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Can a hard slap lead to ruptured ear drum? - Online Doctor Chats

Date : 25-Mar-2014
User rating for this question
Very Good Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
my husband got three slaps in his face just now, he said he feels like being in ocean now in his left ear, is this ruptured eardrum??

thank you so much!
User:he also feels hot air in that ear....
User:he has tinnitus from an explosion about 30 years ago and it has been with him since, but tonight he got one punch on his nose and three slaps in his face, he said he may have a concussion, also feeling his left ear is in the ocean...
User:i'm wondering if his eardrum is ruptured..?
Doctor:Symptoms related to ear are better described as ringing sensation (tinnitus), pain, hearing impairment and ear discharge. Can I know which among these best describes his current symptom.
User:if he stuffs his nose and blow air within, he hears "loud noise"
Doctor:"Being in an ocean" is a very generic term to me.
Doctor:Do you mean he has ear fullness?
Doctor:Are you with me?
User:like head plucked with vaseline
User:yea i was checking with him..sorry
User:when he tries to relieve pressure it's like an ocean with hot breez
Doctor:Is he able to hear as normally as his right ear?
User:no..not nearly as good as the right ear now
Doctor:How long ago was he punched and slapped?
Doctor:I mean when was he punched and slapped?
User:i'm not sure if you got my earlier message...he has tinnitus from an explosion about 30 years ago and it has been with him since
User:about 1 and half hr ago
User:he said he can still hear from the left ear but sounds like stuffs with vaseline
Doctor:Yes, I received your earlier message. It seems he has fresh traumatic experience from the slap and punching event.
User:it sound dull, can't pick up sharp sound
User:...what should i do now
Doctor:if he isn't bleeding from the ear, it doesn't appear like an obvious rupture of the ear drum.
User:we are thinking to drive to the hospital tomorrow, i was just making sure it's save to do that
Doctor:However it looks like there might be pressure changes withing the middle ear.
User:his nose was bleeding tho...does that has anything to do with it
Doctor:It can explain the blocked sensation and the reduced hearing.
Doctor:You can wait to see the doctor tomorrow.
User:ok good...thanks..
User:is there anything i should do tonight
Doctor:nasal bleeding is most likely from nasal blood vessels and not from ear.
Doctor:Right now, I would suggest chewing a gum. Every swallowing movements of the jaw opens up eustachian tube to release pressure.
Doctor:Avoid probing into the ear.
Doctor:Keep the ear clean and dry. Do not apply any form of fluid into it now.
Doctor:You can keep a watch on his symptoms.
User:yes i will!
User:should he NOT sleep on the left ear tonight?
Doctor:Preferably lie supine (on the back). And yes try not to sleep on the left ear.
Doctor:In all probabilities, I feel he should feel better if he keeps the ear dry by tomorrow.
Doctor:Pressure changes may take a few hours to settle.
User:thank you...will do our best to keep it dry
Doctor:Do you have any more questions?
User:anything i should do for his nose too?
User:or his mild concussion....
Doctor:Did he lose consciousness after the injury?
Doctor:How severe is the headache?
User:he actually drove home
User:headache 1 to 10...4?
User:and he wants to blow his nose now is it ok
Doctor:Concussion injuries if any resolve spontaneously. We need medicines only if the symptoms are severe.
Doctor:So if the headache is troubling him, he can choose to take tylenol.
User:i see..
User:so seems he is save tonight to stay home
Doctor:Else I would just reassure him.
Doctor:He can blow the nose as long as it is not forceful.
User:thank you so much
Doctor:You are welcome.
Doctor:Do you have any more questions?
Doctor:Please proceed with your questions.
User:is there good surgeon for deviated septum in los angeles?
User:his left septum is quite crooked from the past
Doctor:I am sorry, I would not be able to address this question. As I practice far away from New York, I would not be able to name the surgeon there.
Doctor:However deviated septum absolutely needs to be treated only if its symptomatic.
User:one of the ENT doctor in palm XXXXXXX susgested getting it straighten
Doctor:If he has no symptoms from the deviated septum, he can consult a cosmetic surgeon if not an ENT surgeon for cosmetic correction.
User:it is symptomatic, of course he feels worse now...
User:he just wants that bone to be straightened out
Doctor:I wish I could name the best surgeon, but without personal references i would not want to list the doctor based on Google search.
Doctor:I hope you don't mind if I don't answer this one.
Doctor:You are welcome.
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