Whether or not to get tubes is a big decision, but if her chronic fluid is causing her a lot of pain, it might be worth it. At least that way the fluid has somewhere to go instead of building up behind her ear drum. However, she may still get infections, they'll just be easier to treat. I went through a similar problem with my son. He's now 3 and doing better, but right after his first birthday the ear infections started. It was right when I put him in daycare. Is your daughter in daycare or does she stay home with you? I stayed home with my son for the first year, but then I had to get a full time job due to a surprise pregnancy and some financial changes in our life. A decision I now wish I didn't have to make but at the time I didn't see how we'd support two babies without me working. Seriously about 3 days after starting daycare the first ear infection started. He got put on tons of different antibiotics, Amoxicillin (which we found out he's allergic to, just like me, the doc said he had a 4% chance of being allergic as well, guess he hit the 4%) Omnicef, Biaxin, Zithromax, etc. From about 12-17 months we battled the constant infections. He would seem to get better after a few days on antibiotics, we'd always have him finish it as prescribed, and then after a few more days back in daycare it was the same thing again. One time his fever was about 103.9 at the daycare, they called me and I came to pick him up. They told me he had not eaten or drank anything ALL DAY and didn't even call me until 2:30 in the afternoon. I called the pediatrician, they said Tylenol and tepid bath, however he had taken in no fluids except the small bit of milk he had before daycare in the morning, and he was acting very lucid and weird when I picked him up. His eyes were glazed over so I went with my instincts and took him to the ER at Wolfson's. There they gave him IV fluids for dehydration and Rocephin through the IV. After being there about 4 hours, they sent us home. Well about 1:00 AM that night I woke up because I heard him squirming on the baby monitor, went in his room to check him and he was burning hot. His fever was 105.4 so we rushed back to the ER. They gave him more Rocephin through the IV and we were there until about 7:30 AM. They did some blood cultures but couldn't find anything out of the norm. After that is when we decided to go ahead with the tubes. Also, the fluid buildup behind his ear had caused one of his drums to rupture and he was bleeding out of his ear. We had the tubes put in and it did help with his pressure sensation ( you could tell by his behavior) and made the infections easier to treat because then you can use the ear drops like Floxin and Ciprodex. But, it did nothing to relieve the number of infections he was getting. At the time I was working and pregnant with my daughter, and was about to lose my job because I had to miss work all the time because he was always sick. Well, at about 7 months I got violently ill from a flu bug he had gotten from daycare (which resulted in diarreha that exploded from his diaper for a week and fever and another ear infection) and I went into preterm labor from dehydration and dialated to 3 cm. I was only 29 weeks so I was told to stop working and was put on bedrest. When that happened we pulled him out of daycare and haven't looked back since. I've stayed at home since then and my youngest is now 17 months. When I was working it wasn't even worth what I was bringing home after all the copays, ER visits, deductibles, prescriptions, etc. (Plus my salary pretty much only covered the cost of two in daycare and there was no point to paying someone to watch my kids when I could do a much better job for free, and eliminate exposure) He did continue to get infections after daycare, however they were much less frequent. We ended up going to see Dr. Bruce Maddern after experincing a difference of opinion in care with his original ENT, and Dr. Maddern is amazing! He's so good at what he does and is incredibly smart and caring. He explained that a lot of kids go through this simply because the eustachian tube is not yet in the adult position, and they need time to grow out of it. Now he's 3 (just turned 3 on July 1st) and he hasn't had an ear infection since March of this year. And the last one was a fungal infection which he was sedated for to have the ears cleaned and wicked and his one remaining tube removed. He's been doing great since then and the doc says he's getting to the age where he's naturally outgrowing it. It'll take some time, but I am sure your daughter will get through this! If you have her in a daycare I would see about making some financial changes and staying home with her, or finding maybe a private nanny so she's not exposed to all the germs in a daycare. If you do stay home with her then great, that will really help her to recover. I feel for you, I know how agonizing this situation is and I am so thankful I can finally see a light at the end of the tunnel after 2 years of battling this. Oh, and another thing, they found out my son has acid reflux which was attributing to his ear infections because the acid from the stomach can get up into the back of the throat and get into the eustachian tube. They put him on Prevacid and he's SOOO much better! Unfortunatly for him it's something he'll probably have to be on forever, but it's worth not being sick! He also takes Nasonex for mild nasal rhinitis, and all his docs have said he has very narrow ear canals. And this was not the case with my son, but I've heard that dairy may attribute to chronic ear infections if they're allergic to it. Maybe trying soy for a while might help. I wish you all the best and will keep your daughter in my prayers. You'll get through this and best of luck to you and your angel!!