Glue ear
Otitis media with effusion means fluid has collected behind the eardrum. It can reduce hearing without causing severe pain.
What is this condition?
Otitis media with effusion means fluid has collected behind the eardrum. It can reduce hearing without causing severe pain.
Main symptoms
Muffled hearing, asking for repetition, a louder television or a blocked-ear sensation.
Causes
Fluid can remain after a middle ear infection or develop when the Eustachian tube is not working well. Nasal inflammation may contribute.
When to see a clinician
Seek advice if hearing changes persist or affect a child’s speech, learning or response to their name. Persistent one-sided fluid in adults also needs assessment.
Examination and tests
The eardrum is checked and hearing or eardrum-mobility tests may be used. The nose and throat may also be examined.
Tests are selected according to your symptoms and examination. Specialist tests or procedures may require referral.
Treatment
Fluid may resolve, so hearing and the eardrum are monitored. Persistent fluid, substantial hearing effects or eardrum changes may lead to consideration of ventilation tubes.
These are general treatment options. Your clinician will discuss which approach fits your condition; not every treatment described is provided at this clinic.
What you can do at home
Speak clearly, reduce background noise and let teachers know about hearing difficulty. Keep planned follow-up appointments.
Frequently asked questions
Can a child have glue ear without pain?
Yes. Reduced hearing or changes in attention may be the main signs.
What should I tell the clinician?
Tell us when symptoms began, whether they are changing, your medicines and allergies, and any relevant medical conditions. For a child, describe changes in feeding, sleep or response to sound.
Related symptoms and conditions
Visiting Honda ENT Clinic
Check temporary changes
| Day | Morning | Afternoon |
|---|---|---|
| Mon / Tue / Wed / Fri | 9:00–12:30 | 15:00–18:20 |
| Saturday | 9:00–11:00 | 14:00–16:00 |
| Closed | Thursday, Sunday and public holidays | |
Reception opens 15 minutes before each session. Walk-ins are welcome for general consultations. Vaccinations may require an appointment.
Please call before visiting if you have a fever of 37.5°C or higher, a recent positive infection test, a household member with an infection, or would like infection testing. The waiting-time service is in Japanese.
Schedules can change. Check clinic news or call before travelling.
About this information and references
This information is published by Honda ENT Clinic and is intended as general guidance. Individual diagnosis and treatment require a clinical assessment. Updated: 6 October 2026.
About Medical Director Dr. Yusuke Honda