Welcome in H.C.M.
I read your query for ear infection
eading to ear discharge
, though you had already been operated for adenoides in your early childhood. Later you were put tubes in ear drum of both sides.
As you are having tubes in your both ears therefore chances of infection to middle ear are quite high. At present you are having infection in ear and for it's management you have to do these investigations-
1- C.T. scan ear.
2- Culture and sensitivity of ear pus.
3- Gram's staining of ear pus.
4- Blood - CBC, ESR
, blood sugar (Fasting and post parendial).
By the inferences of all above investigations and their co-relation with clinical findings one may plan for you treatment.