[23F] With ear pain and tenderness post self-piercing

Patient Description

A 23-year-old female pierced her ear at home with a needle approximately one month ago. A couple of weeks later, she noticed her earlobe was hard. Upon massaging it, she heard a popping noise followed by blood and pus discharge. The hardness softened slightly after the popping noise. The patient reports that the ear is very tender and hurts when touched or when the earring is manipulated. There are no associated symptoms such as fever, chills, dizziness, or facial weakness. The patient has no significant past medical history and is not on any medications except for Vitamin D, which she takes every other day. She has an allergy to penicillin.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

  • Infection: Given the tenderness, pain, and presence of blood and pus, it's possible that your ear piercing site has become infected. Infections can occur if the piercing equipment wasn't sterile or if the piercing hasn't been properly cared for.

    • Treatment: Infections are typically treated with topical or oral antibiotics. Since you are allergic to penicillin, your doctor can prescribe an alternative antibiotic. Cleaning the area with saline solution and applying an over-the-counter antibiotic ointment may also help.
  • Hematoma: The hardening of your earlobe followed by a popping noise and bleeding could indicate a hematoma, which is a collection of blood outside of blood vessels. This can occur if a blood vessel was damaged during the piercing.

    • Treatment: Hematomas often resolve on their own, but it's important to keep the area clean to prevent infection. Warm compresses can help the body reabsorb the blood more quickly.

What you can do

  1. Clean the Piercing: Clean the area with a saline solution or a mixture of salt and warm water. Avoid using alcohol or hydrogen peroxide, as these can irritate the skin.
  2. Apply an Antibiotic Ointment: Use an over-the-counter antibiotic ointment, but avoid using it for more than a week without consulting a healthcare provider.
  3. Avoid Touching: Try not to touch or twist the earring, as this can introduce bacteria and worsen the infection.
  4. Warm Compresses: Apply a warm compress to the area to help reduce swelling and promote healing.
  5. Pain Relief: Over-the-counter pain relievers like acetaminophen or ibuprofen can help manage pain and reduce inflammation.

What you should look out for

Seek medical attention if you experience any of the following:

  • Increased Pain or Swelling: If the pain or swelling worsens, it could indicate a more serious infection.
  • Fever or Chills: These could be signs that the infection is spreading.
  • Red Streaks: Red streaks extending from the piercing site could indicate a spreading infection.
  • Persistent Bleeding or Pus: If bleeding or pus continues, you should see a healthcare provider.

Remember, while these tips can help manage your symptoms, it's important to consult a healthcare professional for a formal diagnosis and appropriate treatment.

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7 mo ago

People Also Ask


What are the signs of an infected ear piercing?

Signs of an infected ear piercing include redness, swelling, tenderness, pain, and discharge of pus or blood. If you notice these symptoms, it's important to take action to prevent the infection from worsening.


How can I treat an infected ear piercing at home?

To treat an infected ear piercing at home, clean the area with a saline solution, apply an over-the-counter antibiotic ointment, and avoid touching or twisting the earring. Warm compresses can help reduce swelling. If symptoms persist, consult a healthcare provider.


What should I do if I have a hematoma from an ear piercing?

If you suspect a hematoma from an ear piercing, apply warm compresses to help the body reabsorb the blood. Keep the area clean to prevent infection. Most hematomas resolve on their own, but if symptoms worsen, seek medical advice.


When should I seek medical attention for an ear piercing issue?

You should seek medical attention if you experience increased pain or swelling, fever or chills, red streaks extending from the piercing site, or persistent bleeding or pus. These could indicate a more serious infection or complication.


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