We often encounter patients with otitis media in our clinics, who have pus in their ears and cannot be cured for a long time, and some of them have even undergone surgical treatment, but it is still not good, how can we do? First of all: otitis media is a common disease of the ear, nose and throat and can be cured, so patients should not be anxious; however, the treatment of otitis media definitely requires patience! Secondly, there are many kinds of otitis media, so it is important to prioritize them and deal with them separately; children with otitis media have some ears that do not have pus, and hearing loss is not obvious, so they need nasal drops and oral medication; in adults it is more common to see chronic suppurative otitis media: chronic suppurative otitis media is the most common, with pus in the ear, hearing loss, pus that does not smell, and no bleeding in the ear. A common misconception is that when the ear is running, some doctors do not recommend surgery and wait for the pus to stop before operating, but in some cases, the pus in the ear cannot be stopped. What to do? What I want to tell you is: nowadays, medical advances have made it possible to operate on ears that are bleeding pus, and the results are good! The second most common type of chronic suppurative otitis media is the one in which the ear does not bleed, but the hearing is reduced, and the patient himself knows that the eardrum is perforated. The most dangerous type of chronic suppurative otitis media is called “cholesteatoma otitis media”, in which the ears bleed pus and smell bad, sometimes with pus and blood, and the ears hurt, sometimes even with a headache, which is what we call a dangerous otitis media. Some people ask what medications I can take. I can’t recommend antimicrobials here because the latter are used strictly as needed to deal with it, sorry if you need anti-inflammatory, please find your own doctor.