I perforated my right eardrum this past Saturday, but never had any issues with equalizing or any pain...
I discovered it late Saturday evening when I pinched my nose and blew gently to continue the "post dive" clearing and all of a sudden my wife could hear whistling coming from my head whenever I did that...
Since I was working on a doctor friends' computer network all day yesterday(
he too is a diver), I had him check my ears with an Otoscope (sp?) and sure enough he said there was what "appeared to be a tiny tear" with a little residual blood towards the very edge of the membrane and the ear canal itself. When I stopped into the LDS this morning to chat, I mentioned this and the owner strongly suggested that I get on antibiotics as a preventative measure, so I stopped in to see another doctor friend of mine today and had him call in a script for a Z-Pak. He's also a diver, and he was telling me that he's ruptured his ears twice before, so he was really glad I wanted the antibiotics.
It was a freshwater lake dive, so we were laughing about the possibility of algae growing inside my head, and debated which type of antibiotics would be best for algae...
Anyways, I just started my 5-day regimen, and will be getting my ears checked again in 30 days or so.
-Tim