Symptoms of otitis media caused by colds are mainly ear pain, hearing loss, ear stuffiness, tinnitus, and rarely pus from the external ear canal. Otitis media caused by colds are often secretory otitis media, colds are clinically known as upper respiratory tract infections, infections affecting the nasal mucosa will cause nasopharyngeal mucosal congestion, edema, followed by occlusion of the Eustachian tube, resulting in a negative pressure in the middle ear cavity, resulting in the tympanic membrane invagination, fluid accumulation in the middle ear cavity, which will produce the patient’s ear tightness, hearing loss, tinnitus, and ear pain symptoms. Therefore, it is necessary to actively treat the cold, with budesonide nasal spray, 2 times / day nasal spray, to reduce the symptoms of Eustachian tube edema. When the cold is cured, the symptoms of otitis media caused by the cold can be reduced to disappear.