After surgery for chronic suppurative otitis media, I have pus and even bleeding, and when I was reexamined, the doctor said I have granulation. What should I do? During the epithelialization of the tympanic chamber endothelium, some patients are prone to develop granulation on the eardrum. These granulations are visible through the otoscope, bright red, granular, soft and moist. The appearance of granulation requires prompt treatment by a physician to eliminate it in its nascent stage. For example, the growth of the granulation can be inhibited by compression with gauze strips, or the granulation can be cauterized with silver nitrate, or if the granulation is large, the granulation can be removed directly. Granulation tissue is difficult to dispose of at once and often requires several treatments to remove. If the granulation is not treated in a timely manner, it can interfere with wound healing and tympanic membrane epithelialization, which can easily induce infection and make the middle ear inflamed again, bleeding and pus flowing, and even ear pain. In some cases, there is pus flow, but no buds are found. If this is the case, after ruling out the possibility of buds, it is important to observe whether the repaired eardrum is fully repaired. If the tympanic membrane is not repaired and there is still a perforation, there will still be pus flow after surgery. In this case, a topical change of medication can promote the repair of the tympanic membrane, and if it still does not recover, another surgical repair is the only option. In some cases, the symptoms slowly improve after surgery, but after a while, the patient goes back to the doctor and tells him that the ear is bleeding. Generally speaking, if the pus is flowing within a short period of time after surgery, after excluding the causes of incomplete tympanic membrane repair and the growth of granulation, the pus will slowly disappear after controlling the inflammation by using ear drops, such as levofloxacin hydrochloride ear drops or ofloxacin ear drops. Generally, in addition to ear drops, if there is no obvious infection, there is no need to use other drugs or antibiotics. If the recovery from otitis media is more stable and the function of the eustachian tube is normal, otitis media will rarely recur. However, some patients are worried about the recurrence of otitis media, so they pay special attention to ear secretions. In addition, patients with otitis media have more ear secretions after surgery, so they mistakenly take the ear secretions as pus. After surgery, it is also important to pay attention to preventing water from entering the ear, such as using cotton balls to plug the ear canal when bathing and washing hair. When the eardrum has epithelialized and the otitis media has fully recovered, you don’t have to worry about water ingress. If water gets in, just let the water flow out in time. If you find earwax in your ears, you can gently pull it out yourself with a medical cotton swab, but don’t use too much force to avoid damaging the eardrum.