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This condition is usually caused by an acute middle ear infection with a perforation of the eardrum. A perforation is a puncture in the eardrum which can cause chronic middle ear infections which results in drainage from the ear. This drainage may be watery or thick with pus. Ear pain is common with this condition as well as fever, itching, vertigo and sometimes ringing in the ear. In children, sometimes a chronic ear infection can cause a rupture which releases infected material that has collected behind the eardrum. If you suspect you have such discharge it is a good idea to book a consultation with the videoDoc team who will take a family history, ask about any activities that may have affected the ear canal or if ear infections are a common occurrence.