Earache

Earache is common and often settles in a few days, but leaking fluid, hearing change, or swelling around the ear need advice sooner.

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Quick Reference Facts

System FocusGeneral
Clinical CharacterSubjective patient manifestation
Diagnostic UrgencyMonitor for red flag progress

In simple words

Earache is pain felt in or around one or both ears. It can be sharp, dull, throbbing, or a feeling of pressure.

Clinical Meaning

Ear pain is often linked to an ear infection, a cold, earwax, a throat problem, or a dental problem. The cause is not always inside the ear, so accompanying symptoms and duration matter.

Common Causes

  • Middle or outer ear infection, especially after a cold
  • Earwax build-up, water irritation, or an object in the ear
  • Sore throat, tonsillitis, jaw problems, teething, or a dental abscess
  • A change in air pressure, injury, or a perforated eardrum

Clinical Red Flags

Seek urgent medical attention at an emergency department or primary care clinic if you present with any of the following symptoms:

  • Get urgent advice if pain lasts more than 2 to 3 days, you feel very unwell, have a high fever, or there is fluid coming from the ear
  • Seek prompt assessment for swelling around the ear, a new hearing change, severe dizziness, vomiting, or something stuck in the ear
  • Seek advice early for a young child, recurrent earache, or ear symptoms if you have diabetes, a weakened immune system, or a significant long-term condition

Lifestyle & Diet Support

Rest, drink fluids, and use a warm flannel on the outer ear. Paracetamol or ibuprofen may help if they are safe for you; ask a pharmacist if unsure. Do not insert cotton buds, attempt to remove wax, or let water enter a painful ear.

Frequently Asked Questions

No. Cotton buds can push wax deeper and damage the ear canal or eardrum. Ask a pharmacist or clinician for safe advice instead.
Yes. Ear pain can be referred from the throat, teeth, or jaw. Pain when swallowing or toothache are useful clues to mention at an assessment.
Get advice sooner if a child is very unwell, has a high temperature, fluid from the ear, hearing or balance changes, or if pain is not improving after a few days.
Clinical & academic detailShow detail

Differential Diagnosis Matrix

Differential Diagnosis Overview

A clinician may check the ear canal and eardrum, and ask about fever, discharge, hearing, dizziness, recent cold symptoms, swallowing pain, dental pain, swimming, or trauma. Do not put objects into the ear to investigate or remove wax.

Reference Citations & Evidence Sources

Classical Homeopathic Literature
  • CIT-0007Hahnemann S.. "The Chronic Diseases: Their Peculiar Nature and Their Homoeopathic Cure." Adolph Arnold (1828).
Materia Medica & Keynotes
  • CIT-0004Hahnemann S.. "Materia Medica Pura." Adolph Arnold (1811).
  • CIT-0005Kent J. T.. "Lectures on Homoeopathic Materia Medica." Boericke & Tafel (1905).
  • CIT-0006Boericke W.. "Pocket Manual of Homoeopathic Materia Medica." Boericke & Runyon (1901).
  • CIT-0008Clarke J. H.. "A Dictionary of Practical Materia Medica." The Homoeopathic Publishing Company (1900).

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