Otorrhea (patient information)

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Otorrhea

Overview

What are the causes?

Diagnosis

When to seek urgent medical care?

Treatment options

Where to find medical care for Otorrhea?

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Kalsang Dolma, M.B.B.S.[2]

Overview

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

What causes Otorrhea?

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

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. The eardrum may also bleed.

Causes of a ruptured eardrum include:

  • Foreign object in the ear canal
  • Injury from a blow to the head, foreign object, very loud noises, or sudden pressure changes (such as in airplanes)
  • Inserting cotton-tipped swabs or other small objects into the ear
  • Middle ear infection

Other causes of ear discharge include:

  • Eczema and other skin irritations in the ear canal
  • Swimmer's ear - with symptoms such as itching, scaling, a red or moist ear canal, and pain that increases when you move the earlobe

Diagnosis

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 health care provider may take a sample of the ear drainage and send it to a lab for examination.

The health care provider may recommend anti-inflammatory or antibiotic medicines, which are placed in the ear. Antibiotics may be given by mouth if a ruptured eardrum from an ear infection is causing the discharge.

When to seek urgent medical care?

  • 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.
  • There is redness or swelling coming out of the ear canal.

Treatment options

Caring for ear discharge at home depends on the cause.

Where to find medical care for Otorrhea?

Directions to Hospitals Treating Otorrhea

Sources

http://www.nlm.nih.gov/medlineplus/ency/article/003042.htm Template:WH Template:WS