Practice diagnosing and treating ear pain

2021-02-05 12:00 AM

If the eardrum is swollen red or cloudy, an ear infection may be suspected. If the eardrum is normal, the Eustache tube may be blocked, causing increased pressure in the middle ear.

Ear pain is common in children and can cause severe pain and discomfort. The cause can be in the ear, but can also be due to disturbance of structures located near the ear.


Acute otitis media, causing severe pain with a high fever, flare-ups, and loss of hearing ability. If the eardrum is punctured, the fluid is drained and the pain is very rapid.

Inflammation of the outer ear or ear canal. May be due to a local infection or infection of the entire ear canal. Usually an ear discharge (in the form of a discharge or pus). Hearing may be slightly impaired.

There is a foreign object in the ear.

Herpes zoster infection forms blisters in the ear canal. In this case, after the infection has been treated, the ear pain persists for weeks or even months.

Temporal joint dysfunction - lower jaw, toothache ... caused by the organs near the ear that dominate a nerve branch, causing ear pain.


Use an ear microscope to examine and observe the ear.

If the eardrum is swollen red or cloudy, an ear infection may be suspected. If the eardrum is normal, the Eustache tube may be blocked, causing increased pressure in the middle ear.

Observe carefully for signs of boils, blisters ...

If there is red inflammation behind the ear, you are more likely to get mastitis.

In case of suspicion of infection, swab can be used for testing to confirm.


Treatment depends on the different causes:

Middle ear infections usually respond well to oral antibiotics. Be cautious with the paediatric dose, for example, amoxycillin 125mg syrup can be used 3 times a day for children under 3 years old, or 250mg 3 times daily for children over 3 years old. If you are allergic to the penicillin group of antibiotics, erythromycin can be used. Can be used with pain relievers such as paracetamol.

In case of Eustache's blockage, only advise patients to take pain relievers and drink plenty of warm water. Swallowing water several times can help clear the nozzle through the opening of the nozzle. External ear infections should be treated with antibiotics in the form of ear drops. If more severe, give oral antibiotics. If there is no good response within a week, it is necessary to change to another antibiotic. Ear cleaning may be required with a pump.

Too much earwax can also cause pain.

Get clean earwax and give sodium bicarbonate ear drops for 4 to 5 days. If earwax continues to produce a lot, rinse your ears with warm water to clean.

Boils in the ear are managed with the administration of pain relievers. In the event of a risk of infection, antibiotics are given. If the pain persists for several days that does not go away, it may be necessary to treat the boil with incision to drain the water.

Herpes zoster infection is treated with acyclovir.

If there are signs of superinfection, given antibiotics and rinse the ears with warm water.

Cases such as dysfunction of the temporal joints - lower jaw, toothache ... are only given to use pain relievers and patient reassurance. Often, ear pain goes away on its own when the causes go away.

If there is any suspicion of mastitis, the patient should be referred immediately to a specialist.

Ear pain caused by perforated eardrum usually only requires good care of the patient, bandages the ear with a clean, dry gauze and gives antibiotics and pain relievers to prevent infection in the middle ear. The puncture usually heals on its own after about 4 to 6 weeks and then the pain will go away on its own.