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What could be the *reasons why* my ear aches?

Earaches can be quite uncomfortable. Here are some common reasons why your ear might ache.

Common Causes

  • Middle Ear Infection (Otitis Media)

    Bacterial or viral infections can cause fluid buildup, leading to ear pain.

  • Earwax Buildup (Cerumen Impaction)

    Excessive earwax can block the ear canal, causing discomfort and pain.

  • Ear Canal Infection (Otitis Externa)

    Bacterial or fungal infections can cause inflammation and pain in the ear canal.

  • Eustachian Tube Dysfunction

    The Eustachian tube connects the middle ear to the back of the throat. Dysfunction can cause pressure buildup and ear pain.

  • Sinus Pressure

    Sinus infections or allergies can cause pressure to radiate to the ears, leading to pain.

  • Dental Problems

    Toothaches, abscesses, or gum disease can refer pain to the ear.

  • Temporomandibular Joint (TMJ) Disorder

    TMJ disorders can cause ear pain, especially if the joint is inflamed or misaligned.

  • Throat infections, foreign bodies or tumour

    Infections in the throat like tonsillitis, peritonsillar abscess or tumour in the throat or impacted foreign bodies like fish bone, dentures etc. all can cause pain to refer to the the ear (ears).

  • Surgical operations in the throat

    Such as tonsillectomy, biopsies of tumour etc. all can cause pain referred to the ears.

  • Diseases or neck trauma

    Conditions like spondylosis of the neck or trauma to the neck can cause pain to refer to the ears, even though the ears would appear perfectly normal when exam.

Less Common Causes

  • Lymph Node Swelling

    Swollen lymph nodes in the neck can cause ear pain.

  • Thyroid Problems

    Certain thyroid conditions, such as hypothyroidism, can cause ear pain.

  • Migraines

    Some people experience ear pain as a symptom of migraines.

  • Meniere's Disease

    This inner ear disorder can cause ear pain, vertigo, and tinnitus.

What to Do

If your earache persists or worsens, consult a healthcare professional for proper evaluation and treatment. They may recommend:

  • Antibiotics for infections
  • Ear drops or ointments for earwax buildup or infections
  • Pain relief medication, such as acetaminophen or ibuprofen
  • Further testing, such as an ear exam or imaging studies, to determine the underlying cause

Remember, if you experience severe ear pain, fever, or discharge, seek medical attention promptly.

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