Usually, ear drops cannot be used when otitis media bleeds. If you continue to use the medicine, it may lead to adverse reactions such as increased bleeding, tinnitus, ear pain and stuffy ears, etc. It is recommended to visit the ENT department in time. Routine blood tests can be done to help initially determine the degree of inflammatory reaction. An otoscopy is also needed to clarify the condition of the external ear canal and tympanic membrane, which can help clarify the type and degree of otitis media, and also clarify the bleeding point. If the bleeding is relatively large, local filling and compression can be taken to stop the bleeding, which will usually stop soon. Some patients with bleeding caused by acute otitis media need anti-inflammatory treatment with antibiotics, more commonly used are cephalosporins or penicillins, such as amoxicillin, cefprozil, cefuroxime, etc. After anti-inflammatory treatment, the inflammatory reaction will gradually decrease and bleeding will gradually stop, generally 1-2 weeks can be recovered. Some patients have cholesteatoma-type otitis media, which is mainly due to the bleeding caused by the destruction of the mucosa inside the tympanic chamber and the middle ear bone by cholesteatoma. The effect of medication is not good, so surgery is needed, and the more common surgical options are mastoid radical surgery and tympanoplasty, which require complete removal of the lesion and long-term regular review after surgery, with better results.