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Ear Discharge or Drainage

Description / Symptoms

Drainage of substances with varied colors and consistency from the ear canal.

Cause

Normal discharge is caused from earwax or water. Earwax is light brown, dark brown, or orange brown in color. Abnormal discharge is caused from an ear infection with drainage of cloudy fluid or pus through a ruptured eardrum or through a ventilation tube.

See More Appropriate Topic (instead of this one)

When to Call Your Doctor for Ear Discharge or Drainage

Call Your Doctor Now If:

  • Your child looks or acts very sick
  • Pink or red swelling behind the ear
  • Clear or bloody fluid following head injury
  • Bleeding from the ear canal (Exception: few drops following an ear exam by your doctor)
  • Fever > 105°F (40.6°C)

Call Your Doctor Within 24 Hours If:

  • You think your child needs to be seen
  • Ear pain or unexplained crying
  • Discharge is yellow or green, cloudy white or foul-smelling (pus)
  • Clear drainage (not from a head injury) persists > 24 hours

Call Your Doctor During Weekday Hours If:

  • You have other questions or concerns

Home Care (Read "Call Your Doctor…" first):

Earwax

Earwax protects the lining of the ear canal and has germ-killing properties. If the earwax is removed, the ear canals become itchy.

Call back if: begins to look like pus (yellow or green discharge).

Clear Discharge (without head trauma)

It's probably tears or water that entered the ear canal during a bath, shower, swimming or water fight:

  • Don't overlook eardrops your child or someone else used without telling you
  • In children with ventilation tubes, some clear or slightly cloudy fluid can occur when a temporary tube blockage opens up and drains
  • Call back if clear drainage persists > 24 hours or recurs

Blood After Ear Exam

If your doctor had to remove ear wax in order to see the eardrum, about 10% of the time this causes a small scratch to the lining of the ear canal. Usually the scratch oozes 1 or 2 drops of blood and then clots.

This should heal up completely in a few days. It shouldn't affect the hearing. Don't put anything in the ear canal because it will probably re-start the bleeding. Call back if continues to bleed.

Suspected Ear Infection

Give acetaminophen (e.g. Tylenol) or ibuprofen for pain relief until the office visit. (See earache for details).

Parent Care for Pediatric Symptoms. Copyright 2000-2006.