<s>[INST] my 8 month old baby girl has been diagnosed with a fluid problem in her ears which is impacting her hearing. We are waiting for an ENT appointment (in 4 months!!). She always has her tongue hanging out of her open mouth. I mean always!!! is this at all related? what can this be a sign of? [/INST] The tongue hanging out means that the mouth is too small to contain the tongue or the tongue is larger than normal ---both ways they there can be some obstruction in her throat formation that can cause obstructed breathing in the airway of the throat called nasophaynx and this can cause blocks to flow of air.Let's say there is a small tube connecting the throat to middle ear, called Eustachian tube, this fills up with fluid and this causes fluid and pain in middle ear called serous Otis media. Please check up with pediatric emergency , earlier appointment, use normal saline nasal Chat Doctor. Earlier the better -----yes the entire face and oral cavity are related. </s>