Medically reviewed by Drugs.com. Last updated on Dec 2, 2022.
What causes an earache?
An earache can be caused by a problem within your ear. A problem or condition in another body area can also cause pain that travels to your ear. An earache can be caused by any of the following:
- Infection of the inner or outer ear
- Earwax buildup, or small objects put into your ear
- Ear injury caused by a cotton swab or by air pressure changes from a plane ride or scuba diving
- Other infections, such as tonsillitis or pharyngitis
- Jaw or dental problems such as cavities or TMJ
- Neck pain caused by problems such as arthritis in your upper spine
How is an earache diagnosed?
Your healthcare provider will examine your ears, head, neck, and mouth. He or she will also ask you to describe your symptoms. You may also need the following:
- Audiometry is a test used to check for hearing loss. Your healthcare provider will play sounds at different volumes to check how much you can hear.
- Tympanometry is a test used to check pressure changes that may be a sign of problems with your inner ear.
How is an earache treated?
Earaches usually are not serious and go away on their own without treatment. The following can help make you more comfortable:
- Acetaminophen decreases pain and fever. It is available without a doctor's order. Ask how much to take and how often to take it. Follow directions. Read the labels of all other medicines you are using to see if they also contain acetaminophen, or ask your doctor or pharmacist. Acetaminophen can cause liver damage if not taken correctly.
- NSAIDs , such as ibuprofen, help decrease swelling, pain, and fever. This medicine is available with or without a doctor's order. NSAIDs can cause stomach bleeding or kidney problems in certain people. If you take blood thinner medicine, always ask your healthcare provider if NSAIDs are safe for you. Always read the medicine label and follow directions.
- Do not give aspirin to children younger than 18 years. Your child could develop Reye syndrome if he or she has the flu or a fever and takes aspirin. Reye syndrome can cause life-threatening brain and liver damage. Check your child's medicine labels for aspirin or salicylates.
When should I call my doctor?
- You have a severe earache.
- You have hearing loss, dizziness, a feeling of fullness in your ear, or ringing in your ears.
- Your ear pain worsens or does not go away with treatment.
- You have drainage from your ear.
- You have a fever.
- Your outer ear becomes red, swollen, and warm.
- You have questions or concerns about your condition or care.
Care AgreementYou have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your healthcare providers to decide what care you want to receive. You always have the right to refuse treatment. The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.
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