[hramirez]

My 6yr. Son has had his ear tubes since July 2009. A few days ago I noticed that his left ear have been bothering him I noticed that a tiny green tube is in his ear. So I want to know is this the way the tube falls out slowly I have been given him tylenol for the minor pain his been having.

[asking]

Here is what it says at Medicinenet

Tympanostomy tubes usually stay in place from 6 to 18 months. If they stay in longer than two to three years, they may need to be surgically removed. It is important to have an ear check-up about every six months during this time. An audiogram is usually obtained at some point after the ear has healed. The tubes eventually fall out of the eardrum on their own as the ear heals. Some children may have mild discomfort or bloody drainage at this time. The small hole in the eardrum at the old tube site usually heals within several weeks. Your doctor will instruct you when it is safe to allow water in the ears.

From my quick reading, your son seems kind of old for ear tubes. But the tubes falling out is apparently normal. I think you should take him back to the doctor now for a checkup.