 [ Symptoms ] ho you treat otitis media with effusion and vertigo  i have been given steriods and meclizine after two days i still have ear pain fullness in my left ear and vertigo should i return to the pa at the little clinic in kroger grocery store or see an ent  [ Disease ] see an ent if you do not improve otitis media middle ear infection with effusion fluid can cause vertigo but so can inner ear disorders since i really have no way to confirm or dispute your diagnosis or justify the use of steroids in your case seeing an ent for a higher level diagnostic examination is appropriate however two days of treatment has not given the treatment plan an adequate trial