In most cases, as the first round of antibiotics does not cure the ear infection, a few more rounds of antibiotics are added, with the same negative result but with further deterioration. As the initial metabolic failures do not get treated, the amount of phlegm and inflammation is only increasing, both generally in the body and also in the ear canal itself.

As the situation continues to deteriorate, the usual next conventional step is a surgery. In most cases it would be an ear tube surgery, but in some extreme cases it would involve an invasive procedure in the head sinuses. Those procedures are very harsh and traumatic, especially to a young child, merely pumping out the existing phlegm. As these surgical procedures do not address the root causes, they provide only a temporary relief and after a while, there is another accumulation of phlegm. This is the reason why those invasive and painful procedures are sometimes repeated at the great risk of ear perforation, damage to hearing quality and other chronic problems. In any case, they do not provide long term cure for the ear infection.

Both the antibiotics and the surgical procedures prevalent in the conventional treatment do not address in any way the internal metabolic failures (mainly in the digestive and immune systems). These failures in the metabolic processes have been creating the excess phlegm and this stagnant phlegm has been creating the inflammation. The excess phlegm deposits are rooted deep in the internal organs (mainly in the stomach, the duodenum and the pulmonary pathways) and the body is trying to find ways to dispose of them. The most common disposal way is by secreting the excess phlegm through the head cavities, such as the ears and the nose and even the mouth.