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Ear anatomy
Ear anatomy


Eardrum repair  - series
Eardrum repair - series


Definition:

Ear discharge is drainage of blood, ear wax , pus, or fluid from the ear.



Alternative Names:

Drainage from the ear; Otorrhea; Ear bleeding; Bleeding from ear



Considerations:

Most of the time, any fluid leaking out of an ear is ear wax.

However, discharge may also be caused by a minor irritation or infection. A ruptured eardrum can cause a white, slightly bloody, or yellow discharge from the ear. Dry crusted material on a child's pillow is often a sign of a ruptured eardrum.

Bleeding from the ear may also be due to:

  • Cancer
  • Foreign object in the ear canal
  • Injury


Common Causes:

Home Care:

To be safe, never put anything in the ear that is smaller than the tip of your little finger.

EAR INFECTIONS

Treat inflammation or infection as your health care provider recommends. Your doctor may suggest ear drops.

EAR WAX

Use a gentle, warm water flush with a syringe (available at the drug store) to remove packed-down ear wax. Do not attempt to remove impacted ear wax in very young children. If you can easily see and retrieve ear wax in older children, do so carefully. NEVER use sharp objects to attempt to remove wax.

INJURY

Seek medical help for:

  • Head injury
  • Injury from a foreign object
  • Noises or pressure changes
  • Suspected clotting or bleeding problem

Don't get alarmed over a ruptured eardrum. Eardrum rupture is the first sign of the healing process. Antibiotics can help prevent further infection during the healing process. Eardrum ruptures in children will usually heal completely within a few weeks.

SWIMMER'S EAR

For swimmer's ear (unless the eardrum is perforated):

  • Tilt the head sideways, with the water-filled ear up.
  • Pull the ear upward and backward.
  • Carefully squeeze a medicine-dropper full of rubbing alcohol or a mixture of half rubbing alcohol and half white vinegar into the ear. This mixture will dry out the ear and kill any bacteria or fungi.
  • Wiggle the ear to move the solution all the way down.
  • Tilt the head again so that the affected ear is now down, and let the fluids drain out.

Putting a little mineral oil or baby oil in each ear before swimming may help prevent the problem.



Call your health care provider if:
  • The discharge is white, yellow, clear, or bloody.
  • The discharge is the result of an injury.
  • The discharge has lasted more than 5 days.
  • There is severe pain.
  • The discharge is associated with other symptoms, such as fever or headache.
  • There is loss of hearing.


What to expect at your health care provider's office:

The health care provider will perform a physical examination and look inside the ears. You may be asked questions, such as:

  • When did the ear drainage begin?
  • What does it look like?
  • How long has it lasted?
  • Does it drain all the time or off-and-on?
  • What other symptoms do you have (for example, fever, ear pain, headache)?

The doctor may take a sample of the ear drainage and send it to a lab for examination.

The doctor may recommend anti-inflammatory or antibiotic medicines, which are placed in the ear. Antibiotics will be given by mouth if a ruptured eardrum is causing the discharge.



References:

Cummings CW, Flint PW, Haughey BH, et al. Otolaryngology: Head & Neck Surgery. 4th ed. St Louis, Mo; Mosby; 2005:2867-2871.

Behrman RE. Nelson Textbook of Pediatrics. 17th ed. Philadelphia, Pa: WB Saunders: 2004; 2127.




Review Date: 10/10/2008
Reviewed By: Alan Lipkin, MD, Otolaryngologist, Private Practice, Denver, Colorado. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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