Can chewing gum help alleviate middle ear effusion (fluid in the ears)?

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Last updated: April 21, 2025View editorial policy

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From the Guidelines

Chewing gum can help drain fluid in ears by stimulating the eustachian tubes to open and allow trapped fluid to drain, thereby equalizing pressure in the middle ear. This is particularly beneficial for conditions like eustachian tube dysfunction or fluid buildup from air pressure changes, as the chewing motion activates the muscles that open the eustachian tubes, which connect the middle ear to the throat 1. For best results, choosing sugar-free gum and chewing regularly, especially during activities that might cause ear pressure changes like flying or diving, is recommended. The jaw movement during chewing helps to open the eustachian tubes, allowing fluid to drain and pressure to equalize, as explained in the context of eustachian tube function and middle ear problems in children 1.

While gum chewing can provide relief for mild cases, it is essential to note that persistent ear fluid or pain should prompt medical attention, as it could indicate an ear infection or more serious condition requiring medical treatment 1. The benefits of chewing gum in this context include improving ear drainage and reducing discomfort, but it is crucial to prioritize medical evaluation for persistent or severe symptoms. In the management of ear fluid, it is also important to avoid interventions that may not be beneficial, such as antibiotics, antihistamines, decongestants, steroids, or alternative therapies, unless recommended by a healthcare professional 1.

Key points to consider include:

  • Chewing gum can help stimulate eustachian tube opening and fluid drainage
  • Sugar-free gum is recommended for regular chewing, especially during activities that cause ear pressure changes
  • Persistent ear fluid or pain requires medical attention to rule out infections or serious conditions
  • Chewing gum is a complementary approach, not a primary treatment for significant ear problems
  • Medical guidance is essential for managing ear fluid and preventing potential complications, as outlined in clinical practice guidelines for tympanostomy tubes in children and the management of otitis media with effusion 1.

From the Research

Eustachian Tube Function and Middle Ear Ventilation

  • The Eustachian tube plays a crucial role in middle ear ventilation, and its dysfunction can lead to inflammatory middle ear disorders 2, 3, 4.
  • There is no direct evidence to suggest that chewing gum can help drain fluid in the ears, as the provided studies focus on the treatment of Eustachian tube dysfunction and otitis media, rather than the specific effect of chewing gum on ear fluid drainage.

Treatment of Eustachian Tube Dysfunction and Otitis Media

  • Various therapy options are available for the treatment of impaired middle ear ventilation and otitis media, including antibiotic treatment and balloon dilation of the Eustachian tube 3, 4.
  • However, there is no mention of chewing gum as a treatment option for Eustachian tube dysfunction or otitis media in the provided studies.

Effects of Chewing Gum on Thirst and Postoperative Ileus

  • Chewing gum has been shown to increase salivary volume, relieve xerostomia, and reduce thirst in adults 5.
  • Additionally, chewing gum has been found to decrease postoperative ileus in colorectal surgery with primary anastomosis, reducing vomiting and increasing the passage of flatus within the first 48 hours after surgery 6.
  • However, these findings do not provide direct evidence for the effect of chewing gum on ear fluid drainage.

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Evidence and evidence gaps in the treatment of Eustachian tube dysfunction and otitis media.

GMS current topics in otorhinolaryngology, head and neck surgery, 2016

Research

Effect of chewing gum on thirst: an integrative review.

Revista brasileira de enfermagem, 2019

Research

Usefulness of Gum Chewing to Decrease Postoperative Ileus in Colorectal Surgery with Primary Anastomosis: A Randomized Controlled Trial.

Revista de investigacion clinica; organo del Hospital de Enfermedades de la Nutricion, 2016

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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