Ear Pain: Causes and When to See an ENT Specialist


woman suffering from ear pain at home.

Experiencing ear pain can be particularly troublesome, especially during the early spring season. Whether you’re a child or an adult, pinpointing the cause of ear discomfort can be challenging. Let’s delve into some common reasons for earaches during this time of the year.

What are symptoms of ear pain?

Common symptoms of ear pain include:

  • Persistent earache
  • Difficulty hearing
  • Drainage or discharge from the ear
  • Itching in the ear canal
  • Sensation of fullness in the ear
  • Fever accompanying ear discomfort
  • Sore throat

Identifying and understanding these symptoms can aid in early intervention and appropriate treatment.

What causes ear pain?

Understanding the causes of ear pain can help you pinpoint if it’s serious and how to find relief.

Seasonal shifts and air pressure fluctuations

As spring brings about changes in weather patterns, fluctuations in air pressure become more noticeable. Similar to the discomfort felt during airplane flights or rapid ascents in elevators, individuals may experience ear pressure due to eustachian tube dysfunction. This tube links the middle ear to the nasal sinus cavity, regulating pressure within the ear.

For some, this discomfort can become chronic, affecting both children and adults alike.

Chewing gum, sucking on hard candy, yawning, or swallowing can help alleviate this pressure imbalance, providing temporary relief.

Infections and spring allergies

With spring comes an uptick in seasonal allergies and colds, making infections a prevalent cause of ear pain, particularly among children. The underdeveloped immune systems of children, coupled with eustachian tube limitations, can lead to fluid buildup within the middle ear, obstructing proper drainage.

This condition, known as otitis media, can manifest due to colds, allergies, or sinus infections, affecting both children and adults.

Ear wax complications

While ear wax serves a protective function, occasionally, it can accumulate and harden, leading to discomfort. Attempting to remove wax with cotton swabs or other objects can exacerbate the issue by pushing wax deeper into the ear canal.

Symptoms of ear wax buildup may include pain, itching, discharge, or infection.

Seeking professional assistance from an ENT specialist can ensure safe and effective removal, reducing the risk of infection.

Preventing swimmer’s ear

As outdoor activities become more popular in the spring, individuals spending time swimming may encounter swimmer’s ear, a condition where water becomes trapped in the ear canal, causing pain and infection (otitis externa).

Proper ear drying techniques post-swimming, bathing, or hair salon visits can mitigate this risk.

In severe cases, antibiotic drops may be prescribed to address infections. Malignant otitis, a rare but serious complication, may necessitate urgent medical attention and high-dose antibiotic therapy.

Other causes to consider

Additional factors contributing to ear pain during early spring may include:

  • A sore throat
  • Recent tooth extraction
  • Ruptured eardrum
  • Tooth abscesses
  • Tonsillitis.

Ear pain accompanied by a high fever and sore throat should warrant a prompt medical evaluation.

When to see an ENT specialist for ear pain

If you experience any of the following symptoms or conditions, it’s advisable to schedule an appointment with an Ear, Nose, and Throat (ENT) specialist:

  • Persistent ear pain lasting more than a few days without relief from over-the-counter medications
  • Difficulty hearing or sudden hearing loss
  • Drainage or discharge from the ear
  • Itching or discomfort in the ear canal
  • Sensation of fullness or pressure in the ear
  • Recurrent ear infections
  • Tinnitus (ringing in the ears)
  • Dizziness or vertigo
  • Ear pain related to sinus issues

Seeking timely evaluation and care from an ENT specialist can help diagnose and address underlying ear, nose, and throat conditions.

Find an ENT specialist near you to schedule an evaluation and discover treatment options.

Want more information?

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