short period of time. and it is advisable to first wrap it in a towel so as not to get a cold on your head.

After such measures, regardless of whether the bleeding has stopped or not, you need to visit a doctor immediately.

Conclusion

If blood from the nose is a fairly common and largely understandable phenomenon, then blood from the ear is seriously frightening.

Of course, the cause may be either ordinary trauma to the skin or a more serious provoking factor.

Therefore, it is best to visit a doctor and make sure that everything is within normal limits. And if there is any deviation, then this is a chance to help your body in a timely manner and avoid dangerous consequences.

After all, hearing, along with other senses, makes our life bright and colorful.

Bleeding during otitis media

To know what bloody discharge from the ears means, you need to understand the structure of the organ of hearing. The human ear consists of three parts:

  • External auditory canal (outer ear)
  • The eardrum and the tympanic cavity that transmits sound vibrations (middle ear)
  • Apparatus for transforming mechanical vibrations into nerve impulses (inner ear)

Otitis media is microbial in nature. Bacteria penetrate different parts of the ear in different ways:

  • Into the outer ear - through the auditory canal
  • Into the middle ear - through a tube connecting the middle ear cavity to the nasopharynx
  • Into the inner ear - through the middle ear, in which the inflammatory process occurs

Bleeding from the ear is an uncommon symptom of otitis media. Like all other bleeding, it indicates injury to the skin.

Blood from the ear with otitis media

Otitis bleeding can have two causes:

  • At the initial stage of otitis externa - as a result of mechanical damage to the ear canal (cracking of the skin, trauma caused by an object, etc.)
  • In the acute form of otitis media - as a result of loss of integrity of the eardrum.

In both cases, the bleeding will be slight. It is likely that it will not be detected at all. In the first option, the blood will quickly clot before reaching the exit from the ear. The second case should be discussed in more detail.

Bleeding is a consequence of a long-term inflammatory process.

Pus accumulating in the middle ear begins to signal a problem long ago:

  • causes significant sensations of pain and pressure in the ear
  • increases body temperature
  • impairs or deforms hearing function
  • may cause dizziness and other effects

The eardrum is a thin structure whose fibrous fibers can withstand relatively high pressure. Before a violation of the integrity of the eardrum occurs, a person experiences a complex of unpleasant and painful symptoms that send him to the doctor. If the membrane ruptures, then along with blood discharge during otitis media, there will be an outflow of pus from the middle ear cavity.

After the rupture, the pain will decrease, which can be subjectively perceived as a retreat of the disease. However, the ongoing inflammatory process, even with a decrease in pain, can spread to the inner ear and cause severe complications, even death. An eardrum whose integrity is compromised will degrade over time, leading to complete hearing loss.

Pus from the ear with otitis media

Purulent discharge from otitis media is more common than bleeding from the ear.

They may be a consequence of:

  • Inflammation in the middle ear with simultaneous deformation of the eardrum
  • Chronic otitis media
  • Otitis externa
  • Furunculosis in the outer ear

1. Purulent discharge from inflammation of the middle ear is pale or yellowish in color, may be accompanied by slight bleeding and always leads to a decrease in pain.

2. Chronic otitis media of the middle ear is observed when the eardrum does not heal. Pus comes out periodically in small portions. The disease develops against the background of progressive hearing loss and deformation of the bones in the tympanic cavity.

3. Purulent discharge from otitis of the external ear has a curd consistency and is white in color with possible inclusions. They are the result of a fungal infection that enters through the external auditory canal.

4. However, in half of the cases, the cause of purulent discharge from the ears is small abscesses on the skin of the ear canal. They are formed due to the entry of a bacterial environment into places where the integrity of the skin is damaged. This may be a consequence of mechanical damage:

  • Ear picking (including for hygienic purposes)
  • Frequent exposure to water, alcohol medications, aggressive environments (including juices and infusions of some plants)

In addition, furunculosis of the external auditory canal more often affects people with psoriasis, eczema, dermatitis, increased secretion of the sebaceous glands and other skin diseases.

Fluid in the ear due to otitis media

Pinkish liquid (ichor) can leak from the ear for the same reasons as bleeding: due to mechanical damage to the external auditory canal or eardrum.

The second potential option for the appearance of fluid and fluid discharge from the ear is a complication of otitis media. Like the leading disease, the complication develops mainly in children against the background of several otitis media in a row. The likelihood of occurrence is determined by the individual anatomical structure of the child’s ENT organs. Actually, the problem in this case is not the liquid itself, but its accumulation, i.e. impossibility of drainage through the Eustachian tube.

As a consequence of impaired drainage of the middle ear, deafness develops.

Fluid after otitis media may contain residual bacterial agents and lead to re-infection of the ear and nasopharynx.

Sometimes fluid in a child’s middle ear can disappear after otitis media without additional intervention, after a series of special physiotherapeutic procedures. Often requires surgery and placement of a special tube in the ear, which ensures the outflow of fluid from the middle ear cavity and improves its drainage. From the outside the tube is invisible. The child goes with her for a year or a little less. After surgery, the child’s hearing is restored and the frequency of ear diseases decreases.

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:

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:

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.

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.

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

Blood appeared 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.

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.

Causes of bleeding from the ear

The cause of bleeding from the ear can be a simple scratch in the ear canal or malignant carcinoma of the ear. Knowing the possible causes of ear bleeding will help you choose the right course of action in extreme situations.

Causes of bleeding from the ear

Infectious diseases

It is impossible to independently find out why there is bleeding from the ear, especially if the bleeding is accompanied by pain or high fever. Infectious diseases have dangerous complications and require the attention of a doctor and adequate treatment.

Otitis media

Blood mixed with pus, acute pain, high temperature indicate a rupture of the eardrum due to purulent otitis media. The danger is blood from the ear without admixture of pus, which indicates the transition of inflammation to the deep structures of the ear.

Bullous otitis media

The disease is caused by a virus and occurs after the flu. Another name for bullous otitis is influenza otitis. Inflammation is characterized by the appearance of bubbles in the ear canal, on the eardrum. The size of the vesicles filled with bloody contents ranges from the size of a lentil grain to a pea. The disease is accompanied by pain, intensifying during chewing, and bloody discharge.

Discharge of blood mixed with earwax and pus may indicate a boil in the ear canal. An independent breakthrough of a boil is accompanied by rejection of purulent-hemorrhagic contents, intoxication of the body, a rise in temperature, and an increase in the size of the lymph nodes.

Inflammation of the eardrum (myringitis)

Acute inflammation is accompanied by the formation of bubbles filled with liquid contents on the ear membrane. When the vesicles are opened, the serous-hemorrhagic fluid contained in them is released into the external auditory canal.

Candidiasis of the external ear

An infection of the outer ear is caused by the microscopic fungus Candida due to decreased immunity and uncontrolled use of antibiotics. Candidiasis is accompanied by itching in the ear canal, decreased hearing, and periodic bleeding from the ear.

Malignant otitis externa

The disease is caused by Pseudomonas aeruginosa due to diabetes. Diabetes treatment measures significantly improve the patient's condition and contribute to the successful treatment of malignant otitis externa. The disease is accompanied by severe pain, significant hearing loss, and purulent discharge mixed with blood.

Mechanical damage to the ear

Violation of the integrity of the tympanic membrane is caused by pressure changes, injury when cleaning the ear, or foreign objects entering the ear canal. A common cause of eardrum rupture in children is cleaning out ear wax.

Rupture of membrane

It is quite easy to damage the eardrum. The location of the eardrum is quite superficial; it is only 2.5 cm deep from the outer edge of the auricle. A rupture can be caused by a fall with the ear on water, a blow, or the removal of a foreign body from the ear canal.

If you suspect a ruptured membrane, you should not delay visiting a doctor. The ear should be covered with a sterile bandage, folded several times. You cannot try to determine the cause of the blood on your own, touch the ear, or instill medications.

Damage to the ear canal

A careless sudden movement when manipulating sharp objects when cleaning the ear canal from wax can cause damage to the skin and bleeding from the ear. A deep scratch may bleed for some time. Similar injuries to the ear canal are often observed in young children, and the child has scarlet blood coming from the ear without any admixture of pus or clots. To stop the bleeding, they resort to placing a gauze turunda moistened with 3% hydrogen peroxide, after which they contact an otolaryngologist.

Benign formations

Tumor diseases are treated by an ENT doctor together with an oncologist. The benign quality of the tumor is confirmed by special additional studies.

Glomus tumor

Vascular benign glomus tumor is localized in the tympanic cavity. Its growth leads to displacement of the eardrum, destruction, and the tumor coming out. The process is accompanied by bleeding from the ear, hearing loss, and neurological syndrome. Glomus tumor is characterized by heavy, repeated bleeding of pure blood, without admixtures of pus or serous fluid.

Ear polyps

As a result of the proliferation of the tissues of the lining of the middle ear, an ear polyp is formed. It is a soft connective tissue formation on a stalk. The appearance of a polyp is accompanied by itching, a feeling of tightness, headaches, noise in the ear, and suppuration. The polyp bleeds easily, and bleeding from the ear can be quite profuse.

Malignant tumors

The chances of cure with timely treatment for squamous cell carcinoma of the ear are more than 95%. Treatment methods for the disease are constantly being improved.

Squamous cell carcinoma of the ear

Signs of a malignant tumor disease of the external ear are:

  1. mucous, bloody discharge from the ear with a pungent odor;
  2. recurring itching in the ear;
  3. pain;
  4. progressive hearing loss;
  5. the appearance of pigment spots around the ear;
  6. soreness of the cervical lymph nodes.

Traumatic brain injuries

The inner ear is highly sensitive to mechanical shock. Irreversible damage to hearing can be caused by a blow 100 times less powerful than a mild concussion.

Labyrinth contusion

The injury is caused by a blow to the temple. Contusion of the labyrinth is accompanied by hemorrhage in the tissue of the ear, dizziness, noise in the ear, and the illusion of movement of surrounding objects. After the impact, hearing loss and bleeding from the ear are observed. To provide assistance, the victim must be laid on a hard surface and a doctor must be called. Don't rinse your ear. Vasoconstrictor drops are instilled into the nose to speed up the removal of blood from the tympanic cavity.

Disturbances of the labyrinth in fractures of the base of the skull

A fall on the head, a strong blow to the back of the head, a sharp fall on the knees or buttocks can cause a fracture of the base of the skull. If the temporal bone is involved in the fracture line, labyrinthine traumatic syndrome occurs. 5-6 days after the injury, blue spots appear in the mastoid area behind the ear, and blood accumulates in the tympanic cavity.

Fractures are often combined with ruptures of the eardrum and bleeding.

Lack of timely assistance, even with favorable spontaneous recovery, leads to vestibular disorders, hearing impairment, and damage to the facial nerve. In cases of complications, the victim may fall into a coma or die.

Bleeding from the ear occurs in emergency situations and requires urgent attention to an otolaryngologist. Discharge of blood from the ear canal may indicate an exacerbation of a chronic disease, the penetration of a dangerous infection, or injury. Early contact with an otolaryngologist will help determine the cause of bleeding and preserve hearing.

You should also be careful if, as they say in everyday life, your ears are burning - this may be a symptom of an ear disease or some somatic internal diseases.

The appearance of bloody discharge during ear inflammation - what does it mean?

Patients complaining of blood discharge from the ear due to otitis media is an uncommon occurrence and, nevertheless, not too rare. Each of these cases requires careful diagnosis and history taking, because blood from the ear is a very alarming symptom.

If a patient who has otitis media consults a specialist with complaints of blood discharge from the ear, the doctor’s main task will be to clearly determine the cause of this phenomenon.

Bleeding itself is the loss of blood from the bloodstream, that is, if scarlet blood flows, it means that a small artery is damaged, and if dark-colored blood flows, then the reason is damage to the vein.

It should also be remembered that if there are manifestations of external bleeding, then the blood may enter the body through anatomical openings.

There is no need to panic when blood is flowing from the ear. To understand exactly what bleeding from the ear means during otitis media, you need to know the structure of the hearing organ.

The ear consists of the following parts:

Otitis is an inflammation of any part of the ear caused by:

Pathogenic substances enter different parts of the hearing aid through different “routes”:

  • to the internal - bypassing the middle, provided that a pathogenic process is taking place in it;
  • in the middle - through the Eustachian tube, which connects the ear to the nose and pharynx;
  • to the outside - directly from the environment, bypassing the auditory canal.

What can cause bleeding?

Reasons for the appearance of blood in otitis media:

For the treatment and prevention of acute and chronic otitis and other ear diseases in children and adults, Elena Malysheva recommends a proven, reliable remedy based on only natural ingredients, no chemicals! After talking with people who have experienced this method, we decided to publish a link to it.

Ear inflammation, especially in a child, can cause complications in which blood will be released. As a rule, complications in a child arise after several otitises in a row in a short period of time. In this case, the problem in the child is not the bloody discharge, but its accumulation in the middle or inner ear. And due to the inability to drain excess fluid, the child may develop deafness or hearing loss.

First aid for the appearance of bloody discharge due to otitis media:

  1. Block the ear canal.
  2. Instill drops of any mechanism of action.
  3. Look for foreign substances or objects in the ear yourself.

It should also be remembered that any fluid secreted from the ear during otitis contains pathogenic microorganisms that triggered the disease. Therefore, it is necessary to dispose of tampons with biological fluid extremely carefully in order to prevent infection among family members or re-infection with the pathogen.

Causes of bleeding from the ear during otitis media

Otitis is an inflammatory process in the ear, accompanied by swelling, acute pain, purulent and bloody discharge, and hearing loss. Otitis media is caused by pathogenic bacteria.

The complexity of the inflammatory process in the ear depends on the degree of pathogenicity of microorganisms and the level of immunity. Any ear disease requires professional supervision from your doctor. There are situations when a patient does not consult a specialist in a timely manner, and irreversible processes occur in his body.

Types of otitis

The first to suffer most often are athletes involved in water sports. Inflammation occurs after injury or hypothermia. Microcracks appear on the surface of the skin in the ear, into which bacteria enter. A purulent boil forms at the site of inflammation.

If you do not seek help in time, otitis externa can develop into a more complex ear disease - otitis media or acute otitis. At this stage, damage occurs to the tympanic cavity, auditory tube, cartilage and bone tissue. The form of otitis media often develops into purulent. Blood may be discharged from the ear.

The most difficult stage of the disease is considered to be internal otitis - when the pus has not broken through the eardrum and has accumulated inside the skull. As a result, a disease develops that affects the vestibular apparatus and leads to a brain abscess.

Symptoms that occur with otitis media

Any inflammatory process in the human body, including the ear, is accompanied by an increase in body temperature. Patients also complain of “shooting” pain. It is caused by swelling and irritation of the nerve endings.

If you do not seek help in time, acute otitis media progresses to the stage of purulent otitis media. This secretion accumulates behind the eardrum, and after it ruptures, the body temperature may drop.

In the morning, blood may flow out of the ear along with pus. This is due to weakened blood vessels, which are damaged due to inflammation and swelling of the tissues.

The pain becomes even stronger and can be transferred to other organs - eyes, teeth, larynx. Hearing is significantly reduced, and so-called tinnitus may appear.

At this stage, the doctor must determine the volume of pus secreted, determine whether blood is leaking, and, if necessary, prescribe surgery to puncture the eardrum.

For otitis media, this procedure is performed under local anesthesia. The patient is punctured in the thinnest part of the membrane. The accumulated pus and blood flow out through this small hole. After all the fluid has been completely removed from the ear canal, antibiotics and anti-inflammatory drugs are instilled into the ear.

In the future, the patient may need to repeatedly rinse the ear to remove any remaining pus. As you recover, the eardrum will scar, which should not affect the level of perception of sound waves.

Complications

Otitis media is a disease of the hearing organ, but its consequences and neglect can lead to painful changes in other vital functions of the human body. This disease may be asymptomatic in its early stages. The only thing that will change in the body is the functioning of the gastrointestinal tract. While the patient is treating his stomach, due to the lack of the necessary group of drugs, otitis media will develop into a more complex form.

What to do?

In a situation where acute otitis becomes purulent (blood comes from the ear), urgent help from a specialist is needed - an ENT doctor. This discharge is most abundant in the morning, when the patient moves from a horizontal position to a vertical one.

The first thing you need to do in case of otitis media is to independently remove all leaking fluid (including pus and blood) from the surface of the outer ear and the accessible part of the ear canal.

This can be done with a cotton pad moistened with warm boiled water or one of the vegetable oils (olive, corn). For a short period, you can place a dry gauze flagellum in the ear canal. It will absorb the remnants of secretions accumulated in hard-to-reach places.

Every person should understand that acute pain, pus and blood from the ear are very dangerous symptoms, and if they occur, you should definitely consult a doctor.

Blood from the ears due to otitis media: causes and treatment methods

A disease in which inflammation occurs in the middle ear is called otitis media. The disease is accompanied by various symptoms. The main ones include pain and hearing loss. Bleeding from the ear with otitis media is rare, but still not excluded. The reason for such discharge is trauma to the skin. There is no point in trying to solve the problem on your own, as it will only make it worse. Only a doctor can help in this situation.

How does the hearing organ work?

Before talking about the reasons for the appearance of bloody discharge from the organ of hearing, it is necessary to understand how it works. Its main parts include:

  1. External meatus of the auditory organ.
  2. The eardrum and the tympanic cavity. They are responsible for transmitting sound waves. Quite often this part is called the middle ear.
  3. Inner ear. It is presented in the form of a device that converts mechanical waves into nerve impulses.

Diagnosis of otitis media indicates that an inflammatory process has begun in the organ. It arose due to the fact that pathogenic bacteria penetrated into all its parts:

  • externally using the ear canal;
  • the middle one along the tube, which acts as a connector between the nasopharynx and the ear itself;
  • internal along the middle ear, already affected.

Bleeding from the ear should not be neglected. If it accompanies otitis media, it can lead to serious consequences that will be difficult to eliminate.

You should immediately seek help from a specialist. Only he will determine why it arose and what to do next.

What is the reason?

Bloody discharge with otitis media occurs rarely. Before talking about their cause, it is necessary to determine at what stage the disease is. It plays a big role in such a situation. There are two stages of the disease:

  • Initial. The disease affects the outer part of the auditory organ. The appearance of blood in this case from the ear indicates that the organ was damaged mechanically.
  • Sharp form. The inflammatory process occurs in the middle ear. If blood appears, then we are talking about complications of the disease. The eardrum is damaged and has lost its integrity.

As for the external signs of bleeding, they are not pronounced. So, in the first case, the discharge will be minimal. In this case, their detection will be one-time, because the blood will still coagulate in the auricle. Thus, it will not reach the exit from the organ.

Bleeding in the acute form of the disease

Bleeding in acute otitis media is more complex. Therefore, it is necessary to dwell on it in more detail. It occurs as a consequence of an inflammatory process that has been going on for a long time. However, it may not have obvious signs, so the patient did not notice it.

The formation of blood in the ear is the result of a long process that consists of different stages. First, pus accumulates in the middle part of the hearing organ. It is he who contributes to the appearance of the first signs of illness, which cause discomfort to a person.

  • pain;
  • changes in pressure in the organ;
  • elevated body temperature. Basically it is within 38 °C.
  • deterioration, deformation of hearing as the main function of the organ;
  • dizziness and so on.

Another important element of the hearing organ is the eardrum. It is a fine structure. Its fibers are able to withstand different pressure fluctuations. As soon as the virus hits, its structure begins to change.

This gives a person a lot of discomfort, so he goes to the doctor. If this is not done, the integrity of the eardrum will be compromised. When it ruptures, not only blood discharge will appear, but also pus. Its outflow will occur from the middle part of the hearing organ.

After this sensation, the person feels much better, as the pain ceases to bother him. But this effect is false, so it should not be mistaken for the fact that recovery has occurred. The inflammatory process continues.

A ruptured eardrum indicates that the path for bacteria to enter the inner ear is open. As a result, the disease affects a new area. The consequence of this process can be very serious complications.

As practice shows, even death is possible. In addition, the process of degradation of the eardrum begins. This leads to the person completely losing hearing.

Other ear fluid

Fluid discharge from the ears can be not only bloody, but also ichor. It is pink in color and appears for two reasons. These are mechanical damage and violation of the integrity of the eardrum.

The second case occurs when the disease leads to complications. It can develop not only in adults, but also in children. Those who suffer from the disease regularly are especially susceptible. After a few times, a pink liquid usually appears.

Also, one should not exclude the anatomical features of the hearing organ in children. In principle, this liquid is not dangerous. You need to worry that it accumulates and cannot come out on its own through the auditory tube. This can lead to the development of deafness.

This liquid has a rich composition. It is mainly dominated by bacterial agents. If they enter the body again, then there is a high probability of infection not only of the ear, but also of the nasopharynx. In order for the fluid to disappear from the ear, certain measures must be taken.

In more complex cases, surgery may be required. It involves surgery in the ear. During this procedure, a special tube is placed into the organ. This will remove the fluid that is in the ear cavity.

At the same time, the drainage of the middle ear also improves. Only the child himself knows about the presence of this tube; from the outside it is almost invisible.

The duration of its use is about a year. As a result, hearing is restored and the pain that accompanied the person is relieved.

But specialists do not always resort to this method of treatment. It is possible that the liquid will come out on its own. It is important to carry out special physiotherapeutic procedures.

Purulent discharge

Purulent discharge is much more common than bloody discharge. The reason for their appearance may be an inflammatory process that occurs:

  • In the middle part of the ear organ. In this case, changes in such an element as the eardrum are necessarily observed.
  • Outer part.

At the same time, purulent discharge differs in its characteristics. If they appear as a result of inflammation of the middle part, then their color is pale yellow.

This may also cause bleeding. This helps reduce pain. In addition, it may have a curd consistency. This discharge is typical for a fungal infection that affects the hearing organ.

Quite often, pus appears after the integrity of the ear concha is damaged. First, blood is formed, which has a bacterial environment. Then it promotes the appearance of an abscess at the site of damage on the skin of the ear canal. After a while, pus comes out of it.

Any discharge from the ear is an unpleasant occurrence. You need to respond quickly to them and go to a specialist. He will conduct a hearing examination. This will allow you to establish their cause and find ways to eliminate them.

Why is blood from the ear with otitis a good thing?

An article about what can trigger the appearance of blood during otitis media, whether it is dangerous and how to avoid this disease.

Blood during otitis media is a sign that the abscess behind the eardrum has ruptured, which means that the patient’s condition will improve in the coming hours.

Otitis media, or infection of the middle ear (the area behind the eardrum) This pathology develops when the auditory tube, which runs from the middle ear to the nose, is blocked by fluid. As a result of this phenomenon, bacteria collect behind the eardrum, causing the formation of mucus and pus, causing the patient to feel pressure and pain; Sometimes this is accompanied by slight bleeding from the ear.

Blood from the ear with otitis media in children

Otitis media is caused by hypothermia. Most often, otitis media affects infants and young children, and rarely adults. This phenomenon is explained by the fact that in children, the auditory tubes are shorter than in adults, and the fluid that forms just when the child is very cold easily enters the space behind the eardrum.

Although otitis media is caused by an infection, it is not always treated with antibiotics. Moreover, recent studies show that this painful condition can heal on its own, without taking any medications. Therefore, scientists recommend taking a 72-hour wait-and-see attitude and only then, if the child does not feel better, prescribing therapeutic treatment, including antibiotics.

Don't be scared when it appears blood from the ear due to otitis media even in children, since this is a sign that the patient has collected a lot of blood and pus in the middle ear; this caused severe pain due to pressure on the eardrum, causing it to rupture. Usually, as soon as the pus breaks out with blood, the patient feels better, and the eardrum, over time, heals on its own.

Take the survey

Causes and risk factors

There are several reasons that can cause the development of otitis media and the appearance of blood from the ear:

  • Respiratory infections (flu, colds)
  • Allergy
  • Passive and active smoking
  • Constant sore throats, sinusitis and pharyngitis
  • In infants, otitis media can be triggered by drinking water from a bottle while lying down

To reduce the risk of developing otitis media in children, you should:

  • Do not expose them to secondhand smoke
  • Keep baby upright while bottle feeding
  • Breastfeeding until at least 6 months will make your baby less susceptible to ear infections
  • Try not to use a pacifier

Note. Despite the fact that otitis media is not considered a contagious disease, you should not experiment and put healthy children at risk by allowing them to play and spend time with a child who has an ear infection.

To find out whether it is possible to walk with a child during this illness, read the article Is it possible to walk if a child has otitis media?

When a child starts bleeding, it always frightens parents. But, if many people experience bleeding from the nose and it is quite easy to help a baby with nosebleeds, then blood from the ear comes much less often, so in such a situation the mother often does not know what to do and what is the reason for such bleeding.


If there is blood coming from your child's ears, it is important to find out the cause of the bleeding as soon as possible.

What is this

Bleeding from the ear often manifests itself in the form of droplets or a stream of blood from the auricle or from the ear canal. In many cases, it occurs after some external influence, for example, a child fell and hit his head, or someone was cleaning his ear and bleeding began. However, a mother can detect bleeding by accident, noticing only its consequences, for example, when cleaning, dried blood will be found in the ear. In addition, blood from the ear may be released mixed with pus or serous fluid.


Bleeding from a child's ear may occur due to mechanical damage.

Causes

In childhood, ear problems are often limited to inflammation associated with the anatomical features of the middle ear and Eustachian tubes, as well as frequent viral diseases and colds. If blood is released from the child’s ear, there are several explanations for this situation.


Mechanical damage to the ear has occurred

It could be triggered by a traumatic brain injury (skull fracture, contusion of the labyrinth), but a more common cause is damage to the ears by foreign objects, for example, a child stuck a cotton swab in the ear and started bleeding. As a rule, in such a situation a bleeding scratch of the ear canal occurs. In addition, wanting to get rid of discomfort in the ears, kids can put various objects into the sink, including sharp ones (toothpicks, paper clips, matches, sticks, toys, etc.), which also often ends in bleeding.

The ear can also be damaged during play, for example, when hit by a ball. Such trauma can lead to the appearance of a hematoma under the concha cartilage. In addition, a strong blow can cause a rupture of the eardrum. In this case, the child will have bleeding, severe pain and hearing loss. The membrane can also rupture when the ear falls on water or when an adult tries to pull a foreign object out of the child’s ear.


Only a specialist should remove a foreign body from a baby’s ear.

The bleeding has an infectious cause

Blood may be released during otitis media, accompanied by symptoms of inflammation of the middle ear such as high body temperature, severe pain, weakness, dizziness. It is especially dangerous if a child with such inflammation produces only blood from the ear, and there are no pus impurities. This is a sign of a deepening infection process.

Another common cause of blood from the ear is a boil. A child with such inflammation will have redness and swelling of the ear, and the temperature may rise. When a boil in the ear opens, blood appears after the pus is released.

Ear bleeding can also be caused by infectious inflammation of the eardrum(it's called myringitis). A child with this pathology will complain of severe pain and severe discomfort in the ear. In addition, with myringitis the temperature often rises. With such an infection, a blister filled with serous fluid forms in the ear. When it is opened, the child’s discomfort decreases, and exudate with blood appears from the ear.

Another infectious cause of bleeding from the ears is candidiasis. This infection occurs when the child’s body’s defenses are weakened. If it penetrates the ear, it can result in quite heavy bleeding.


Myringitis and candidiasis can cause bleeding from the baby’s ear

The child has tumor formations

A tumor in the ear that causes bleeding can be benign. For example, it could be a glomus tumor that appears on a vein. When it grows, the child begins to complain of dizziness and noise in the ear. A symptom of such formation is also copious bleeding.

Another benign cause of ear growths that may bleed is polyps. The doctor can easily notice such formations in the child’s ear canal, and sometimes the polyps grow so large that they extend beyond the ear canal. In addition to bleeding, this pathology can manifest itself as dizziness, headaches and hearing loss.

Malignant tumors in the ear most often represent carcinoma, which can affect both the outer and middle ear. Blood from the auricle or ear canal is often the first symptom of such a tumor.


What to do

Having discovered bleeding from the child's ear, in most cases you should immediately show the baby to an otolaryngologist. If the cause of bleeding is a serious illness that requires urgent treatment, delaying a visit to the doctor can cause complications, including hearing loss. The only case when you can not rush to the ENT, but let the bleeding stop on its own, is a minor mechanical injury to the skin on the auricle, for example, a scratch.

How to give first aid

If the ear is damaged

Rinse the sink of dirt using warm water and a sterile bandage. Next, the wound on the sink should be lubricated with iodine (an alcohol solution) and covered with a bandage, after which the child should be taken to an emergency room or other medical facility.

If blood appears after cleaning

Moisten a cotton or gauze swab with peroxide solution, wipe the child's ear, apply a bandage to the auricle, and then contact an otolaryngologist. You should not give your child any medications or put drops in the ear until examined by a doctor.

  • For purulent otitis media or a boil, the child will be prescribed an antibiotic, painkiller and other medications. The doctor will also tell you how to rinse the ear and what drops you can instill.
  • For candidiasis, the baby will be prescribed antifungal treatment.
  • For scratches or abrasions, treatment will consist of treating the ear with an antiseptic drug.
  • If a child has a ruptured eardrum, the doctor's actions will be determined by the size of the perforation. Sometimes surgery is required.
  • If there is a foreign body in the ear, the doctor will remove the object and, if necessary, prescribe additional treatment.
  • If a neoplasm is detected, the child will be referred to an oncologist and special therapy will be prescribed.

Any unusual discharge from the ear canal makes us wary, because they clearly signal that some pathological process is taking place inside. A situation where blood is flowing from the ear will require an even faster reaction from us. What is the cause of this symptom? What should you do when there is blood flowing from your ear?

Causes

The reasons why bleeding comes from the ear can be varied. This frightening symptom can signal the progression of diseases in the organ of hearing and injury to its areas.

Injuries

  1. Bleeding from the ear canal can occur due to injuries to the skull or ear immediately after the blow or some time after it. The discharge may be sporadic or insignificant, or it may be a profuse discharge. In any case, do not ignore the symptom: if there is bleeding from the ear, the cause of which is a head injury, you should immediately consult a doctor.
  2. Improper hygiene can also cause bleeding. Sudden, uncalculated movements with a cotton swab in the ear can lead to injury to the eardrum. Also, the reason why blood comes out of the ear may be cleaning the ears with sharp objects not intended for this purpose - matches, toothpicks, screwdrivers. Such actions lead to perforation of the eardrum and are very dangerous for the hearing organ. If blood flows in your ear during cleaning, contact an otolaryngologist.
  3. Blood from the ears often flows due to barotrauma that occurs during sudden ascent or descent in divers. Since the cause of discharge from the ear canal is a ruptured eardrum, if this symptom appears, you should contact an otolaryngologist, even if the bleeding has quickly stopped.

Diseases

  • Sometimes the reason why blood flows from the ear along with exudate is the development of pathology with purulent otitis media. Especially often, the color of the discharge changes to a frightening red-brown after sleep. This bleeding is a very serious symptom and requires an immediate return visit to the otolaryngologist with whom you are treating otitis media.

If blood flows from the ear during purulent otitis, this indicates only one thing - the inflammatory process has not stopped, but has spread deep into the internal part of the auditory organ and affects tissues directly connected to the brain.

If you do not respond to such bleeding and do not adjust antibacterial therapy with a specialist, there is a risk of developing meningitis, as well as loss of functionality of the internal part of the auditory organ.

  • Pus and blood from the ear may begin to flow when opened in the outer part of the boil. Its gradual maturation is accompanied by an increase in temperature and painful symptoms, so many patients, fearing that they have developed otitis media, turn to an otolaryngologist. Upon examination, the doctor sees a neoplasm in the ear canal. The prescribed treatment removes painful symptoms and accelerates the maturation of the boil. When it ruptures, fresh blood may come out of the head along with pus.

Pressure

Another reason why there is bleeding from the ears is often pressure surges in patients suffering from hypertension. Typically, such bleeding occurs when the capillaries in the nose rupture, and everyone knows how to cope with such a symptom. If blood appears in the ears of adults against the background of sharply increased pressure, you should take the pills prescribed by your doctor, write down the dosage taken and call an ambulance.

Neoplasms

If you do not have any signs of an inflammatory process, there are also no injuries and you do not suffer from pressure surges, the reason why bleeding from the ear began may be a tumor in the organ of hearing. Polyps, benign and malignant tumors during their active growth can damage tissues and cause minor bleeding.

Typically, the growth of a tumor in parts of the auditory organ is accompanied by a deterioration in the quality of hearing, and the pressure of its tissues on the nerve endings causes headaches. If you have such specific symptoms, you should immediately contact an otolaryngologist.

What to do?

What to do if your ear bleeds?

  • First of all, you need to stop the bleeding if possible. Soak a piece of sterile cotton wool in the disinfectant, squeeze it out and close the ear canal.
  • You need to think about more than just how to stop the bleeding. To avoid the formation of clots, try to hold your head in such a position that the blood flows onto the cotton wool and not into your ears;
  • Make an appointment with an otolaryngologist, be sure to mention that there is blood coming from your ear - this will significantly speed up the issuance of a ticket to you;
  • If it is not possible to go or see an ENT specialist at a clinic or paid center, go to a hospital or call an ambulance. Bleeding from the ear is a serious symptom that requires examination by a specialist.

Treatment

Treatment for bleeding from the ear will depend on the underlying cause of the symptom.

  1. If a boil breaks out, carefully wash the ear with disinfectant solutions and, if necessary, treat the bleeding area of ​​skin with anti-inflammatory agents.
  2. Excessive bleeding in a hospital setting is stopped with the help of vasoconstrictors, as well as medications that improve blood clotting.
  3. To prevent the development of the inflammatory process in the tissues of the hearing organ, the patient will be prescribed antibacterial therapy. If you have already used some antibiotics to treat purulent otitis, but they did not stop the process, the doctor will select another medication from this group for you.
  4. In the hospital, you will be additionally monitored by a neurosurgeon and neurologist. At the slightest sign of a hematoma growing inside the tissue, you will need surgery.
  5. If bleeding comes from the ear due to a perforated eardrum, the doctor will take a wait-and-see approach. The membrane should soon heal on its own. If the integrity of the eardrum is not restored, you may be indicated for an operation during which a patch will be inserted into the gap that is not healing.

03.09.2016 14010

Bleeding from the ears is a rare and specific phenomenon, so most people do not know what to do correctly when such a problem occurs. The majority of the causes of ear bleeding are a reason for immediate contact with an otolaryngologist.

The main causes of bleeding from the ears

Another reason for this phenomenon is gap. Violation of the integrity of this anatomical structure can be provoked by various factors: a strong blow to the ear, a sudden change in pressure (acoustic trauma), or foreign bodies entering the middle ear. A ruptured eardrum is a serious problem that requires...

The following symptoms of a ruptured eardrum are reasons to consult a doctor:

  • strong;
  • sudden hearing loss;
  • bloody issues;
  • formation of purulent clots;
  • dizziness;
  • nausea;

Bleeding from the ear in a child or adult can result from a skull injury. Such damage is life-threatening, so the patient must be immediately hospitalized immediately after receiving the injury.

Bloody discharge can be caused by infectious diseases, tumors and other factors.

  1. – myringitis. The development of the disease is often accompanied by scanty bloody discharge from the ears.
  2. Formation of a boil in the external auditory canal. A decrease in general and local immunity leads to impaired skin resistance to staphylococci (epidermal and saprophytic). Penetrating into the deep layers of the dermis, they cause the formation of a boil in the external auditory canal. When it ruptures, pus and blood are released.
  3. inflammation of the mucous membranes and dermis, provoked by fungi of the genus Candida. As the disease progresses, the walls of blood vessels become thinner and rupture, which leads to ear bleeding.
  4. Acute or purulent otitis -. The disease is accompanied by elevated body temperature, chills in the ear canal, headache and purulent-bloody discharge.
  5. Violation of the integrity of the eardrum and foreign bodies entering the ear are common causes of bleeding from the ear in a child.
  6. The presence of benign or malignant tumors in the anatomical structures of the ear can cause bleeding.
  7. The formation of polyps in the ear canals is accompanied by discharge of pus and blood.
  8. Bloody discharge from the ears may occur in people with hypertension. In this case, this phenomenon is associated with a sharp jump in blood pressure. It is accompanied by acute headache, tinnitus and nosebleeds.
  9. A slight discharge of blood may accompany the removal of wax plugs in children. Most babies have a predisposition to excessive secretion of sulfur. It can block the ear canal. In this case, you should not remove the plug with sharp objects, but you should carefully rinse your ears.

Bleeding from the ear that occurs for no apparent reason should not be ignored. You should immediately contact an otolaryngologist. He will determine the factors that provoked this phenomenon and prescribe the correct treatment.

First aid and treatment

In case of ear bleeding, the patient must be given first aid.

  • If bleeding occurs as a result of damage to soft tissue during cleaning, then after a crust has formed, the wound should be treated with an antiseptic. Small wounds and scratches heal on their own within a few days and do not require seeing a doctor.
  • If after cleaning the child’s ear does not stop bleeding on its own, the wound should be treated with an antiseptic and gauze and ice should be applied to the ear.
  • If there is bleeding, do not block the ear with a tampon.
  • In case of discharge of unknown origin, the patient should be seated on a chair and tilted his head to the side so that blood flows freely from the ear canal.
  • If it is necessary to transport the patient, a loose gauze bandage should be applied to the ear.

The otolaryngologist establishes treatment methods and prescribes appropriate medications depending on the nature and causes of bleeding. Treatment of a ruptured eardrum, candidiasis, otitis, benign or malignant tumors is usually carried out in an ENT hospital. However, some procedures, such as warming and rinsing the ears, are carried out at home.

Features of ear warming

So, how to warm up your ear at home?

  1. Blue lamp therapy is the most effective and reliable method of warming up. During the procedure, a special device (a reflector with an infrared emitter) is brought to the auricle and held in this position for 10-20 minutes. The procedure is carried out 3-4 times a day.
  2. Using bags of salt or sand (this method is used only after prior consultation with an otolaryngologist).

Ear rinsing

Children prone to excessive wax secretion should have their ears washed regularly. This procedure is carried out in a hospital, or parents can wash their child’s ears at home. Before the procedure, parents should consult with an otolaryngologist, since an unprofessional approach to this process can cause complications.

So, how to properly clean ear plugs at home?

  • Place the patient on a chair and turn him sideways towards you.
  • Take a special Janet syringe and fill it with rinsing liquid. You can rinse your ear at home with warm water or oxygen peroxide. In addition, solutions of furatsilin and rivanol are used for washing.
  • Gently inject the liquid into the ear canal.
  • Tilt your child's head over the tray and allow the wax to flow freely out of the ear canal.