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This article was co-written by Luba Lee, FNP-BC, MS. Luba Lee is a licensed family physician practicing in Tennessee. She received her MSN from the University of Tennessee in 2006.
There are 20 references cited in this article that you can see at the bottom of the page.
This article has been viewed 12,518 times.
Stagnant fluid in the ear is one of the major causes of middle ear infections, also known as acute otitis media (OM). Otitis media occurs when fluid (usually pus) appears in the inner ear, causing the eardrum to become red and painful, sometimes accompanied by a fever. However, sometimes fluid remains in the ear even after the inflammation is gone; This condition is called otitis media with fluid retention (OME). In general, children are more prone to ear infections and fluid accumulation in the ears than adults. [1] X Trusted Source Mayo Clinic Go to the source Several home remedies can help get rid of fluid in the ear, although the fluid will clear up on its own in most cases. However, treating the underlying cause remains the most important step. [2] X Research Source
Steps
Diagnostic
- Note that children between three months and two years of age have the most frequent ear infections and fluid accumulation in the ears. Parents or caregivers should provide as much information and medical history as possible. As such, it is important to carefully monitor and note any symptoms.
- Know that OME often has no symptoms. Some people may have a feeling of fullness or “pop” in their ears. [5] X Research Sources
- Seek medical attention as soon as you notice fluid, pus, or blood coming out of your ear. [6] X Trusted Source Mayo Clinic Go to Source
- Most colds and flus are caused by a viral infection, so you usually don’t need to seek medical attention as there is no cure for a viral infection. Seek medical attention only when fever cannot be reduced with usual doses of Tylenp or Motrin (and body temperature rises to 38.9°C). You need to watch for any flu symptoms because your doctor will need to know about the primary infection. The flu usually lasts only a week. You should see your doctor if your condition does not improve after a week.
- Does not respond to small sounds or other noises
- Need to turn up the TV or radio volume
- Talking at an unusually loud volume
- Not paying attention in general
- Hearing impairment — An ear infection can make it a little harder to hear, but more severe hearing loss can result from persistent ear infections or long-term fluid retention, which in some cases can lead to hearing loss. can damage the eardrum and inner ear. [9] X Trusted Source Mayo Clinic Go to Source
- Speech delay — In young children, hearing loss can lead to delayed speech development, especially when the child is not yet able to speak. [10] X Trusted Source National Health Service (UK) Go to Source
- Disseminated infection — An infection that is left untreated or unresponsive to therapies can spread to other tissues and should be treated promptly. Mastoiditis is an infection that can cause the bone to protrude behind the ear. This condition not only damages the mastoid bone but also develops pus-filled tumors. In rare cases, severe otitis media can spread into the skull and affect the brain. [11] X Research Source (Miyamoto, Richard, MD. MS The Merck Manual, 19th edition, revised December 2012)
- Tear of the eardrum —Sometimes an infection can puncture or tear the eardrum. [12] X Source of Research Most eardrum tears resolve on their own in about 3 days, with some cases requiring surgery. [13] X Trusted Source Mayo Clinic Go to Source
- Be prepared to answer questions about the onset and nature of symptoms. If the patient is a child, you should answer on behalf of the child.
- You may need to see an ENT specialist if the condition persists, recurs frequently, or does not respond to current treatments. [16] X Trusted Source Mayo Clinic Go to Source
Remove fluid from the ear
- The decongestant spray should not be used for more than three days at a time. This medicine, if used for a long time, can cause a “back effect” of swelling in the nasal cavity.
- Although oral decongestants usually don’t “backward” swelling of the nasal passages, some people develop heart palpitations and increased blood pressure. [21] X Research Source
- Children may be affected by other side effects such as hyperactivity, restlessness and insomnia.
- Avoid decongestant sprays that contain zinc. This drug has been linked to a rare (though rare) permanent loss of smell. [22] X Research Sources[23] X Research Sources
- Consult your doctor before using any nasal decongestant spray or medication.
- However, antihistamines can cause serious sinus side effects, including drying out the lining of the nasal tissue and thickening of secretions. [25] X Research Sources
- Antihistamines are not recommended for uncomplicated sinusitis or ear infections. [26] X Research Sources
- Other side effects include drowsiness, confusion, blurred vision, and possibly irritability and agitation in some children.
- Fill the bowl with hot water. You can add herbs with anti-inflammatory effects to the water like tea tree or chamomile essential oil. Cover your head with a towel and let your ears soak in the steam. Avoid stretching your neck, and only cover with a towel for about 10-15 minutes. [27] X Research Source
- You can also take a shower with very hot water, see if the steam can get the fluid out and out of the ear. Do not try this therapy on children, as they cannot tolerate extreme temperature changes.
- Be careful not to burn your ears or face. Stop immediately if you feel pain or overheat.
- Even a hot water bottle placed near the ear has the same effect and helps the fluid in the ear to drain out.
- Cool mist humidifiers are recommended for children as they reduce the risk of burns or injury.
- However, these methods actually only treat the symptoms (such as fluid in the ear, congestion, etc.) but do not treat the main problem (such as acute otitis media, otitis media with fluid retention, congestion, etc.) or other problems in the eustachian tubes).
Cure ear infections and persistent fluid retention
- The American Academy of Pediatrics and the American Academy of Family Physicians recommend a “wait and see” treatment for children six months to two years of age with pain in one ear, and for children over two years of age if one or more of the earaches are present. ears for at least two days and a temperature below 39°C. [36] X Trusted Source Mayo Clinic Go to Source
- Many doctors favor this treatment due to the inherent limitations of antibiotics, including the fact that antibiotics are often overused, causing bacteria to become resistant to antibiotics rapidly. Furthermore, antibiotics do not cure viral inflammation. [37] X Research Source
- Children six years and older who are diagnosed with mild to moderate ear infections by a doctor may be prescribed antibiotics for a shorter period of time (5 to 7 days instead of 10 days). [40] X Research Source
- Note that, although rare, benzocaine has been associated with a potentially fatal condition caused by hypoxia in the blood, especially in children under two years of age. Do not give benzocaine to children. Adults must use the correct dosage. Talk to your doctor about possible risks. [41] X Research Source
- Note that even after antibiotic treatment has been given, fluid can remain in the ear for months. You should visit your doctor after finishing your course of antibiotics to recheck the infection and determine if fluid is still present. Usually, your doctor will make an appointment for a follow-up visit about a week after the course of antibiotics is finished. [42] X Research Source
- This is an outpatient surgery. An otolaryngologist will insert an ear catheter into the eardrum through a small incision. This procedure will help ventilate the ear, prevent further fluid from accumulating, and allow the fluid present in the middle ear to drain completely. [45] X Trusted Source Mayo Clinic Go to Source
- Some catheters stay in place for six months to two years and will fall out on their own. [46] X Research Source Rosenfield, RM Schwartz, SR, Pynnon, MA et al Otparyngpogy Head and Neck Surgery 2013 July 149 (1 suppl) S1-35) Others are designed to last longer and may require surgery. to take out. [47] X Trusted Source Mayo Clinic Go to Source
- The eardrum will usually close on its own after the catheter falls out or is removed. [48] X Trusted Source Mayo Clinic Go to Source
- This surgery is often performed in children because adenoids in children are larger and therefore more likely to cause problems. With this surgery, the ENT specialist removes the adenoid by mouth while the patient is under anesthesia. In some hospitals, VA curettage is done the same day and you can go home the same day. In other cases, the surgeon may keep the patient overnight for observation.
Pain relief
- Use caution when giving aspirin to children or adolescents. Technically, aspirin is considered safe for children over the age of two. However, aspirin has recently been implicated in Reye’s syndrome, a rare disease that can cause severe liver and brain damage in adolescents recovering from chickenpox or the flu, so You need to be cautious when giving aspirin to minors. [52] X Trusted Source National Health Service (UK) Go to Source Consult your doctor if you have any concerns. [53] X Trusted Source Mayo Clinic Go to Source
- When giving ear drops to children, you should warm the medicine by submerging the vial in warm water. This is to avoid startling the child because the cold medicine drops into the ear. Have your child lie on a flat surface, with the sore ear facing you. Apply the medication according to the instructions on the label. Follow the recommended dosage and do not overdose. Do the same movement as a child for yourself or an adult. [55] X Trusted Source Mayo Clinic Go to Source
Advice
- In some cases, otitis media with effusion can occur without prior ear infection. Maybe the problem lies in the eustachian tube itself. [56] X Research Sources
Warning
- Do not attempt to remove water from the ear with a cotton swab. This movement can push foreign objects deeper and damage the eardrum.
This article was co-written by Luba Lee, FNP-BC, MS. Luba Lee is a licensed family physician practicing in Tennessee. She received her MSN from the University of Tennessee in 2006.
There are 20 references cited in this article that you can see at the bottom of the page.
This article has been viewed 12,518 times.
Stagnant fluid in the ear is one of the major causes of middle ear infections, also known as acute otitis media (OM). Otitis media occurs when fluid (usually pus) appears in the inner ear, causing the eardrum to become red and painful, sometimes accompanied by a fever. However, sometimes fluid remains in the ear even after the inflammation is gone; This condition is called otitis media with fluid retention (OME). In general, children are more prone to ear infections and fluid accumulation in the ears than adults. [1] X Trusted Source Mayo Clinic Go to the source Several home remedies can help get rid of fluid in the ear, although the fluid will clear up on its own in most cases. However, treating the underlying cause remains the most important step. [2] X Research Source
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