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A number of things can cause the eardrum to rupture; one of the most common causes is an ear infection. When the middle ear is infected, pressure builds up and pushes against the eardrum. When the pressure gets too great, it can cause the eardrum to perforate. When that happens you may suddenly notice that the pain and pressure you've felt from the infection suddenly stops and pus drains from the ear.
1 In the outer or middle ear, any of these can cause hearing loss. 2  Ruptured eardrum (tympanic membrane perforation). Loud blasts of noise, sudden changes in pressure, poking your eardrum with an object and infection can cause your eardrum to rupture and affect your hearing.  Symptoms.