See a doctor if fluid in the ear is persistent, painful, bloody, foul-smelling, or causing hearing loss
Keep the ear dry
Tilt the affected ear downward to help fluid drain
Gently pull the earlobe in different directions while tilted
Use a warm compress over the ear for 10 to 15 minutes
Try swallowing, yawning, or chewing gum to open the Eustachian tube
Perform a gentle Valsalva maneuver if not painful and if you do not have an ear infection
Use over-the-counter decongestants only if appropriate for you and approved by a clinician
Use saline nasal spray to help reduce congestion
Sleep with the affected ear slightly elevated
Avoid inserting cotton swabs, fingers, or objects into the ear
Avoid using ear drops unless recommended by a healthcare professional
Seek urgent care if there is severe pain, fever, dizziness, swelling, or sudden hearing loss