
What does a doctor use to examine the eardrum?
Your doctor may dim the lights in the exam room to make it easier to see your ear canal and eardrum with an otoscope. An otoscope is a handheld light with a removable plastic tip shaped like a cone that allows the doctor to look inside your ear.
How can I check my eardrum at home?
If your child is older than 12 months, pull the outer ear gently up and back. (If they're younger than 12 months, pull the outer ear gently straight back.) This will straighten the ear canal and make it easier to see inside. Hold the otoscope at the handle with your pinky finger outstretched.
How do doctors examine your ears?
In this examination, the doctor looks into the ear using an instrument called an otoscope. The otoscope consists of a handle and a cone-shaped attachment called an ear speculum, which contains a tiny lamp and is inserted into the ear canal.
How do you find the eardrum with an otoscope?
Angle the tip of the viewing piece slightly toward the person's nose to follow the normal path of the canal. While you look through the otoscope, move it gently at different angles so that you can see the ear canal walls and the eardrum. Stop at any sign of increased pain.
How do you get rid of fluid behind eardrum?
Use drying dropsCombine vinegar and rubbing alcohol in equal parts.Use a clean dropper to put three or four drops of this solution in your ear.Rub the outer part of your ear gently.Let the solution stay inside for 30 seconds, and then tilt your head to one side. The solution will drain out.
Can you see the eardrum by just looking in the ear?
The eardrum is pearly white or light gray, and you can see through it. You can see the tiny bones of the middle ear pushing on the eardrum. You see a cone of light, known as the "light reflex," reflecting off the surface of the eardrum.
What does an infected eardrum look like?
The only way to know for sure if your child has one is for a doctor to look inside her ear with a tool called an otoscope, a tiny flashlight with a magnifying lens. A healthy eardrum (shown here) looks sort of clear and pinkish-gray. An infected one looks red and swollen.
What does a healthy eardrum look like?
Normal: The eardrum is pearly white or light gray, and you can see through it. You can see the tiny bones of the middle ear pushing on the eardrum. You see a cone of light, known as the "light reflex," reflecting off the surface of the eardrum.
Can a doctor see inner ear problems?
An ENT specialist can perform tests to check your balance and diagnose inner ear problems such as Meniere's disease. The doctor will also be able to check for more serious issues, such as tumours that could be affecting your sense of balance.
Can you see an inner ear infection with an otoscope?
Your doctor can usually diagnose an ear infection or another condition based on the symptoms you describe and an exam. The doctor will likely use a lighted instrument (an otoscope) to look at the ears, throat and nasal passage. He or she will also likely listen to your child breathe with a stethoscope.
What causes fluid behind eardrum?
A cold or allergy can irritate the tube or cause the area around it to swell. This can keep fluid from draining from the middle ear. The fluid builds up behind the eardrum. Bacteria and viruses can grow in this fluid.
What does fluid on the ear look like?
The fluid is almost black in color and the ear drum in thinned out and appears bulging. The white spot is an old scar. An adult after a P.E. tube has been placed in the ear. The ear drum has some thickening which makes it appear like fluid in the ear.
What should a normal eardrum look like?
Normal: The eardrum is pearly white or light gray, and you can see through it. You can see the tiny bones of the middle ear pushing on the eardrum. You see a cone of light, known as the "light reflex," reflecting off the surface of the eardrum.
Can you diagnose ear infection at home?
A smartphone app could help diagnose ear infections more accurately — and at home. Middle ear infections, which are detected by fluid buildup in the ear canal, are the most common reason for pediatric visits.
What does an infected eardrum look like?
The only way to know for sure if your child has one is for a doctor to look inside her ear with a tool called an otoscope, a tiny flashlight with a magnifying lens. A healthy eardrum (shown here) looks sort of clear and pinkish-gray. An infected one looks red and swollen.
How can u tell if u have an ear infection?
The symptoms of an ear infection in adults are: Earache (either a sharp, sudden pain or a dull, continuous pain) A sharp stabbing pain with immediate warm drainage from the ear canal. A feeling of fullness in the ear.
How to see the inside of your ear?
They’ll carefully rotate the otoscope in different directions to see the inside of your ear and your eardrum. Your doctor may use a pneumatic otoscope, which has a plastic bulb on the end, to blow a small puff of air against your eardrum. Normally, this air will cause your eardrum to move. Your doctor will see little or no movement ...
Why do doctors examine your ears?
Your doctor can examine your ear to diagnose an ear infection or to see if treatments for an ear condition are working. Ear infections are common, especially in children.
What does it mean when your eardrum is red?
If your doctor identifies any of the following in your ear canal or behind your eardrum, you most likely have an ear infection: redness. swelling. amber liquid. pus. If the light doesn’t reflect off of your eardrum, it’s another indication that fluid may have collected behind the eardrum due to an infection.
How does an ear exam work?
How is an ear examination performed? Your doctor may dim the lights in the exam room to make it easier to see your ear canal and eardrum with an otoscope. An otoscope is a handheld light with a removable plastic tip shaped like a cone that allows the doctor to look inside your ear. Your doctor will gently pull in the following directions ...
What is the pain of an ear exam?
chronic ear infections. a punctured eardrum. An ear exam may be slightly uncomfortable or painful if you have an ear infection. Your doctor will stop the exam and remove the otoscope if the pain worsens.
What are the symptoms of ear infection?
Your doctor will perform an ear examination, or otoscopy, if you have: 1 an earache 2 an ear infection 3 hearing loss 4 ringing in your ears 5 any other ear-related symptoms
How to straighten ear canal?
Your doctor will gently pull in the following directions to straighten your ear canal: up. down. forward. back. Then, they’ll place the tip of the otoscope into your ear and shine a light into your ear canal and down to your eardrum. They’ll carefully rotate the otoscope in different directions to see the inside of your ear and your eardrum.
What to do if eardrum is tearing?
With this office procedure, your ENT doctor may apply a chemical to the edges of the tear, which can promote ear drum healing, and then apply a patch over the hole.
What is the procedure to close a hole in the eardrum?
The most common surgical procedure is called tympanoplasty. Your surgeon grafts a patch of your own tissue to close the hole in the eardrum. This procedure is done on an outpatient basis. In an outpatient procedure, you can usually go home the same day unless medical anesthesia conditions require a longer hospital stay.
What is the name of the device that measures the response of the eardrum to slight changes in air pressure?
Tympanometry. A tympanometer uses a device inserted into your ear canal that measures the response of your eardrum to slight changes in air pressure. Certain patterns of response can indicate a perforated eardrum.
How to keep your ear dry?
Keeping your ear dry. Place a waterproof silicone earplug or cotton ball coated with petroleum jelly in your ear when showering or bathing. Refraining from cleaning your ears. Give your eardrum time to heal completely.
How to keep water out of ear when showering?
To keep water out of your ear when showering or bathing, use a moldable, waterproof silicone earplug or put a cotton ball coated with petroleum jelly in your outer ear.
How long does it take for a eardrum to heal?
Most ruptured (perforated) eardrums heal without treatment within a few weeks. Your doctor may prescribe antibiotic drops if there's evidence of infection. If the tear or hole in your eardrum doesn't heal by itself, treatment will likely involve procedures to close the tear or hole. These may include:
What are some events that may be related to your ear problems?
Relevant events that may be related to your ear problems, such as a history of ear infections, recent ear injuries or head traumas, or recent air travel
What is the procedure to replace the eardrum?
Tympanoplasty is a more common and also more involved procedure. During a tympanoplasty, a surgeon uses fascia to replace the missing portion of the eardrum. 5
What are the layers of the eardrum?
Anatomy. The eardrum has three layers: the outer layer, inner layer, and middle layer. The middle layer is made of fibers that give the eardrum elasticity and stiffness. Cartilage holds the eardrum in place.
How long does it take for a eardrum to heal?
Most ruptured eardrums heal on their own within a few weeks, though it can take longer. Rarely, ruptured eardrums require surgery to repair. Surgical eardrum repair is performed by an ear, nose, throat (ENT) surgeon under general anesthesia. There are two types of surgical repair: patch myringoplasty and tympanoplasty.
What is the role of the eardrum in the ear?
In addition to helping you hear, the eardrum also acts as a protective barrier, keeping the middle ear free from dirt, debris, and bacteria. If an eardrum becomes perforated or ruptures, the middle ear is vulnerable to infection.
Why does my eardrum tear?
The eardrum is delicate and can rupture or tear. Most often this happens as a result of a middle ear infection (called otitis media). Damage to the eardrum can also occur as a result of trauma from things like: Injury from hitting the eardrum with an object, such as a cotton swab. Loud noises.
What causes a swollen eardrum?
The eardrum is delicate and can rupture or tear. Most often this happens as a result of a middle ear infection (called otitis media). Damage to the eardrum can also occur as a result of trauma from things like: 1 Injury from hitting the eardrum with an object, such as a cotton swab 2 Loud noises 3 Head injury 4 Changes in air pressure 3
What happens when your eardrum ruptures?
Changes in air pressure 3 . When an eardrum ruptures, you may notice hearing loss or muffled hearing, pain in the ear, and/or drainage from the ear. Pain from a ruptured eardrum is often treated with over the counter pain relievers. A warm compress held on the outside of the ear may also offer some relief.
What is the instrument used to inspect the eardrum?
A home ear examination is a visual inspection of the ear canal and eardrum using an instrument called an otoscope . An otoscope is a handheld instrument with a light, a magnifying lens, and a funnel-shaped viewing piece with a narrow, pointed end called a speculum.
Why do you examine the other ear first?
If the person is only having problems with one ear, examining the other ear first may make it easier to determine what is different about the affected ear.
How to use an otoscope for a baby?
In babies younger than 12 months, gently pull the outer ear down and back. Now, slowly insert the pointed end of the viewing piece into the ear canal while looking into the otoscope. The sides of the ear canal can be quite sensitive, so try not to put pressure on the ear canal.
What does it mean when your eardrum is red?
The eardrum is red and bulging. You can often see amber liquid or bubbles behind the eardrum. You can see a hole in the eardrum (perforation). You can see whitish scars on the surface of the eardrum. If your child has had a tube placed in an ear, you may also see the tiny plastic tube, which is usually blue or green.
Why do we need an ear exam?
A home ear examination can help detect many ear problems, such as ear infections, excessive earwax, or an object in the ear canal. After receiving instructions and training from a doctor, home ear examinations can be helpful for parents of young children who frequently get ear infections and earaches.
How to clean ear speculum?
Always remember to clean the ear speculum in hot, soapy water before using it. How It Is Done. If you are going to examine a young child, have the child lie down with his or her head turned to the side, or have the child sit on an adult's lap and rest his or her head on the adult's chest.
How to see canals with otoscope?
Angle the tip of the viewing piece slightly toward the person's nose to follow the normal angle of the canal. While looking through the otoscope, move it gently at different angles so that you can see the canal walls and eardrum. Stop at any sign of increased pain.
Why is it important to examine your ears?
Examining the ear also helps the provider see if treatment for an ear problem is working.
How to see if there is fluid in the middle of your ear?
An ear specialist may use a binocular microscope to get a magnified look at the ear. The otoscope may have a plastic bulb on it, which delivers a tiny puff of air into the outer ear canal when pressed. This is done to see how the eardrum moves. Decreased movement can mean that there is fluid in the middle ear.
Why is my eardrum red?
A dull or absent light reflex from the eardrum may be a sign of a middle ear infection or fluid. The eardrum may be red and bulging if there is an infection. Amber liquid or bubbles behind the eardrum are often seen if fluid collects in the middle ear. Abnormal results may also be due to an external ear infection.
How to straighten ear canal?
The provider will gently pull up, back, or forward on the ear to straighten the ear canal. Then, the tip of the otoscope will be placed gently into your ear. A light beam shines through the otoscope into the ear canal. The provider will carefully move the scope in different directions to see the inside of the ear and eardrum. Sometimes, this view may be blocked by earwax. An ear specialist may use a binocular microscope to get a magnified look at the ear.
What is the name of the instrument that looks inside your ear?
Ear examination. An ear exam is performed when a health care provider looks inside your ear using an instrument called an otoscope.
What is the position of a child's head when they lie on their back?
A young child will be asked to lie on their back with the head turned to the side, or the child's head may rest against an adult's chest.
Can an infection spread from one ear to the other?
An infection can be spread from one ear to the other if the instrument used to look inside the ear has not been cleaned well.
How do you know if you have a ruptured eardrum?
To verify if you are suffering from a ruptured eardrum, you must take note of the following ruptured eardrum symptoms. Varying Degrees of Pain . The main and most common symptom of eardrum rupture is pain. People can experience varying degrees of pain with eardrum rupture.
What are the symptoms of a ruptured eardrum?
Other symptoms of a ruptured eardrum include: Vomiting or Nausea Resulting from Vertigo. Spinning Sensation. Tinnitus - Ringing in the Ears. Tinnitus may occur as a result of a ruptured eardrum, which is a buzzing, ringing or whooshing sound in your ears with no external cause.
What happens if you have an infection in your ear?
In an ear infection, fluids can accumulate behind your eardrum and create pressure from the buildup. Under this pressure, your tympanic membrane can rupture or break. Head Injury. Sustaining a severe head injury, such as a fracture of your skull base can also damage or dislocate your inner and outer ear structure.
What is the tympanic membrane?
The tympanic membrane serves as a divider between our middle ear and the outer ear canal in the form of a thin tissue. When we talk about eardrum rupture, what we refer to is a tear or a hole in that tympanic membrane. You may have come across the term ‘perforated eardrum’.
Why does my eardrum rupture?
Let us look at them below: Trauma or Injury. One primary reason for a ruptured eardrum is an injury to the ear or even the side of your head. Injuries can occur in a number of circumstances, including car accidents, falling and hitting your head or your ear, while engaging in sports, or getting hit on your ear.
What is the term for a perforated eardrum?
This, however, is a very rare circumstance. Changes in Pressure. Barotrauma is the term we use when a perforated eardrum occurs due to changes in pressure. Certain activities could cause this condition but it mainly features a drastic variation between the pressure outside your ear from the pressure inside.
What happens if your eardrum ruptures?
Sometime the pain may remain steady throughout the day while for some the severity may fluctuate, increasing, or decreasing over time. Drainage. You may experience pus-filled, bloody, or watery fluids oozing out of your affected ear. Loss of Hearing.
What does it mean when your eardrum is red?
The eardrum may have little or no light reflection. You may also see redness bulging, visible amber liquid or bubbles behind the eardrum. There may also be visible hole (s), whitish scars on the surface of the eardrum, wax blockage, and blockage with an object such as a bean or bug.
Where to insert otoscope?
Insert the otoscope slowly into the ear canal. Place the otoscope at your patients ear, not in it. [6]
What is an otoscope?
This article has been viewed 33,736 times. An otoscope is a medical instrument used by a doctor to examine the ear. The otoscope magnifies the inside of the ear to detect problems or issues with the outer and middle ears, such as Swimmers ear, earwax build-up, or otitis media. It generally has a magnifying glass, ...
How to hold otoscope?
Handle the otoscope properly. Turn the otoscope’s light on and hold your otoscope “upside down” between your thumb and pointer finger like a pen or pencil. Place the back of your hand along the person’s cheek so that otoscope is steady and braced. While the position may feel awkward at first, it soon will feel natural.
How to straighten ear canal?
Straighten the ear canal. Use your opposite hand to gently pull the outer ear up and back on patients older than 12 months. Straightening your patient’s ear canal can make it easier to examine the ears. Pull the outer ear down for babies and children younger than 3 years old.
How to treat ear infection?
The ear is a very sensitive organ and can injure easily if improperly examined. Avoid pulling, pushing, or generally being rough with the patient you are examining. This can calm your patient and minimize the risk of injury from sudden movements.
What to ask a patient about pressure?
Ask your patient if the pressure is acceptable to them. For example, “Is the pressure I’m using ok, Mr. Neumaier? Let me know if you have any discomfort.”
How to examine the ear canal?
Point the tip of the otoscope toward the person's nose first. Begin your examination at this angle, which follows the path of the ear canal. Once you have a clear view, gently move the otoscope around at different angles to examine other parts of the eardrum and ear canal walls.
How to record video of inner ear?
Move the speculum around slightly and record video of your inner ear. With the app open and the speculum placed just barely into your ear, you should see video of your inner ear appear on your phone screen. Follow the product instructions for recording video, and move the speculum around slowly to get a full view of your inner ear.
How deep should an otoscope be?
Specula come in different sizes, and the proper size should fit snugly into the outer third (no more than 2 cm (0.79 in) deep) of the person's ear canal.
How deep should a speculum be?
Specula come in different sizes, and the proper size should fit snugly into the outer third (no more than 2 cm (0.79 in) deep) of the person's ear canal. [7]
How far should you insert a speculum?
Insert the speculum no more than 2 cm (0.79 in) into your ear. No matter if you're using a traditional otoscope or a smartphone attachment, never stick the speculum (the pointed part) more than 1–2 cm (0.39–0.79 in) into your ear. Your inner ear is very sensitive, and you definitely don't want to damage your eardrum! [2]
How far do you push a speculum into the ear?
Do not press the speculum into their ear canal with any amount of force. Simply guide the tip 1–2 cm (0.39–0.79 in) in. If it won't go in easily, you likely have too large of a speculum attached.
How to straighten out ear canal?
Lightly pinch their outer ear between your fingers, at either the 10 o'clock (for the right ear) or 2 o'clock (for the left ear) positions. Gently tug their outer ear up and back—this will straighten out the person's ear canal and make it easier for you to get a clear view inside.
How to view otoscope inside ear?
This will make it much easier to view inside the ear. Now, hold the handle of the otoscope with your finger outstretched. When you place the instrument into the ear canal, you have to move the specula easily into the child’s ear. But make sure you don’t go too far inside the ear canal as it may hurt your child.
How to view ear canal?
Hence, avoid putting too much pressure on the instrument. Gently move the otoscope until you are able to view the eardrum. Angle the viewing piece correctly slightly towards the nose of your child so that it follows the normal angle of the canal.
When Should You Use an Otoscope?
You can use an otoscope or practice otoscopy at home if you notice the following symptoms in your child:
What to do if you have an infection in your ear?
If you find even a small sign of infection in the ear, you must consult your doctor immediately and seek adequate medical assistance.
How to clean otoscope?
You must always clean the exterior surface of your otoscope with a 70% isopropyl alcohol solution. Once the solution is prepared, soak it in a lint-free cloth. Gently wipe down the exterior of the handle and head , and clean all the external surface areas.
When was the otoscope invented?
The invention of modern otoscope began in the mid-19th century in Germany.
Who invented the ear speculum?
He described the vision for the instrument in France in 1363. But till date, the models of the device were not developed till German Surgeon, Wilhelm Fabry and J.J. Perret crafted prototypes in the mid-1600 and 1600 respectively. At this time, the otoscope has a shape similar to a pair of tongs, which is presently the preferred shape for nasal speculums.

Diagnosis
Treatment
- Most ruptured (perforated) eardrums heal without treatment within a few weeks. Your provider may prescribe antibiotic drops if there's evidence of infection. If the tear or hole in the eardrum doesn't heal by itself, treatment will likely involve procedures to close the tear or hole. These may include: 1. Eardrum patch. If the tear or hole in the eardrum doesn't close on its own, an ENT spe…
Lifestyle and Home Remedies
- A ruptured (perforated) eardrum usually heals on its own within weeks. In some cases, healing takes months. Until your provider tells you that your ear is healed, protect it by: 1. Keeping the ear dry.Place a waterproof silicone earplug or cotton ball coated with petroleum jelly in the ear when showering or bathing. 2. Refraining from cleaning the ears.Give the eardrum time to heal comple…
Preparing For Your Appointment
- If you have signs or symptoms of a perforated eardrum, you're likely to start by seeing your provider. However, your provider may refer you to a specialist in ear, nose and throat (ENT) disorders (otolaryngologist). Here's some information to help you prepare for your appointment.