Ear Injury

Is this your symptom?

  • Injury to the outer ear, ear canal or eardrum

Types of Ear Injuries

  • Cut or Scratch. Most cuts of the outer ear do not need sutures.
  • Bruise. Most bruises of the outer ear just leave a purple mark. They heal on their own.
  • Blood Clot (serious). Most of the outer ear is made of cartilage. A large blood clot can cut off the blood supply to the cartilage. It needs to be drained. If not, the ear may become deformed (boxer's ear).
  • Ear Canal Bleeding. Most are due to a scratch of ear canal. This can be caused by cotton swab, fingernail, or ear exam. Most stop bleeding on their own. Persistent bleeding needs to be seen.
  • Cotton Swab Injuries. Cotton swabs cause thousands of ear injuries each year in the US. Be very careful using cotton swabs in your ears.
  • Punctured Eardrum. Most are due to long-pointed objects put in the ear canal. Examples are cotton swabs, pencils, sticks, straws, or wires.
  • Loss of Hearing (serious). Caused by blunt trauma, such as a slap to the ear. Also, caused by explosions.

When to Call for Ear Injury

When to Call for Ear Injury

Go to ER Now

  • Bleeding that won't stop after 10 minutes of direct pressure
  • Skin is split open or gaping and may need stitches
  • Clear fluid is draining from the ear canal

Call Doctor or Seek Care Now

  • Upper part of the ear is very swollen
  • Pointed object was put into the ear canal (such as a pencil, stick, or wire)
  • Severe pain
  • Skin is cut and No past tetanus shots
  • You think you have a serious injury
  • You think you need to be seen, and the problem is urgent

Contact Doctor Within 24 Hours

  • Few drops of blood in the ear canal. Caused by a minor injury, cotton swab or ear exam.
  • Injury causes an earache
  • Dirty cut or hard to clean and no tetanus shot in more than 5 years
  • Clean cut and no tetanus shot for more than 10 years
  • Hearing is less on injured side
  • Outer ear looks infected
  • You think you need to be seen, but the problem is not urgent

Contact Doctor During Office Hours

  • You have other questions or concerns

Self Care at Home

  • Minor ear injury

Go to ER Now

  • Bleeding that won't stop after 10 minutes of direct pressure
  • Skin is split open or gaping and may need stitches
  • Clear fluid is draining from the ear canal

Call Doctor or Seek Care Now

  • Upper part of the ear is very swollen
  • Pointed object was put into the ear canal (such as a pencil, stick, or wire)
  • Severe pain
  • Skin is cut and No past tetanus shots
  • You think you have a serious injury
  • You think you need to be seen, and the problem is urgent

Contact Doctor Within 24 Hours

  • Few drops of blood in the ear canal. Caused by a minor injury, cotton swab or ear exam.
  • Injury causes an earache
  • Dirty cut or hard to clean and no tetanus shot in more than 5 years
  • Clean cut and no tetanus shot for more than 10 years
  • Hearing is less on injured side
  • Outer ear looks infected
  • You think you need to be seen, but the problem is not urgent

Contact Doctor During Office Hours

  • You have other questions or concerns

Self Care at Home

  • Minor ear injury

Care Advice for Stomach Pain

What You Should Know About Stomach Pain:

  • Mild stomach pain can be caused by something simple. It could be from gas pains or eating too much.
  • Sometimes, stomach pain signals the start of a viral infection. This will lead to vomiting or loose stools.
  • Watching your child for 2 hours will help tell you the cause.
  • Here is some care advice that should help.

Lie Down:

  • Have your child lie down and rest until feeling better.

Clear Fluids:

  • Offer clear fluids only (such as water, flat soft drinks or half-strength Gatorade).
  • For mild pain, offer a regular diet.

Prepare for Vomiting:

  • Keep a vomiting pan handy.
  • Younger children often talk about stomach pain when they have nausea. Nausea is the sick stomach feeling that comes before they throw up.

Pass a Stool:

  • Have your child sit on the toilet and try to pass a stool.
  • This may help if the pain is from constipation or diarrhea.
  • Note: for constipation, moving a warm wet cotton ball on the anus may help.

Do Not Give Medicines:

  • Any drug (like ibuprofen) could upset the stomach and make the pain worse.
  • Do not give any pain medicines or laxatives for stomach cramps.
  • For fever higher than 102° F (39° C), acetaminophen (such as Tylenol) can be given.

What to Expect:

  • With harmless causes, the pain is most often better or gone in 2 hours.
  • With stomach flu, belly cramps may happen before each bout of vomiting or diarrhea. These cramps may come and go for a few days.
  • With serious causes (such as appendicitis), the pain worsens and becomes constant.

Call Your Doctor If:

  • Pain becomes severe
  • Constant pain lasts more than 2 hours
  • Mild pain that comes and goes lasts more than 24 hours
  • You think your child needs to be seen
  • Your child becomes worse

Extra Help - Worried Stomach:

  • Help your child talk about events that trigger the stomach pain. Talk to your child about how to cope with these the next time around.
  • Help your child worry less about things she can't control.
  • To treat the pain, help your child get very relaxed. Lying down in a quiet place and taking slow deep breaths may help. Make the belly go up and down with each breath. Then try to relax all the muscles in the body. Think about something pleasant. Listening to audios that teach how to relax might also help.
  • Make sure your child gets enough sleep.
  • Make sure that your child doesn't miss any school because of stomach pains. Stressed children tend to want to stay home when the going gets rough.
  • Caution: your child should see her doctor for an exam. Do this before concluding frequent stomach pains are from worrying too much.

Copyright 2025 Schmitt Decision Logic LLC. Date Updated: Mar 31 2025 13:04 Version 0.2

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