A clogged eustachian tube may necessitate surgery in rare circumstances. The doctor creates a tiny incision in the eardrum to drain fluid and equalize pressure within and outside the ear. A tiny tube is sometimes inserted into the eardrum by the doctor. The tube will eventually fall out. Fluid may also be drained from the ear with a needle or syringe. In most cases, however, fluid accumulation in the ear can be reduced with over-the-counter medications or self-help methods. Ear drops containing acetaminophen (such as Paracetamol) or aspirin may help reduce pain and fever while keeping ears clear of debris. Drinking more water may also help flush out bacteria that cause infection. If you have trouble sleeping with the heat on, consider getting a fan to help offset some of the heat inside the house. If these measures fail to relieve your symptoms enough for you to sleep, see your doctor. He or she may want to do an exam to make sure there are no other problems causing your insomnia. If the problem persists after this initial checkup, then fluid in your ear may be the reason for your sleepless nights.