Discharge from the ear

Category: Head, Eyes, Ears, Nose & Throat · All head & senses symptoms

Discharge from the ear — Head, Eyes, Ears, Nose & Throat

What it can feel like

Discharge from the ear means fluid — wax-like, watery, creamy or blood-stained — coming out of the ear canal. It usually means infection or inflammation of the outer ear canal, or fluid escaping from the middle ear through a perforation in the eardrum.

Possible causes

A symptom can have many causes, and most are not serious. The lists below group conditions this symptom can be associated with — common causes first. They are possibilities to discuss with a clinician, not a diagnosis.

Common causes

Discharge can be associated with outer-ear infection (swimmer's ear), middle-ear infection that has perforated the eardrum (often with sudden relief of pain), eczema of the canal, and a foreign body in a child.

Other possible causes

Persistent discharge can be associated with chronic middle-ear disease including cholesteatoma (a skin cyst that erodes bone), infection spreading to the mastoid, and — watery discharge after a head injury — leakage of the fluid that bathes the brain.

Red flags — when to seek help promptly

  • Discharge after a head injury, especially clear and watery — urgent
  • Discharge with swelling or tenderness behind the ear, or high fever
  • Discharge with severe headache, neck stiffness or dizziness
  • Discharge in a baby under three months, or in someone with diabetes or a weakened immune system, with a swollen painful ear

What a clinician may do

A clinician will examine the canal and eardrum (often after gentle cleaning under a microscope), and may send a swab. Treatment targets the layer involved — drops for the outer ear, antibiotics and ENT referral for middle-ear disease — and water precautions protect the ear while it heals.

Frequently asked questions

Why did my child's ear pain suddenly stop when discharge started?

A middle-ear infection builds pressure behind the eardrum; if the drum perforates, pressure releases, pain eases and infected fluid drains out. It usually heals, but the ear should still be checked and hearing reassessed after it settles.

Can I use cotton buds to clean a discharging ear?

No — buds push debris and discharge deeper, scratch inflamed skin and can damage the eardrum. Discharge is cleaned in clinic under vision, often with microsuction; at home, just wipe what reaches the outer ear.

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Please note: This page is educational information about a symptom. A symptom alone cannot diagnose any condition, and the causes listed here are possibilities, not a diagnosis. If you are worried about a symptom — especially one that is new, severe, getting worse or not going away — please see your own clinician, who can examine you and arrange tests. In an emergency, call your local emergency number.