Glue ear is where the middle part of the ear canal fills up with fluid. This can cause temporary hearing loss. It usually clears up within 3 months, but see a GP about any hearing problems.
Check if it's glue ear
The most common symptom of glue ear is temporary hearing loss. It can affect both ears at the same time.
Other symptoms may include:
If glue ear lasts a long time, it can affect a child's speech development and progress at school.
Glue ear is much more common in children, but adults with glue ear have the same symptoms.
Other conditions that cause ear pain
Ear pain with a change in hearing
Ear pain with toothache
Ear pain with pain when swallowing
Ear pain with a high temperature
Non-urgent advice: See a GP if:
Your child has signs of a hearing problem, such as:
- speaking loudly
- being difficult to understand
- asking people to repeat what they say
- asking for the TV or music to be turned up loud
- strugglng to hear people far away
- becoming easily distracted when people are talking
- finding it hard to concentrate or seeming tired and irritable because it's harder for them to listen
What happens at your appointment
A GP should be able to tell if it's glue ear by looking for fluid inside the ear.
They'll use a small scope with a light and magnifying glass. This should not be painful.
If your child has had glue ear for more than 3 months, they may be referred to a specialist for hearing tests.
Hearing tests can help find out how severe any hearing loss is and what's causing it.
Treatment for glue ear from a GP
Glue ear is not always treated. The GP will usually wait to see if the symptoms get better on their own.
This is because there's no effective medicine for glue ear, and it often clears up on its own within 3 months.
Your child may be monitored for up to a year in case their symptoms change or get worse.
The GP may suggest trying a treatment called autoinflation while waiting for symptoms to improve. Autoinflation can help fluid in the ear to drain.
It's done by either:
- blowing up a special balloon using 1 nostril at a time
- swallowing while holding the nostrils closed
As autoinflation has to be done several times a day, it's not usually recommended for children under 3 years old.
Antibiotics may be prescribed if glue ear causes an ear infection.
Your child may be referred to a specialist in hospital if:
- glue ear symptoms are affecting their learning and development
- they already had severe hearing loss before glue ear
- they have Down's syndrome or a cleft lip and palate, as glue ear is less likely to get better by itself
The 2 main treatments are temporary hearing aids or grommets (small tubes implanted in the ear).
Occasionally, surgery may be recommended to remove some glands at the back of the nose (adenoids). This is known as an adenoidectomy.
The specialist in hospital will help you decide on the best treatment option.
Grommets for glue ear
A grommet is a small tube that's placed in your child's ear during surgery. It drains fluid away and keeps the eardrum open.
The grommet should fall out naturally within 6 to 12 months as your child's ear gets better.
If your child needs grommets, you might find these links useful:
- Great Ormond Street Hospital (GOSH): treatment of glue ear with grommets
- National Deaf Children's Society (NDCS): Harvey gets grommets
Page last reviewed: 5 June 2023
Next review due: 5 June 2026