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Patient education: Fluid in the ear – ED discharge instructions (The Basics)

Patient education: Fluid in the ear – ED discharge instructions (The Basics)

What are discharge instructions? — 

Discharge instructions are information about how to take care of yourself after getting medical care in the emergency department ("ED").

What should I know? — 

You came to the ED for fluid in the ear. When a person has fluid in their ear without symptoms of an ear infection, it is called "otitis media with effusion." The fluid builds up behind your eardrum. It can happen after a viral infection or be related to other causes, like allergies.

The fluid in your ear can last for a few weeks. This can cause mild, short-term hearing loss. If the fluid lasts for more than a few months, your doctor might suggest treatment to drain the fluid or look for other causes for the fluid.

How do I care for myself at home? — 

Ask the doctor or nurse what you should do when you go home. Make sure you understand exactly what you need to do to care for yourself. Ask questions if there is anything you do not understand.

You should also do the following:

Call your regular doctor and tell them you were in the ED. Make a follow-up appointment if you were told to.

Do not put anything in your ear, unless the doctor told you to.

Take non-prescription medicines to relieve pain, if needed. Examples include acetaminophen (sample brand name: Tylenol), ibuprofen (sample brand names: Advil, Motrin), and naproxen (sample brand name: Aleve).

If your doctor recommended you take other medicines like antihistamines, decongestants, or nose sprays, follow the instructions. Most doctors do not recommend these medicines for children.

It might help to breathe in, close your mouth, pinch your nose shut, and then blow gently. This sometimes helps relieve symptoms until the fluid in your ear goes away.

When should I call the doctor? — 

Call for advice if:

You have a fever of 100.4°F (38°C) or higher, or chills.

You still have hearing problems after 2 weeks.

Your ear is draining fluid.

You have ear pain.

You have ringing or buzzing in your ear.

You have new or worsening symptoms.

More on this topic

Patient education: Otitis media with effusion (The Basics)

This topic retrieved from UpToDate on: May 11, 2025.
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