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Ear discharge

Definition

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

Causes

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:

  • and other skin irritations in the ear canal
  •  with symptoms such as itching, scaling, a red or moist ear canal, and pain that increases when you move the earlobe
  • Normal ear wax

    • Home Care

    Caring for ear discharge at home depends on the cause.

    When to Contact a Medical Professional

    Contact 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.
  • There is redness or swelling coming out of the ear canal.
  • Facial weakness or asymmetry

    • What to Expect at Your Office Visit

    The provider will perform a physical exam 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, or hearing loss)?

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

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

    The provider may remove wax or infectious material from the ear canal using a small vacuum suction.

    References

    Hathorn I. The ear, nose and throat. In: Innes JA, Dover AR, Fairhurst K, eds. Macleod's Clinical Examination. 15th ed. Philadelphia, PA: Elsevier; 2024:chap 9.

    Pelton SI. Otitis externa, otitis media, and mastoiditis. In: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020:chap 61.

    Player B. Otitis media. In: Kliegman RM, St. Geme JW, Blum NJ, et al, eds. Nelson Textbook of Pediatrics. 22nd ed. Philadelphia, PA: Elsevier; 2025:chap 680.

    Wareing MJ, Warner E. Ear, nose and throat. In: Glynn M, Drake WM, eds. Hutchison's Clinical Methods. 25th ed. Philadelphia, PA: Elsevier; 2023:chap 22.

    Schedule An Appointment

    Contact Atlanta Obsetrics and Gynaecology at The Womens Center Millennium Hospital - 404-ATL-BABY

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    Review Date: 5/2/2024

    Reviewed By: Josef Shargorodsky, MD, MPH, Johns Hopkins University School of Medicine, Baltimore, MD. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.