If the eardrum is throbbing, it means there is an infection in the ear. It is possible that the cause is perforation, sewage, or foreign matter. These are all causes of problems in the ear, so they should be cleaned out in time, especially after taking a shower. Use a clean cotton swab to clean the water stains in the ear to avoid inflammation later. Overview/Myringitis Bullous myringitis or hemorrhagic bullous myringitis is a viral inflammation that accompanies colds or flu. It is common in children and young people and is characterized by the appearance of serum- or blood-filled blisters on the tympanic membrane and the adjacent external auditory canal skin, as well as severe pain in the ear.Myringitis Clinical manifestations/tympanitis 1. Sudden onset of fullness and tightness in the ears, severe pain in the ears, and mild hearing loss during upper respiratory tract infection or influenza epidemics. 2. Congestion and blood blisters form on the skin deep in the external auditory canal and the eardrum. The blood blisters rupture and ooze bloody secretions, and superficial ulcers or blood scabs appear on the tympanic membrane herpes. There was no tympanic membrane perforation. Hazards/tympanitis 1. Loss of protective function - after perforation, external bacteria, sewage, and foreign objects can enter the middle ear through the perforation and cause infection and pus. 2. Hearing loss - Sound first vibrates the eardrum, then is transmitted to the cochlea through the ossicular chain of the middle ear, causing nerve reflexes to form hearing. If the eardrum becomes inflamed, the effective vibration area of the eardrum is reduced, and the energy of external sound waves transmitted to the inner ear is weakened, hearing will decrease. 3. When the blood blister ruptures, a small amount of bloody exudate will flow out, causing ear pain and dizziness. Diagnostic basis/tympanitis 1. It is a viral infection, often complicated by colds and influenza. 2. There is fullness and severe pain in the ear, but the hearing impairment is mild. 3. The skin deep in the external auditory canal and the eardrum are congested and have blood blisters, which are reddish brown or purple-red. The blood blisters rupture and bloody secretions flow out. No pathogenic bacteria were cultured. 4. This disease generally does not invade the middle ear and should be distinguished from acute otitis media. Treatment principles/tympanitis 1. Treat the underlying disease (such as influenza). After the tympanic membrane bulla ruptures spontaneously or is punctured under aseptic operation (do not damage the entire layer), apply 2% phenol glycerol locally. 2. Use systemic antibiotics to prevent and treat infection. Medication principles/tympanitis 1. General cases are mainly treated with systemic antibiotics and other auxiliary drugs. 2. If the ear pain is severe, use antibiotics systemically, strictly disinfect and incise the bullae, and drip 2% phenol glycerol locally. Pay attention to supportive therapy. |
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