Does children's otitis media cause blood water after tympanic membrane perforation?

Patient's question:

A few days ago, I had a fever, coughed, and had a very small amount of nasal discharge. Later, I suddenly experienced ear pain, and after about half an hour, pus started to flow from my ear. Last night, I also said my neck was very painful. Now I've noticed that there's blood in my ear.
Regarding past treatment and its effectiveness, I have taken antibiotics and ear drops. I want to know if otitis media can cause blood to seep out?

Doctor's answer:

The symptoms of cough are likely caused by a cold or other reasons. The situation you described may also involve otitis media. If there is inflammation in the middle ear, it can lead to bleeding and thick, watery discharge. It is best for you to visit the ophthalmology department of the hospital for examination. Based on the examination results, additional treatment measures can be determined.
Children are threatened by pediatric otitis media, so mothers must take their children to see a doctor immediately for treatment to prevent the symptoms from being relieved with blind medication. For parents, it is important to closely monitor the child's condition and do their best to help the child receive timely treatment for the disease.

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