What's Causing the Ear Pain?
Because several distinct ear issues cause similar discomfort, understanding where the pain
stems from and what other symptoms you're experiencing helps pinpoint the exact cause.
| Cause |
What it usually feels like |
Clues |
| Middle ear infection |
Deep, constant ache, often worse lying down
|
Common in young children, frequently after a cold, sometimes with fever
|
| Swimmer's ear |
Pain in the outer canal, worse when the ear is touched or pulled
|
Often after swimming or a lot of moisture, with itching |
| Earwax build-up |
Blocked, full or muffled rather than sharply painful
|
Hearing changes more than pain, often gradual |
| Referred pain |
Ear hurts but the ear itself looks normal
|
Comes from a throat infection, a tooth, or the jaw joint |
Does an Ear Infection Need Antibiotics?
Not every ear infection requires antibiotics. Because many middle ear infections clear up on
their own, initial treatment often focuses on effective pain relief. Antibiotics are more
likely to be prescribed if the patient is a young child, has a high fever or intense pain,
has infections in both ears, or isn't improving after a couple of days.
During your visit, your provider will explain which approach makes sense. Depending on the
diagnosis, they may write an immediate prescription or recommend a delayed prescription if
symptoms haven't improved.
Please Don't Use Cotton Buds
Cotton buds push wax further in and are the most common cause of the ear injuries we see.
The same goes for ear candles, which don't remove wax and can cause burns. If your ear feels
blocked, come into your nearest AFC and have a provider take a look; it takes a few minutes
and it's much safer than doing it yourself.