When a patient experiences a ruptured eardrum, it does not always present with bleeding. When eardrum rupture occurs, it may be affected by a variety of factors. The most common factor is suppurative otitis media, which leads to the development of a secondary eardrum perforation. If the ear bleeds pus, there will be no bleeding from the ear, and if a small amount of intra-auricular bleeding occurs due to the factor of trauma, there are some cases in which there may not be any bleeding, as follows: 1. There will be no bleeding from the ear: after the occurrence of perforation of the eardrum, there is a larger amount of purulent secretion in the middle ear cavity, which will rapidly overflow into the ear canal through the perforation, and the symptom of pus in the ear will occur. The original more serious ear pain symptoms will also tend to be relieved more quickly, in this case, generally will not appear obvious ear bleeding performance. 2, a small amount of intra-auricular bleeding: some patients may be due to ear trauma, resulting in traumatic perforation of the eardrum, in this case, the patient may appear a small amount of intra-auricular bleeding. 3, no bleeding: there are also some patients may not be obvious bleeding symptoms.