A perforated eardrum, also known as a ruptured eardrum, is a tear or hole in the thin membrane separating the outer and middle ear. It can arise from ear infections, sudden pressure changes, loud noise exposure and cotton swab use. While it often heals on its own, special care is needed during recovery, especially regarding hygiene routines like washing your hair.
The Risk of Water Exposure

When the eardrum is damaged, water and debris can pass through the opening and reach the middle ear. This increases the risk of infection and inflammation. Because of these risks, you need to be careful when you wash your hair.
How to Wash Hair Safely
Maintaining your regular shower routine is still possible, but extra caution is essential. Take a few of the following precautions when showering:
- Put a cotton ball coated with petroleum jelly in the opening of the outer ear to keep water out while showering. You can find cotton balls and petroleum jelly in most Arvada pharmacies. If you want to use earplugs, check with your ENT specialist to ensure they’re safe.
- Tilt your head back as long as possible while shampooing and conditioning so that water drains down your back rather than over your ears.
- Use a handheld showerhead to rinse your hair.
- If water splashes the ear, gently pat around the ear with a towel—never insert anything into the ear canal to dry it.
If you feel water in your ear after showering, tilt your head towards the affected ear to help the water drain out.
When to Seek ENT Help
If you notice drainage, intense pain, hearing changes or a feeling of fullness in the ear after hair washing, it’s essential to contact an ENT specialist. They can determine whether the eardrum is healing properly or if further treatment is necessary. If the eardrum is not healing on its own, they may recommend one of the following:
- Myringoplasty. A myringoplasty uses a medicated paper patch to cover the hole in your eardrum to promote safe healing.
- Tympanoplasty. A tympanoplasty uses skin or cartilage to cover the hole in your eardrum.
Safeguarding your perforated eardrum while you shower will help ensure a smooth recovery. To learn more about caring for your perforated eardrum, contact Advantage ENT & Audiology for an appointment with one of our specialists.