What treatment is recommended for persistent blood in the right ear 2 weeks after it popped during a sinus infection?

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From the Research

If you have persistent blood in your right ear 2 weeks after it "popped" during a sinus infection, you should see a healthcare provider promptly for proper evaluation and treatment. This could indicate a ruptured eardrum (tympanic membrane perforation) that hasn't healed properly. The recommended treatment typically includes keeping the ear dry, avoiding swimming or submerging your head underwater, and possibly antibiotic ear drops like ofloxacin (Floxin Otic), usually 3-4 drops twice daily for 7-10 days, as it has been shown to not delay healing relative to saline 1. Your doctor may also prescribe oral antibiotics if there's an active infection. Do not insert anything into the ear canal, including cotton swabs, as this could worsen the injury. Pain can be managed with over-the-counter medications like acetaminophen or ibuprofen. Continued bleeding after two weeks is concerning and could indicate complications such as infection, larger perforation, or damage to deeper ear structures. Most eardrum perforations heal on their own within 1-3 months, but persistent symptoms require medical attention to prevent hearing loss or chronic problems. It's also important to note that some ear drops, such as ciprofloxacin + dexamethasone, may delay healing, so it's crucial to follow the healthcare provider's recommendations for treatment 1.

Some key points to consider:

  • Keep the ear dry to prevent infection
  • Avoid swimming or submerging your head underwater
  • Use antibiotic ear drops as prescribed by your doctor
  • Manage pain with over-the-counter medications
  • Do not insert anything into the ear canal
  • Follow up with your healthcare provider to monitor the healing process and prevent complications.

Given the potential for complications, it's essential to prioritize medical evaluation and treatment to ensure the best outcome in terms of morbidity, mortality, and quality of life.

References

Research

Effects of Common Ear Drops on Tympanic Membrane Healing in Rats.

Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 2018

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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