Symptoms

Ear Pain

Ear pain (otalgia) has many causes — from infections to sinus pressure. Learn common triggers, when urgent care can help, and warning signs in children and adults.

Possible causes

Ear pain can originate in the ear or be referred from nearby structures. Common causes include:

  • Middle ear infection (otitis media)
  • Swimmer's ear (outer ear infection / otitis externa)
  • Fluid behind the eardrum (otitis media with effusion)
  • Sinus infection or congestion
  • Sore throat or strep throat
  • TMJ (jaw joint) problems
  • Earwax buildup or foreign body (especially in children)

Commonly associated symptoms

Ear pain may occur with:

  • Fever
  • Hearing changes or muffled hearing
  • Drainage from the ear
  • Congestion or sore throat
  • Balance problems or dizziness
  • Fussiness, poor sleep, or tugging at the ear (in children)

When urgent care may be appropriate

When urgent care may help: Consider evaluation for significant ear pain, fever with ear symptoms, drainage, hearing changes, or symptoms lasting more than 24–48 hours.

Pediatric ear pain: Ear infections are common in young children who may not describe pain clearly. Tugging at ears, fussiness, fever, and poor feeding are clues. NeuMed pediatric urgent care treats children 6 months and older.

Exam and diagnosis: A provider examines the ear canal and eardrum to distinguish middle ear infection, swimmer's ear, and other causes.

Treatment depends on cause: Antibiotics may be prescribed for certain bacterial infections; other cases need ear drops, pain relief, or watchful waiting.

When to seek emergency care

Seek emergency care for:

Sudden hearing loss

Severe dizziness with vomiting

Swelling or redness behind the ear

Stiff neck with fever and severe headache

Facial weakness or drooping

Object stuck in the ear that cannot be safely removed

FAQs

What causes ear pain?

Ear pain can come from ear infections, fluid behind the eardrum, swimmer's ear (outer ear infection), sinus pressure, sore throat, or jaw problems. Evaluation helps identify the cause.

Should I go to urgent care for ear pain?

Consider urgent care for significant ear pain, fever with ear symptoms, drainage from the ear, or pain lasting more than a day or two — especially in children.

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