Bleeding or discharge from the ear. Ringing in the ear. Occasionally, perforation causes relief to earache. Obtain prompt medical treatment for middle-ear infections. A culture of the fluid from the ear may be done also.
Treatment involves medication to prevent or treat infection and supportive care for pain.
Don't blow your nose, if possible. If you must, blow gently. Keep the ear canal dry. Don't swim, take showers or get caught in the rain. Microsurgery to repair the perforation if it doesn't heal spontaneously.