Step 1
Apply a warm 
compress to the outer ear to ease discomfort and release congestion in 
the eustachian tube. The primary cause of fluid buildup is a blockage in
 the eustachian tube that prevents the fluid naturally produced in the 
middle ear from draining.
Step 2
Take 
over-the-counter pain reliever to alleviate the pain associated with 
fluid buildup. The American Academy of Family Physicians recommends 
nonsteroidal anti-inflammatory medication like ibuprofen, which can both
 relive pain and reduce inflammation.
Step 3
Try 
over-the-counter decongestants to relive the pressure in the ear and to 
open the blocked eustachian tube. Blockages occur due to a variety of 
causes including allergic reactions, colds and sinus infections. Infants
 who frequently drink from a "sippy" cup are more susceptible to the 
condition.
  
Step 4
Consult a doctor 
if the condition persists for more than two days, or if fever 
accompanies the fluid buildup. A temperature above 102 degrees for 
toddlers and above a fever of any level for infants warrants a doctor 
visit.
Step 5
Take a full course of doctor-prescribed antibiotics to kill the infection that is causing the blockage in the eustachian tube.
Step 6
Use a nonsurgical
 device such as Ear Popper as an intermediate step between medication 
and surgery. The Ear Popper is a prescription device that forces air 
into the eustachian tube and allows the fluid to pass. Ask your doctor 
if your condition is appropriate for such treatment.
Step 7
Schedule a 
procedure known as tympanostomy tube insertion for persistent problems 
that do not respond to medication or non-surgical interventions. A 
surgeon inserts tiny tubes into the ear drum that allow the fluid to 
pass to the outer ear. The procedure is performed under general 
anesthesia which carries inherent risks, but there are few documented 
complications, according to MedlinePlus.
