An earache might seem like a minor annoyance, but it can be surprisingly disruptive—and it’s not always caused by the ear itself. According to ENT consultant Mr. Gentle Wong and Chief Audiologist Gordon Harrison, understanding the root cause is key to lasting relief.
One of the most common culprits is otitis externa, or “swimmer’s ear,” a painful infection of the outer ear canal. It often strikes after water gets trapped in the ear, especially from swimming in lakes, pools, or rivers. Symptoms can include itching, redness, and a dull ache. Treatment involves professional cleaning, antibiotic-steroid ear drops, and pain relief. To prevent it, dry your ears thoroughly, avoid using cotton buds, and consider using earplugs or swim caps in natural waters.
Middle ear infections are another big cause, especially in children. These occur behind the eardrum and are typically associated with colds or sinus congestion. Most clear up on their own, but painkillers like ibuprofen help, and antibiotics may be needed if symptoms linger.
Earaches can also stem from barotrauma—that sharp pain you get during flights or dives due to pressure changes. Decongestants and nasal sprays can help balance ear pressure before takeoff.
Surprisingly, jaw tension (TMJ issues) or dental problems can also refer pain to the ear. If chewing hurts or your jaw clicks, a dentist or jaw specialist can help.
Impacted earwax can cause pressure and muffled hearing. Skip the cotton swabs—see a professional for safe removal.
Simple home remedies, such as warm compresses, over-the-counter pain relievers, and keeping your head elevated, can help ease discomfort. However, if pain is severe, ongoing, or accompanied by fever or discharge, don’t wait—see a specialist to rule out serious issues and receive the appropriate treatment.
