What causes bleeding from the ear during sleep?

Bleeding from the ear during sleep may be caused by pathological factors such as injury to the external auditory canal, inflammation, or head trauma. Appropriate treatment should be selected based on the specific underlying cause.

1. External Auditory Canal Injury

If frequent or forceful ear cleaning damages the capillaries in the external auditory canal, it can lead to injury of the external auditory canal or eardrum. If not treated promptly, this may result in ear bleeding, including during sleep. In such cases, medications like hydrogen peroxide or iodophor disinfectant solutions may be used.

2. Inflammation

Bacterial infection of the ear may lead to suppurative infections such as otitis media or external otitis, which often cause ear bleeding during sleep. It is recommended to use levofloxacin ear drops under medical guidance, or take oral antibiotics such as cefradine capsules or moxifloxacin capsules as prescribed.

3. Head Injury

If the head suffers a strong impact leading to skull base fracture, bleeding from the ear during sleep may also occur. According to medical advice, hemostatic agents such as etamsylate injection or tranexamic acid injection may be administered intravenously. In severe cases, surgical intervention such as craniotomy may be required under physician supervision.

In addition, other conditions such as bullous myringitis or tumors in the external auditory canal may also commonly cause ear bleeding during sleep. It is advisable to follow medical instructions for proper diagnosis and treatment.