What causes earache? 15 possible conditions

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What Are Earaches?

Earaches occur most often in children. However, they can occur in adults as well. An earache may affect one or both ears. It may be constant or come and go, and the pain may be dull, sharp, or burning.

If you have an ear infection, fever and temporary hearing loss may occur. Young children who have ear infections tend to be fussy and irritable. They may also tug or rub their ears.

What Are the Common Causes of Earaches?

Earaches may be caused by injury, infection, or irritation in the ear. Earaches may also be caused by referred pain. Referred pain is pain that is felt somewhere other than the site of the infection or injury. Pain originating in the jaw or teeth may be felt in the ear.

Common causes of earaches include:

  • ear infection
  • changes in pressure
  • ear wax buildup
  • a foreign object in ear
  • sore throat
  • sinus infection
  • shampoo or water in the ear
  • use of cotton swabs in the ear

Less common causes of earaches include:

  • temporomandibular joint (TMJ) syndrome
  • perforated eardrum
  • arthritis affecting the jaw
  • tooth infection
  • impacted tooth
  • eczema in the ear canal
  • trigeminal neuralgia (chronic facial nerve pain)

When to See a Doctor

If you or your child has a persistent fever of 104 degrees F or higher, seek medical attention. For an infant, seek help immediately for a fever higher than 101 degrees F. You should also seek immediate medical attention if severe pain stops suddenly. This can be a sign of the eardrum rupturing.

There are other symptoms you should also watch for. If these symptoms appear, make an appointment with your doctor:

  • severe ear pain
  • dizziness
  • bad headache
  • swelling around the ear
  • drooping of the facial muscles
  • blood or pus draining from ear

If an earache gets worse or does not improve in 24 to 48 hours, make an appointment with your doctor.

Treating Earaches at Home

There are several steps you can take at home to reduce earache pain. They include:

  • applying a cold washcloth to the ear
  • avoiding getting the ear wet
  • sitting upright to help relieve ear pressure
  • using over-the-counter ear drops (not if the eardrum has ruptured)
  • taking over-the-counter pain relievers
  • chewing gum to help relieve pressure
  • feeding an infant to help relieve pressure

Medical Treatment for Earaches

If you have an ear infection, your doctor will prescribe antibiotic tablets or eardrops. It is important that you finish your prescription. This ensures that the infection will clear up completely. Do not just stop taking medication once your symptoms improve.

If wax buildup is causing your ear pain, you may be given wax-softening eardrops. This may cause the wax to fall out on its own. Your doctor may also flush it out of your ear.

TMJ, sinus infections, and other causes of earaches will be treated directly. This should improve your ear pain.

Preventing Earaches

Some earaches may be preventable. Preventive measures include:

  • avoiding smoking and exposure to secondhand smoke
  • keeping foreign objects out of the ear
  • drying the ears after swimming or bathing
  • avoiding allergy triggers, such as dust and pollen

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See a list of possible causes in order from the most common to the least.

1

Earwax Blockage

Earwax blockage can occur when your body produces too much earwax or when the existing wax is pushed too far into your ear canal. In some cases, you may not be able to hear out of the affected ear, but this typicall...

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2

Otitis Externa

An outer ear infection is an infection in the tube that connects the opening of the ear to the eardrum.

Read more »

3

TMJ (Temporomandibular Joint) Disorders

The temporomandibular joint (TMJ) is the joint that connects the lower jaw to the skull. The joint can be found on both sides of the head in front of the ears. It allows the jaw to move. Although TMJ refers to th...

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4

Eardrum Rupture

An eardrum rupture is a small hole or tear in your eardrum, or tympanic membrane. The tympanic membrane is a thin tissue that divides your middle ear and outer ear canal. This membrane vibrates when sound waves ente...

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5

Foreign Body in Ear

In medical terms, a foreign object is something that is in the body but does not belong there. It may be inserted into the body accidentally or intentionally.

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6

Bell’s Palsy

Bell's palsy is a condition that affects movement of the muscles in the face. The muscles are affected by damage to the seventh cranial nerve controlling them. Significant damage of this nerve can result in paralysis o...

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7

Ear Barotrauma

Ear barotrauma causes ear discomfort due to pressure changes. Occasional ear barotrauma is common, especially in changing altitudes when flying in an airplane. It is generally not harmful, but frequent cases can caus...

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8

Middle Ear Infection

A middle ear infection (otitis media) occurs when the area behind the eardrum becomes inflamed and fluid filled as a result of an infection or allergies. The condition is most common in children. It can cause pain...

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9

Sinus Infections (Sinusitis)

A sinus infection causes the sinuses and nasal passages to become inflamed. Facial swelling is a common sign of this type of infection.

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10

Mastoiditis

One of the most important structures in your inner ear is the mastoid bone. Although it's called a bone, the mastoid does not have the typical structure associated with bones in the human body. Rather than being soli...

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11

Menieres Disease

Meniere's disease is a disorder that affects the inner ear. The inner ear contains tubes filled with fluid called "labyrinths." The inner ear is responsible for your balance, as well as hearing. This disorder cause...

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12

Malignant Otitis Externa

Otitis externa is a common ear infection that is also known as "swimmer's ear." It develops in the inner ear. In some cases, otitis externa can spread to the outer ear and surrounding tissue, including the bones of th...

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13

Chlorine Poisoning

This condition is considered a medical emergency. Urgent care may be required.

Chlorine is a chemical that is used to prevent bacteria from growing in water, as well as for sanitation for sewage and industrial waste. It is also an ingredient in several household cleaning products.Chlorin...

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14

Teeth Grinding

Bruxism is the medical term for clenching your jaw or grinding your teeth. It's a very common condition, and many people grind their teeth without realizing it, especially if it occurs during the nighttime. Whil...

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15

Acoustic Neuroma

Acoustic neuromas are noncancerous tumors. They grow on the nerve that connects the brain and ear. Because these tumors are benign, they do not spread to other body parts. However, they can grow large enough to damag...

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This feature is for informational purposes only and should not be used to diagnose.
Please consult a healthcare professional if you have health concerns.
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