Since common causes in children include allergies, inflammation and infections the first thing I would recommend is focusing on the adrenals. The adrenals help prevent allergic responses, control inflammation and help modulate the immune system. Adrenal herbs can be mixed in something like apple sauce to get them down. Dosage will depend on the herb you use. And blends are recommended for the best results.
Licorice root in particular would be good since it both supports the adrenals and is a steroidal anti-inflammatory.
If you have access to ozone you can also ozonate the ears with low concentrations of ozone.
Ok - I was just thinking that it was a consequence of having small eustachian tubes due to T21(her ear canal is tiny-can't even see the ear drum in one of the ears).
A baby's eustacian tube is smaller and differently angled, which make infants more prone to fluid build up. But these are factors that cannot be controlled. Allergies and inflammation that can actually cause the actual issue.
I wasn't thinking that there could be inflamation. I have licorice root powder, seaweed, pollen and some cut nettle leaf that I have ground down as best as I can but not sure what else I can get easily. Would these be sufficient? If so what ratio and dose?
Because of her age I would skip the pollen right now since the gut can still have some excess permeability right now so the risk of allergy will be higher.
Using the remaining herbs I recommend blending 2 ounces of nettle leaf, 1 ounce of licorice root and a quarter ounce of seaweed. Recommended dose is a quarter teaspoon 4 times daily in some apple sauce.
If I can't get the ears clear quickly I think that we will have to go with the grommets because we can't risk her speech being affected at this stage with eveything else against her - any major words of caution??
Allergies to the herbs would be the biggest concern since again the gut still may be permeable to intact proteins. With her age though the gut may have already closed up as well. This is roughly the age where it closes up to intact proteins. And these herbs are generally not very allergenic anyway. The pollen is the only concern because of her age.
And again if you can get access to ozone for her ears I highly recommend this as well.
But the herbs should take care of the problem anyway, just a little slower than ozone.
If surgery is the only option left then that will be what needs to be done. But I do agree all surgeries carry risks so this should be a last resort in my opinion.