I have had a perferated ear drum for many years , is it possible I could have a very low grade infection that goes undetected but causes me to be tired and feel run down. There has been drainage periodically and I ve had it treated by an ear dr with drops. I have had blood work, xrays, scans , never a scan on my ear and everything always comes back ok ..my ear seems to be moist more often than not, some nights fluids comes out of it, clean no odor? Is it possible there could be a low grade undetectable infection in the middle ear or mastoid cavity?