Expert: Harriet B Jacobster, Au.D. - 7/5/2008

Question
Hi,
I am a little worried right now. I went to go see the fireworks at my city and
when i was walking back in the mass of people someone threw a firecracker/
workthing right into the middle of the crowd. About 3-4 feet away from me.
It went off. It was loud. My ears hurt. I know that loud sounds can damage
your hearing and ears. I am concerned that it may have damaged my ears. It
was not a real fire work as it did not go up in the air but it did explode
spreading ash. What suggestions do you have. I can hear now without a
problem but they do hurt.
thanks.

Answer
Hi Adam,
You've experienced what we call "acoustic trauma."  AT causes not only a hearing loss by damaging the nerves in the inner ear but can also cause a traumatic perforation of the eardrum.  That may be the pain you are feeling.  You may still have a hearing loss but just not notice it right now.  Usually a perforation will heal on itself, but, depending on its size and location, it may not.  The biggest concern now, if you do have a perforation, is to avoid an infection.  This can happen if water gets in the ear.  So, first, you need to see a physician, preferably an ear specialist, ASAP to check your ears and your hearing.  Until then, avoid getting water in your ears.  For the pain, you might try some warm compresses or OTC analgesics.  
Hope this helps.
Harriet B. Jacobster, AuD
Board Certified in Audiology