Ever seen somebody experiencing bleeding from ear, causes of bleeding from ear, no pain, after cleaning, cancer, head injury, infection, q-tip, treatment? In this article, we keenly look bleeding from ear with respect to all above experiences.
Continue reading to get more insight.
Causes of bleeding from ear
These are the causes of the gross bleeding from ears, blood-stained fluid or even the wax. There might be other very uncommon conditions that could as well present with some bleeding from ears. It is thus very vital to seek the medical attention.
A tear that is found in the eardrum is the most common cause of bleeding from the ear. It is able to happen with a foreign body piercing of the eardrum, infections as well as sudden changes in the air pressure which might be brought about by an open hand slap. But, a perforated eardrum might not always present with the bleeding from an ear. Sometimes very minor perforations can go unnoticed and usually heals on its own in time.
A fracture that occurs to the base of a skull may as well lead to bleeding from the ears. Normally there is a CSF leak out of an ear and nose. Blood can be evident if there is a rupture of a blood vessel with the blood mixing with the CSF and thus exiting out of ears. It is a rare happening and mainly happens with severe head trauma.
A foreign body indicates any object that cannot naturally be happening in an area. With an ear this often involves objects such as a cotton swab, pens or even the pencils and so on. A foreign body might not necessarily lead to bleeding from ear on its own unless it then perforates the eardrum or even leads to a break in the skin that is lining the ear canal. Children might also place the small toys, beads or even the food that is in their ears.
Viral hemorrhagic fevers are a major concern in recent times mainly because of the Ebola outbreak. In the late stages of disease, the virus leads to the breakdown of the blood vessels which might then cause from orifices like the mouth, ears and also the anus. While not all the viral hemorrhagic fevers are deadly, some such as the Ebola can have as high as about 95% mortality rate.
An otic or even the aural polyp is normally a benign growth that usually develops from a skin of the external ear canal or even the eardrum. It is normally brought about by a repeated irritation of an area that is normally linked to the chronic infections. Bleeding from ear polyp is not a very common symptom but it can happen with the injury from the foreign object. These growths should not be in any way be confused with a cholesteatoma.
Malignant Otitis Media
Infection of the outer ear, commonly called the swimmer’s ear, normally does not come with bleeding from ear. A more severe form of the infection which might extend into bones of skull is called the malignant otitis externa. The area normally becomes prone to bleeding with slight irritation or even an injury in malignant otitis media and is brought about by inserting a foreign object into the ear canal.
Disseminated Intravascular Coagulation
Disseminated intravascular coagulation is a very serious disorder where the blood clots abnormally and reverses causing an abnormal bleeding even from a very minor injury. In much severe cases the bleeding might also arise with no injury. The condition might happen with widespread inflammation, some infections and also cancer. It is an uncommon cause of bleeding from the ear.
Ear bleeding no pain
Most of the people have a habit of cleaning the ear wax using a Q stick, in the process they might unknowingly lead to harm the eardrum. The Q stick usually perforates the eardrum if it is inserted deep leading to bleeding from ear canal.
Ear bleeding after cleaning
You might have experienced a perforated ear drum, which may create the sensations. It’s actually better not to put anything in the ear, as it’s easy to tear the eardrum by accident.
Cleaning of the ears isn’t only unnecessary; it’s potentially very dangerous.
Your ears are normally unique in that they’re a self-cleaning part of the body. If they are left alone, the earwax can migrate out of the ears naturally. There’s no need to forcefully get rid of it.
Further, sticking of any foreign object in the ear poses a potential for injury, more especially if the thin skin of the ear canal is broken or even the ossicles (bones of the middle ear) are much damaged.
Cancer of ear canal
Paragangliomas are also known as “glomus” tumors, which is a commonly used but very inaccurate name. These are normally benign, dried blood in ear, blood in ears without pain can be seen, slow-growing but vascular tumors that leads to symptoms by their;
1) Mass effect in small spaces like the ear,
2) High blood flow,
3) Invasion of adjacent structures
4) Secretion of hormones.
As they grow, then their mass effect is able to block the sound transmission that is in the middle ear, leading to conductive hearing loss, bleeding from the ear as the high blood flow that is within them is normally perceived a pulsating sound (which is a form of tinnitus).
With the larger tumors, structures that are in the temporal bone are able to be invaded, which includes the facial nerve, causing facial paralysis, or the inner ear, leading to sensorineural hearing loss. Rarely, the tumors are able to produce hormones like adrenaline, which can lead to episodes of sweating, headache, and also a rapid heartbeat.
Tumors of an ear might be benign or even malignant. They can happen on the external ear, or even in the ear canal, the middle ear or also the inner ear.
Tumors that are in different areas of an ear behave very much differently. Therefore, it is vital to describe tumors based on the site of occurrence, and also their behavior as well as treatment for instance if you see blood in ear wax with no pain.
Tumors of the Middle Ear
Polyps and Granulation Tissue of Middle Ear: Polyps are able to develop in the middle ear. As such, tehy are not necessarily the benign tumors. They appear like balls of an inflamed tissue which can form grape-like clusters within confines of middle ear and also the mastoid. These particular polyps generally are reddish in color and also bleed on vacuuming or manipulation.
They might be indistinguishable from a more serious problems of middle ear and also the mastoid. If they do not respond to any given medical therapy, then they should biopsied. In most of the cases of the advanced polyps and also the bleeding from ear, surgery of middle ear and also the mastoid will be necessary.
Cholesteatoma: These are tumors of middle ear which are normally benign and the most common of all. Cholesteatoma arises from a perforation of tympanic membrane having ingrowth of skin into the middle ear. Also, they normally appear congenitally from the epidermoid formation
Facial Nerve Neuroma
One of the less common tumors of the middle ear, a tumor of the facial nerve. As it expands, it might put a lot of pressure on facial nerve and lead to facial paralysis. These particular tumors are clinically relevant.
Excision of facial nerve neuroma might need removal of a segment of facial nerve and also a regrafting of facial nerve using a nerve that was taken from another part. Common donor sites may include a nerve that is in the neck or even a portion of a nerve in the leg.
At surgery, the tumor is fully removed and the separated segments are usually reconnected by placing the new segment of the nerve graft that is between the ends. Regrowth of the normal nerve endings through a nerve graft will take at least 6 months to start, and 12 to 18 months so as to see the full recuperation of a nerve. In this setting, facial expression is not completely normal, but better results can be obtained.
Cholesterol granulomas are much less common and are also not really tumors. Rather, they are a mass of gelatinous material which normally fills the mastoid and also the middle ear due to the hemorrhage of blood into mastoid and also the middle ear.
The material that forms then appears bluish-black on examination of tympanic membrane. As the material organizes, it might form a firm adhesive material within the mastoid and also the middle ear which may damage the structures that are within the middle ear. Surgical ventilation of middle ear is helpful.
In the aggressive cases, actual surgical excision of all of the cholesterol granuloma is vital so as to reestablish normal hearing and also adequate drainage of the disease process. In most of the cases, a large bore which is a ventilating tube is inserted into the eardrum and then left for prolonged periods of time so as to prevent recurrence of the cholesterol granuloma.
Bleeding from ear after head injury
All head injuries are serious as they may damage the brain and also make someone lose responsiveness. The severity of a head injury largely depends on how a person hit their head and also how hard the impact was.
A head injury might lead to damage to brain tissue or even to blood vessels that are inside the skull, or break the skull. Clear fluid or even the watery blood that is leaking from the ear or even the nose, and a deteriorating level of response, are some of the indications of serious injury.
These are the common things which might occur if any person has had a head injury:
- Concussion is a short period of unresponsiveness – a person who has concussion might be confused, but only for a very short time, which is then followed by complete recovery.
- Cerebral compression – this is severe blow to head can lead to bleeding or even the swelling that is inside the skull that presses on the brain – this is known as the cerebral compression and is also life-threatening.
- Skull fracture – if there is a head wound, then this is an indication that there might be deeper damage that is within the head, such as a crack or even a break in the skull (skull fracture), which might be very much serious.
- Spinal injury – you should assume that someone who has had a head injury also have a neck injury and thus treat them for this also.
Bleeding ear infection
Most of the time, any fluid that is leaking out of an ear is usually an ear wax.
A ruptured eardrum may lead to a white, slightly bloody, or even the yellow discharge that is coming from the ear. Dry red, crusted material that is on a child’s pillow is normally a sign of a bleeding from the ear.
Causes of a ruptured eardrum are:
- Foreign object that is in the ear canal
- Injury from a blow to head, very loud noises, or even sudden pressure changes
- Inserting cotton-tipped swabs or even other small objects into the ear
- Middle ear infection
Other causes of ear discharge are:
- Eczema and other skin irritations that are in the ear canal
- Swimmer’s ear with symptoms like itching, a red or even the moist ear canal, and also the pain that increases when a person moves the earlobe
Ear bleeding treatment
Usually, no specific treatment is required for a ruptured eardrum; the vast majority of the ruptured eardrums normally heal within a period of 3 months. The doctor can prescribe an antibiotic, which can either be oral or in the form of eardrops so as to prevent an ear infection or even treat an existing infection.
If the ruptured eardrum is leading to pain, then the doctor might recommend use of an over-the-counter pain medication like the acetaminophen or ibuprofen. Warmth might be applied also so as to relieve discomfort.
If the eardrum is very slow to heal, then the doctor can put a patch over the eardrum. In some of the cases, surgery might be required so as to repair a ruptured eardrum. The surgery is normally done on an outpatient basis. During the said procedure, which takes a couple of hours, the doctor can attach a piece of your own tissue to the eardrum so as to rebuild the eardrum. Surgery is commonly used for the large perforations, for perforations which involves the edges of eardrum, or for the ruptured eardrums brought about by an ear infection.
While the eardrum completely heals, you’ll be required to keep the ear dry. That implies that no swimming or even diving until the doctor confirms that the eardrum is fully healed. You’ll also be required to use a shower cap or even place cotton that is coated with petroleum jelly in the outer ear when you shower so as to keep water out.
Bleeding from the ear home remedies
- Allow Gravity to Do its Work
When it comes to treatment of bleeding from ear, it is vital to remove all the fluid buildup that is in the affected ear. The best way to do this is by use of gravity.
- Tilt the side of the head with the affected ear parallel to the ground. Put a clean finger in the ear and then try to create a vacuum so as to assist in dislodge the fluid. Use a cotton bud or even a towel so as to clean up the discharge.
- You can as well simply lie down on the side with a towel under the ear.
- Warm Compress
A warm compress is a good natural treatment for bleeding from ear. The heat usually promotes the flow of fluid and also assists ease the associated pain.
- Dip a washcloth in hot water and then wring out the excess. Place it over the ear for 5 minutes, then tilt your head so as to promote fluid drainage. Take a break and then reapply as required.
- You can as well try to lay your head on a heating pad that is wrapped in a towel for a few minutes at very regular intervals.
- Steam Inhalation
Another perfect method that can be used in stopping the bleeding from the ear is steam inhalation. Steam will assist to open the Eustachian tube and to encourage release of fluid that is trapped in the ear. This will then stop the bleeding from ear.
- Put boiling water in a large bowl and then add some drops of any essential oil of your choice.
- Place a towel over the head and then inhale the steam slowly for 10 minutes.
- Tilt your head to one side so that the fluid can flow out.
- Repeat as required.
- White Vinegar and Rubbing Alcohol
White vinegar contains an antibacterial effect that can be used to treat an infection in the middle ear. Also, rubbing alcohol works as a drying agent that can be used to stop bleeding from ear.
- Mix equal parts of the white vinegar and rubbing alcohol, fill an ear dropper with the solution.
- Lie down with the affected ear facing upward.
- Put 4 drops into the ear and then wait for 10 minutes.
- Tilt the ear to the other side so as to allow drainage.
- Repeat the process twice daily so as to break down an infection and also the wax.
- Bleeding from Ear (Bloody Fluid, Wax) Causes, Warning Signs: http://www.healthhype.com/bleeding-from-ear-bloody-fluid-wax-causes-warning-signs.html
- Blood in Ear Canal: Dried Blood in Ear Canal Causes And Treatment: http://www.tandurust.com/ear-care/blood-in-ear-canal.html
- Glomus Tumors: http://american-hearing.org/disorders/glomus-tumors/
- Dealing with Head Injuries: http://patient.info/health/dealing-with-head-injuries
- Ear discharge: https://medlineplus.gov/ency/article/003042.htm
- Ruptured Eardrum: Symptoms and Treatments: http://www.webmd.com/pain-management/ruptured-eardrum-symptoms-and-treatments#1