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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.
A hole or rupture in the eardrum, a thin membrane that separates the ear canal and the middle ear, is called a perforated eardrum. The medical term for eardrum is tympanic membrane.nfections can cause a hole in the eardrum as a side effect of otitis media. Symptoms of acuteotitis media (middle ear fluid with signs of infection) include a senese of fullness in the ear, some hearing loss, pain, and fever.