An ear piercing is a perforation of the eardrum, a rupture of the thin tissue. The main symptom is hearing loss, and an ear piercing can also cause an infection in the middle ear. Some people don’t notice any symptoms of an ear piercing after they have one. Some people notice hearing problems a few days later, and some people feel air coming out of their ears when they blow their nose. Forced nose blowing causes the air to rise, which fills the space in the middle ear, and this causes the eardrum to swell outward, but with an ear piercing, the air rushes out of the ear and is loud enough for people to easily notice. An ear perforation can cause sharp ear pain, some pus will come out of the ear, some tinnitus will occur inside the ear, the ear will become infected, facial weakness will occur, and some people may also experience dizziness. An ear perforation will be examined through an otoscope, and in most cases the doctor will be able to see the perforated eardrum and also the tear in the eardrum. The doctor will measure the patient’s hearing to determine the effect of the ruptured eardrum on the patient. Most hearing loss due to a ruptured eardrum is temporary and hearing usually returns to normal after the eardrum heals. The main symptom of an ear perforation is that it affects the patient’s hearing. A normal eardrum perforation is not easily detectable, so it is important to seek medical attention when hearing abnormalities are detected.