Hello Customer (name blocked for privacy),
I concur with Dr Evans that your wife in all likelihood ruptured her eardrum. The issue here is that no one knows what size that tear is; little tears often can heal on their own, big ones MUST be repaired. If it is not repaired, or does not heal, there is a potential for even worse infections than she already has. In addition, if it heals wrongly, scar tissue can form which can affect her hearing and potentially lead to cyst formation.
There is no way to tell the size of a perforation by the amount of blood...so just because she only seemed to bleed a little does not mean it was a small tear. Remember, the eardrum itself is tiny, so what you think is a small amount of blood may imdicate a large tear of a small object.
For all these reasons, I do aggree that she should be seen as soon as possible, given that we dont know the size of the tear. However that choice is certainly yours. I include a link about perforated eardrums for your further information. http://www.emedicinehealth.com/perforated_eardrum/article_em.htm
I wish you and your wife the best,
Sincerely,
Susan
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