Fluid in the middle ear can have few symptoms, especially if it develops slowly. It almost always goes away on its own in a few weeks to a few months. So, this kind of ear problem doesn't usually need to be treated with antibiotics.
In most cases, the fluid clears up within a few months without treatment. You may need more tests if the fluid does not clear up after 3 months. For adults, decongestants that you take by mouth or spray into your nose may be helpful.
Popping your ears can help open the eustachian tube, allowing fluid to drain. The simplest way to pop your ears is to yawn, chew, or swallow. You may also want to try popping your ears using something called the Valsalva maneuver: Take a deep breath and hold it.
Most middle ear infections (otitis media) clear up within three to five days and don't need any specific treatment.
Contact your health care provider if your symptoms don't improve in 48 to 72 hours. If you have a middle ear infection that doesn't improve, you should see an ear, nose, and throat specialist (otolaryngologist) or a specialized otologist.
Ear infections that happen again and again, or fluid in the middle ear, may lead to more-significant hearing loss. If there is some permanent damage to the eardrum or other middle ear structures, permanent hearing loss may occur.
Middle ear infections (otitis media) will usually clear up within a few days, with or without treatment. But antibiotics can speed up recovery in children under two years of age who have an infection in both ears. They may also help if the infected ears are leaking fluid.
Pseudoephedrine is used to relieve nasal or sinus congestion caused by the common cold, sinusitis, and hay fever and other respiratory allergies. It is also used to relieve ear congestion caused by ear inflammation or infection.
What causes fluid in the ear? Fluid in the ear is almost always the consequence of an ear infection. Ear infections can be either viral, bacterial, or a combination of both. Although anyone can be affected by this condition, fluid in the ear is more common among children because of the anatomy of their auditory tubes.
Ménière disease is a disorder caused by fluid buildup in the chambers in the inner ear. It may be caused by several things, including allergies, abnormal immune system response, head injury, migraine headaches, or a viral infection.
Most fluid goes away on its own in weeks or months, especially if it was caused by a cold or an ear infection. OME is of more concern if it lasts more than 3 months or when your child has other problems that could be made worse by persistent ear fluid (e.g., delays in speech, language, learning, or development).
Symptoms most seen in adults include drainage, ear pain, recent decrease in hearing, ear fullness sensations, recent dizziness or balance difficulty, fever (if there is an infection), and even pain, especially in children. It should be correctly diagnosed and treated swiftly.
The ear infection may start shortly after a cold. Sudden drainage of yellow or green fluid from the ear may mean the eardrum has ruptured. All acute ear infections involve fluid behind the eardrum. At home, you can use an electronic ear monitor to check for this fluid.
Eustachian tube massage
Using firm, steady pressure, slide your finger down until you feel a groove between your ear lobe and jaw. Trace that groove all the way down your neck to your collarbone using the same firm pressure. Repeat this process three times on each side, three times a day.
Theoretically, antihistamines may reduce the congestion of mucous membranes and decrease obstruction of tubes lined by mucous membrane, such as the Eustachian tube. An open Eustachian tube would allow the middle ear pressure to equalize to ambient air pressure. It may also allow drainage of fluid from the middle ear.
An instrument called a pneumatic otoscope is often the only specialized tool a doctor needs to diagnose an ear infection. This instrument enables the doctor to look in the ear and judge whether there is fluid behind the eardrum. With the pneumatic otoscope, the doctor gently puffs air against the eardrum.
With swimmer's ear the pain is located in the outer ear canal, or the area near the ear opening, and increases when you pull on the earlobe. In a middle ear infection, pain is located in the inner ear, near the ear drum and will often increase with lying down, which can also cause trouble sleeping.
Chronic ear infection is fluid, swelling, or an infection behind the eardrum that does not go away or keeps coming back. It causes long-term or permanent damage to the ear. It often involves a hole in the eardrum that does not heal.
Many times, fluid in the ear gradually goes away on its own. If you have an infection, you may need antibiotics. If the fluid buildup in your does not get better or gets worse, you might need surgery to help drain it.
Otitis media with effusion (OME) is thick or sticky fluid behind the eardrum in the middle ear. It occurs without an ear infection.
Fluid from the ear may be caused by middle or outer ear infections, damage to the ear drum, a foreign body in the ear or a more serious infection or injury. See your doctor if you notice any fluid leaking from your ear, especially if you have a fever, hearing loss or dizziness or if your ear is red and swollen.
Symptoms of Eustachian tube dysfunction usually go away without treatment. You can do exercises to open up the tubes. This includes swallowing, yawning, or chewing gum. You can help relieve the “full ear” feeling by taking a deep breath, pinching your nostrils closed, and “blowing” with your mouth shut.