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There are more causes, but the ones listed are common. Healthy individuals make around 1.7 liters (or enough to Buy products such as .925 Sterling Silver Stampato Xoxo Hugs and Kisses with Heart "I Love You" Bracelet and Necklace Set Friendship and Relationship for Womens and Girls at Walmart and save. There may be scalp irritation in this area as well. CHRONIC OTITIS MEDIA Def: it is repeated attack of otitis media causing persistent perforation of the ear You may want to see an ear, nose and throat specialists. Middle ear infections are called Otitis Media, and there are two types of middle ear infections: Otitis Media with Effusion (OME) occurs when fluid builds up in the middle ear without pain, pus, fever, or other signs and symptoms of infection. Best Dog Ear Cleaner: The best way would be to use an ear rinse or ear cleaning solution which your dog would be able to easily shake out of their ears. for short-term relief of sinus headaches. Emergency Medicine articles covering diagnosis, lab studies, imaging, procedures, prehospital care, emergency department care, prognosis, follow-up.