Thanks for writing in.
As of now, your cousin needs to follow the following precautions to make sure that the tympanic membrane heals.
a. For the pain in the ear, warm compresses would help.
b. Place cotton balls in the ear while showering or shampooing to prevent water from entering the ear. c. Avoid swimming or putting your head underneath the water.
d. Antibiotics (oral or ear drops) may be used to prevent infection or to treat an infection you already have.
e. Painkillers (analgesics), including over-the-counter medications, may be used to relieve pain.
You can speak with your physician about antibiotic drops and painkillers.
If she has hearing loss
, it would only be temporary and would take care of itself when the tympanic membrane heals. It should not lead to long term hearing loss. It should take about 2 months to heal on its own.