Fluid build-up in the ears is a common condition. It can be treated in several ways, depending on the cause. If the fluid build-up is triggered by allergy-induced sinus problems, a decongestant may do the trick. Antibiotics may be needed if an infection is involved. Children with frequent ear infections that cause fluid build-up may require ear tubes, inserted surgically.
Antibiotics
Middle-ear infections often cause fluid build-up. Antibiotics, especially amoxicillin in liquid or pill form, are prescribed to treat the bacterial infection. In most cases, clearing up the infection will take care of the middle-ear fluid.
Decongestants
Because nasal and sinus tissue swelling can cause ear fluid and pressure, spray or tablet-form decongestants, available over the counter, can provide relief. They constrict blood vessels to the nasal and sinus tissues, which shrinks the tissue and decreases swelling. Once the swelling comes down, the Eustachian tubes open up, and the fluid can drain from the ear.
Ear Tubes
Insertion of ear tubes is the most direct way to drain fluid from the ear. It is a simple surgical procedure often done on children who have recurring middle ear infections. Improved drainage usually prevents infections from developing again and decreases the severity of any infections that do develop. The procedure usually takes only 10 to 20 minutes. Possible but unlikely side effects include ear drum scarring, persistent ear drainage and ear drum perforation.
References
- Children's Health Topics: Ear Infections
- Journal "Pediatrics"; Otitis media with effusion; American Academy of Family Physicians; American Academy of Otolaryngology - Head and Neck Surgery; American Academy of Pediatrics Subcommittee on Otitis Media With Effusion; January 2004
- Medline Plus: Ear Tube Insertion


