Differential Diagnosis for Bleeding after Ear Lavage
- Single most likely diagnosis
- Trauma to the ear canal or tympanic membrane: This is the most likely cause of bleeding after ear lavage, as the procedure can cause minor trauma to the delicate tissues of the ear canal or eardrum.
- Other Likely diagnoses
- Infection or inflammation of the ear canal (otitis externa): An infection or inflammation of the ear canal can cause bleeding, especially if the ear lavage procedure disrupts the fragile tissues or introduces bacteria into the ear canal.
- Bleeding disorder: A pre-existing bleeding disorder, such as hemophilia or von Willebrand disease, can increase the risk of bleeding after ear lavage.
- Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
- Perforated tympanic membrane with middle ear injury: A perforated eardrum can lead to bleeding, and if the middle ear is injured, it can cause more severe complications, such as meningitis or brain abscess.
- Vascular anomaly or tumor: A rare vascular anomaly or tumor in the ear canal can cause bleeding, and if left untreated, can lead to severe consequences.
- Rare diagnoses
- Coagulopathy due to medication or underlying condition: Certain medications, such as anticoagulants, or underlying conditions, such as liver disease, can cause coagulopathy, leading to bleeding after ear lavage.
- Granulation tissue or polyp in the ear canal: A granulation tissue or polyp in the ear canal can cause bleeding, especially if it is disrupted during the ear lavage procedure.