What to do for persistent hearing loss and ringing after eardrum injury?

Question #29691

14 days ago

What to do for persistent hearing loss and ringing after eardrum injury? - #29691

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كان لدي اصابة في غشاء الطبل،ثلث الغشاء مثقوب ،نتيجة صفعة،الاعراض صفير ونقص سمع ،بعد شهر ونصف التحم الغشاء ،لكن.الى الآن اعاني من نقص السمع والصفير

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Dr. Arsha K Isac

I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.

13 days ago

Hello,
After a traumatic eardrum injury where about one-third of the membrane was perforated, it is good that the drum has healed, but persistent hearing loss and ringing (tinnitus) can still occur and should be reassessed because healing of the surface does not always mean the inner hearing system has fully recovered.
Common reasons for ongoing symptoms include residual middle ear fluid, stiffness or damage to the tiny hearing bones, nerve irritation, or conditions like Tinnitus and sometimes Conductive Hearing Loss; in a smaller number of cases, there can be inner ear injury causing Sensorineural Hearing Loss.
At this stage, the most important next step is a formal hearing test (audiometry) and examination by an ENT specialist; these tests are simple, painless, and will determine whether the issue is temporary and reversible or needs treatment. Depending on the findings, treatment may include medications such as a short course of steroids (for nerve inflammation), decongestants if fluid is present, or simply observation and ear protection if recovery is still ongoing, as hearing can continue to improve gradually for several weeks to a few months after the injury.
Seek urgent care sooner if you notice worsening hearing, severe dizziness, persistent ear discharge, severe headache, or new imbalance, but otherwise arranging an ENT follow-up now is appropriate since symptoms are continuing after healing.
Take care and feel free to reach out again.

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Dr. Shayeque Reza

I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.

13 days ago

Your symptoms are consistent with residual effects after a traumatic eardrum (tympanic membrane) perforation caused by the slap injury. Even though the perforation has healed after about one and a half months, persistent hearing loss and ringing in the ear (tinnitus) can still occur due to temporary or sometimes lasting injury to the middle ear structures or inner ear from the original trauma. In many cases, hearing gradually improves over several weeks to months after healing, but persistent symptoms should be evaluated by an ENT specialist. A hearing test (audiometry) and ear examination are important to check whether there is remaining conductive hearing loss, inner ear damage, fluid, or injury to the tiny hearing bones. Avoid inserting anything into the ear, loud noise exposure, and untreated infections

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Dr. Aarav Deshmukh

I am a general physician with 8 years of practice, mostly in urban clinics and semi-rural setups. I began working right after MBBS in a govt hospital in Kerala, and wow — first few months were chaotic, not gonna lie. Since then, I’ve seen 1000s of patients with all kinds of cases — fevers, uncontrolled diabetes, asthma, infections, you name it. I usually work with working-class patients, and that changed how I treat — people don’t always have time or money for fancy tests, so I focus on smart clinical diagnosis and practical treatment. Over time, I’ve developed an interest in preventive care — like helping young adults with early metabolic issues. I also counsel a lot on diet, sleep, and stress — more than half the problems start there anyway. I did a certification in evidence-based practice last year, and I keep learning stuff online. I’m not perfect (nobody is), but I care. I show up, I listen, I adjust when I’m wrong. Every patient needs something slightly different. That’s what keeps this work alive for me.

12 days ago

عندما يتعرض غشاء الطبل للإصابة ويتعافى، من الممكن أن تستمر بعض الأعراض مثل نقص السمع والصفير لفترة من الزمن حتى بعد شفاء الغشاء. هذا يمكن أن يكون بسبب تندب خفيف، أو ربما ضغط على الأذن الوسطى، أو حتى إصابة الأجزاء الحساسة الأخرى من الأذن مثل العظمة السمعية أو القوقعة. إذا كنت لا تزال تعاني من نقص السمع أو الطنين بعد التئام الغشاء، فمن المهم متابعة الحالة مع أخصائي الأنف والأذن والحنجرة. هذا المختص سيقوم باختبارات سمعية دقيقة لتحديد مدى التأثير على السمع وتقييم الحاجة لأي علاجات إضافية. قد يكون هناك حاجة لفحص قنوات الأذن والتأكد من عدم وجود التهابات أو سوائل متراكمة في الأذن الوسطى. يمكن أن تكون خيارات العلاج من استخدام أجهزة سمعية أو بعض أنواع العلاج الدوائي لتحسين السمع أو تخفيف الطنين. بعض الأشخاص قد يحتاجون لجلسات علاجية صوتية للتكيف مع أعراض الطنين. تأكد من الحفاظ على البيئة المحيطة بك هادئة قدر المستطاع والبعد عن الضجيج العالي الذي قد يزيد من الأعراض. كما يُنصح بالابتعاد عن المواد التي قد تزيد الطنين مثل الكافيين والنيكوتين. تبقى المراجعة المنتظمة مع الأخصائي هي الخطوة الأهم في مثل هذه الحالات لضمان عدم تفاقم الأعراض وتقديم العناية المناسبة.

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Dr. Bharat Joshi

I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.

13 days ago

Hello dear
See internal injury to ear can cause
Hearing loss
Balance problem
Vertigo
Dizziness
Headache
Iam suggesting some tests for confirmation
Please share the result with ent surgeon in person for better clarity and for safety please donot take any medication without consulting the concerned physician
Otoscopy
Audiometry
Balance tests including
Nystagmography
Rhombography
Ct scan
Mri
Hopefully you recover soon
Regards

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Dr. Nirav Jain

I am a qualified medical doctor with MBBS and DNB Diploma in Family Medicine from NBEMS, and my work has always been centered on treating patients in a complete, not just symptom based way. During my DNB training I rotated through almost every core department—Internal medicine, Pediatrics, Obstetrics & Gynecology, Surgery, Orthopedics, ENT, Dermatology, Psychiatry, Emergency medicine. That mix gave me the skill to manage acute illness, long term disease and preventive care together, something I find very important in family practice. In psychiatry I worked closely with patients who struggled with depression, anxiety, stress related problems, insomnia or substance use. I learned not just about medication but also about simple psychotherapy tools, psycho education and how to talk openly without judgement. I still use that exp in family medicine, specially when chronic disease patients also face mental health issues. My time in General surgery included assisting in minor and major procedures, managing wounds, abscess, sutures and emergencies. While I am not a surgeon, this gave me confidence to recognize surgical cases early, provide first line care and refer fast when needed, which makes a big difference in online or OPD settings. Now I work as a consultant in General medicine and Family practice, with focus on both in-person and online consultation. I treat conditions like fever, infections, gastrointestinal complaints, respiratory illness, and also manage diabetes, hypertension, thyroid disorders, and lifestyle related chronic diseases. I see women for PCOS, contraception counseling, menstrual health, and children for common pediatric issues. I also dedicate time to preventive health, lifestyle counseling and diet-sleep-exercise advice, since these small changes affect long term wellness more than we often realize. My key skills include holistic diagnosis, evidence based treatment, chronic disease management, mental health support, preventive medicine and telemedicine communiation. At the center of all this is one thing—patients should feel heard, safe, and guided with care that is both professional and personal.

13 days ago

الرد باللغة العربية (للمريض):
بما أنك تعرضت لثقب في غشاء الطبلة نتيجة صفعة، ثم التحم الغشاء بعد حوالي شهر ونصف، ولكن ما زلت تعاني من نقص في السمع وصفير (طنين)، فهذا قد يحدث في بعض الحالات.
الأسباب المحتملة:
تأثر الأذن الداخلية أو عظيمات السمع بسبب الصدمة
بقاء التهاب بسيط داخل الأذن
تأثير مؤقت على العصب السمعي
ماذا يجب أن تفعل:
من الضروري عمل اختبار سمع (Audiometry) لتقييم درجة نقص السمع
يفضل مراجعة طبيب أنف وأذن وحنجرة للفحص الدقيق
تجنب دخول الماء إلى الأذن
تجنب إدخال أي أعواد أو تنظيف عميق للأذن
هل الحالة تتحسن؟
في كثير من الحالات، يحدث تحسن تدريجي خلال أسابيع إلى أشهر
لكن استمرار الأعراض يحتاج تقييم للتأكد من عدم وجود ضرر أعمق
متى تقلق؟
إذا استمر نقص السمع بدون تحسن
إذا زاد الطنين أو أصبح مزعج جداً
إذا ظهر دوار أو ألم
بشكل عام، حالتك تحتاج فقط إلى تقييم سمعي للاطمئنان، وغالباً تكون قابلة للتحسن.

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Dr. Prasannajeet Singh Shekhawat

I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.

13 days ago

Hello
I’m really sorry to hear about your experience with a perforated eardrum. That can be quite distressing, especially with the lingering symptoms of hearing loss and wheezing.
### What You Might Be Experiencing
1. Hearing Loss: After a perforated eardrum, it’s not uncommon to have some residual hearing loss, especially if the eardrum has healed but the middle ear or inner ear has been affected. Sometimes, fluid can also accumulate behind the eardrum, leading to further hearing issues.
2. Wheezing: This could be related to a few factors:
- Eustachian Tube Dysfunction: The tube that connects the middle ear to the back of the throat can become blocked or not function properly after an ear injury, leading to pressure changes and discomfort.
- Allergies or Respiratory Issues: If you have underlying allergies or respiratory conditions, they could contribute to wheezing.
### Recommendations
1. Follow-Up with an ENT Specialist: It’s important to have a thorough evaluation by an ENT specialist. They can check for any remaining issues in the ear, such as fluid buildup or Eustachian tube dysfunction, and assess your hearing loss.
2. Hearing Tests: A hearing test (audiometry) can help determine the extent of your hearing loss and guide further treatment options.
3. Manage Wheezing: If the wheezing persists, it may be beneficial to consult a pulmonologist or your primary care doctor. They can evaluate for any respiratory issues and suggest appropriate treatments, such as inhalers or allergy medications.
4. Avoid Irritants: Stay away from smoke, strong odors, and allergens that could exacerbate wheezing.
### Next Steps
- Schedule an appointment with an ENT specialist for a comprehensive evaluation.
- Discuss your symptoms openly, including the history of your eardrum injury and current issues.
Thank you

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Dr. Nikhil Chauhan

I am currently working as a urologist and kidney transplant surgeon at Graphic Era Medical College & Hospital, Dehradun. It's a role that keeps me on my toes, honestly. I handle a pretty wide range of urology cases—stones, prostate issues, urinary tract obstructions, infections, you name it. Some are straightforward, others way more complex than you expect at first glance. Every patient walks in with a different story and that’s what keeps the work real for me. Kidney transplant surgery, though, that’s a whole different zone. You’re not just working on anatomy—you’re dealing with timelines, matching, medications, family dynamics, emotional pressure... and yeah, very precise coordination. I’m part of a team that manages the entire transplant process—from evaluation to surgery to post-op care. Not gonna lie, it’s intense. But seeing someone who’s been on dialysis for years finally get a new shot at life—there’s nothing really like that feeling. In the OR, I’m detail-focused. Outside of it, I try to stay accessible—patients don’t always need answers right away, sometimes they just need to feel heard. I believe in walking them through what’s going on rather than just giving reports and instructions. Especially in transplant cases, trust matters. And clear, honest conversation helps build that. Urology itself is such a misunderstood field sometimes. People ignore symptoms for years because it feels “awkward” or they think it’s not serious until it becomes unmanageable. I’ve had patients who came in late just because they were embarassed to talk about urine flow or testicular pain. That’s why I also try to make the space judgment-free—like whatever it is, we’ll figure it out. At the end of the day, whether I’m scrubbing in for surgery or doing OPD rounds, I just want to make sure what I do *actually* helps. That the effort’s not wasted. And yeah, some days are frustrating—some procedures don’t go clean, some recoveries take longer than they should—but I keep showing up, cause the work’s worth doing. Always is.

13 days ago

أهلاً بك،
أتفهم انزعاجك من استمرار نقص السمع والصفير رغم التئام طبلة الأذن. هذا الأمر يحدث أحياناً، لكن يحتاج تقييماً دقيقاً. إليك ما يجب معرفته:
· الغشاء التئم، فلماذا الأعراض مستمرة؟
· الصفعة التي سببت الثقب قد تكون نقلت قوة كافية لإصابة الأذن الداخلية (القوقعة) بارتجاج.
· قد يكون هناك ضرر مصاحب للعظيمات السمعية الدقيقة خلف الطبلة، أو تجمع سوائل لم تُشفَ بالكامل.
· التئام الغشاء ممتاز، لكن الوظيفة السمعية تحتاج فحصاً متخصصاً لتحديد مستوى الإصابة.
· ما المطلوب الآن؟
· زيارة أخصائي أنف وأذن وحنجرة في أقرب وقت لإجراء تنظير أذن مجهري، تخطيط سمع (مخطط سمع نقي النغمات) وقياس ضغط الأذن (الطبلة).
· الفحص سيحدد إذا كانت المشكلة توصيلية (الأذن الوسطى) أم حسية عصبية (الأذن الداخلية)، وهذا أساسي لاختيار العلاج.
· ماذا يمكن فعله حتى الموعد؟
· حماية الأذن من الضوضاء العالية (لا تستخدم سماعات أذن أو تتعرض لأصوات مرتفعة).
· لا تضع أي نقط أذن إلا بوصفة طبية، حتى لو شعرت بانسداد.
· للتعامل مع الصفير: استخدم ضوضاء خلفية لطيفة (صوت مروحة، موسيقى هادئة) لتخفيف التركيز عليه. قلل الكافيين والتوتر لأنهما يزيدان الطنين.
· لا داعي للذعر - كثير من حالات الطنين ونقص السمع بعد الرضوض يمكن أن تتحسن تلقائياً أو بعلاج دوائي إذا كانت من الأذن الداخلية، لذا المتابعة المبكرة تعطي أفضل فرصة.
· مؤشرات تستدعي سرعة التوجه للطوارئ
· دوار شديد مفاجئ، خروج سائل شفاف من الأذن، أو ضعف في عضلات الوجه.
لا تهمل هذا، سمعك يستحق الاهتمام. طبيب الأنف والأذن سيفهم حالتك تماماً ويشرح لك كل خطوة.
دمت بخير،
د. نيكيل شوهان

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Dr. Alan Reji

I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.

9 days ago

ما تصفه شائع بعد Tympanic Membrane Perforation—حتى بعد التئام الغشاء قد يستمر ضعف السمع والطنين لفترة بسبب تأثر الأذن الوسطى أو الداخلية.
يجب عمل اختبار سمع (Audiometry) وفحص لدى Otolaryngologist للتأكد من عدم وجود ضرر في العظيمات السمعية أو الأذن الداخلية.
غالبًا تتحسن الحالة تدريجيًا خلال أسابيع إلى أشهر، لكن إذا استمر النقص أو الطنين قد تحتاج لعلاج مخصص حسب السبب.

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