Ear Bleeding: Causes, Diagnosis, and Treatment

4 min readMar 8, 2023

Introduction

Ear bleeding, also known as otorrhagia, is the presence of blood coming from the ear canal. This can be a concerning symptom, as it can be caused by a variety of underlying conditions. It’s important to understand the potential causes of ear bleeding and to seek medical attention to receive a proper diagnosis and treatment.

What is ear bleeding?

Ear bleeding is the presence of blood coming from the ear canal. It can be caused by a variety of underlying conditions and can range from a minor issue to a life-threatening emergency. The blood may be visible as droplets or it may be mixed with earwax or discharge.

What causes ear bleeding?

Ear bleeding can be caused by a variety of underlying conditions, some of which are more serious than others. It’s important to understand the potential causes of ear bleeding in order to receive a proper diagnosis and treatment.

Ear Infection

An ear infection, also known as otitis media, can cause inflammation and bleeding in the ear. This can be caused by a bacterial or viral infection. The infection can cause the blood vessels in the ear to become inflamed and burst, leading to bleeding. Symptoms of an ear infection may include ear pain, discharge from the ear, and fever.

Object in the Ear

The presence of a foreign object in the ear can cause irritation, bleeding, and infection. This can occur if a person tries to remove earwax with a cotton swab or other object. In some cases, a person may not be aware that there is an object in the ear, and may only notice bleeding or discharge.

Changes in Air or Water Pressure

Changes in air or water pressure can cause bleeding in the ear. This can occur during diving or flying, when experiencing a rapid change in altitude. The pressure change can cause the blood vessels in the ear to burst, leading to bleeding. Symptoms may include ear pain, hearing loss, and dizziness.

Torn Eardrum

A torn eardrum, also known as a perforated eardrum, can cause bleeding and discharge from the ear. This can occur due to an injury or infection. The tear in the eardrum allows blood to leak from the ear canal. Symptoms may include ear pain, discharge from the ear, and hearing loss.

Head Injury

Head injuries can cause bleeding in the ear, especially if the injury is severe or if there is a skull fracture. The force of the injury can cause the blood vessels in the ear to burst, leading to bleeding. Symptoms may include ear pain, hearing loss, and dizziness. In more severe cases, the person may experience loss of consciousness, confusion, or difficulty speaking.

Cancer

Cancer in the ear or surrounding areas can cause bleeding. This is more likely in older adults or people with a history of cancer. Symptoms may include ear pain, bleeding, hearing loss, and changes in the appearance of the ear. In advanced stages, cancer may also cause fatigue, weight loss, and other symptoms.

It’s important to note that these are not the only causes of ear bleeding, and it’s best to consult a healthcare professional for proper diagnosis and treatment. Some other causes may include high blood pressure, blood clotting disorders, or even a side effect from medication.

What are the treatments for ear bleeding?

Treatment for ear bleeding will depend on the underlying cause. If the bleeding is caused by an ear infection, antibiotics may be prescribed. If the bleeding is caused by a foreign object in the ear, the object will be removed. If the bleeding is caused by a torn eardrum, the eardrum will be repaired. If the bleeding is caused by cancer, surgery, radiation therapy or chemotherapy may be necessary.

When to Call the Doctor

If you experience any bleeding from the ear, it’s important to seek medical attention immediately. Additionally, if you experience any hearing loss, dizziness, or severe pain, seek medical attention.

Conclusion

Ear bleeding is a concerning symptom that can be caused by a variety of underlying conditions. It’s important to understand the potential causes of ear bleeding and to seek medical attention to receive a proper diagnosis and treatment. Your healthcare provider will perform a physical examination and may order imaging tests to determine the cause of the bleeding. Treatment will depend on the underlying cause, but may include antibiotics, removal of a foreign object, surgery, or radiation therapy. It’s important to seek medical attention immediately if you experience any bleeding from the ear, hearing loss, dizziness, or severe pain. In some cases, ear bleeding can be a symptom of a serious condition, such as cancer, so early diagnosis and treatment is crucial. Additionally, it’s important to take steps to prevent ear bleeding by avoiding using cotton swabs or other objects to clean the ear, avoiding rapid changes in altitude, and protecting the head from injury. With proper diagnosis and treatment, most cases of ear bleeding can be resolved without complications.