If the ear pulling bleeds and crusts inside, it is recommended that the patient go to an ENT clinic and have the doctor examine the ear canal to see the extent and size of the damage to the ear canal, any damage to the eardrum, and to see what is bleeding. If there is only an ear canal hollowing injury, no damage to the eardrum, and relatively little bleeding, the problem is not significant. Patients are advised to keep the ear canal dry and the blood scabs will fall off on their own without any special treatment. If there is more bleeding, it is possible that the bleeding is caused by tympanic membrane perforation. In this case, the patient needs to be alert and use a disposable suction device to suck out the accumulated blood and check the size and extent of the tympanic membrane perforation. Patients are advised to apply antibiotics, and generally with traumatic tympanic membrane perforation, as long as there is no infection, the patient will mostly grow well in about two months. If the examination is more bleeding and there is no tympanic membrane perforation, you can let the doctor first suck out the accumulated blood with an aspirator and then give anti-inflammatory and other treatments to promote wound healing and avoid aggravation. Usually the accumulated blood will fall off on its own in about a month or so. Until it does, patients are advised not to pull out their ears or harden the blood scabs to pick them off, which will easily bleed again.