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If fluid behind the eardrum becomes infected with a virus or bacteria, it causes a middle ear infection that can lead to pain and fever. Inflammation and infection in the ear canal (the channel between the eardrum and the outside part of the ear).
Pain from a sore throat or a problem with the jaw joints called temporomandibular joint disorders (TMJ) may be felt in the ear.
When too much wax blocks the ear, you may feel pressure, but this usually doesn't cause pain. When the ear canal is inflamed or if the eardrum ruptures, there may be drainage from the ear. Adults and older children with mild ear pain or pressure who do not have a fever or hearing loss usually do not need to see a doctor.
If the ear pain is more severe, or there are other symptoms, it's a good idea to see a health professional. Breastfed infants are less likely to develop ear infections because breast milk contains antibodies that help to protect the baby from infection. Children with earaches should not take aspirin without a doctor's approval because aspirin has been linked to Reye's syndrome, a potentially fatal illness that can occur in children who have certain viral infections. Disclaimer: This content should not be considered complete and should not be used in place of a call or visit to a health professional.


The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. When the pain is caused by an ear problem, the most common reason is blockage of the passageway between the middle ear and the back of the throat. Normally, air enters the middle ear through the Eustachian tube, equalizing the pressure between the middle ear and outer ear.
If the eardrum ruptures because of a middle ear infection, the pain is often relieved because the pressure is reduced. Your doctor will examine your ears, nose and throat, and use a device called an otoscope (a lighted instrument) to look inside the ears and check for redness and fluid buildup behind the eardrum. If the pain is due to a blocked Eustachian tube, an over-the-counter decongestant may help open it up. If a child continues to have frequent ear infections, the doctor may surgically insert a ventilation tube into the eardrum to prevent the ear from becoming blocked. Also, when a baby sucks on a bottle, the fluid is more likely to get pulled into the Eustachian tube, particularly if the infant drinks from a bottle while lying on his or her back.
See a doctor if you develop ear pressure that lasts for several days, even if you don't have other symptoms. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment.


Other symptoms such as hearing loss, fever and feeling unwell usually indicate an ear infection. In young children, the only signs of an ear infection may be fever, irritability and pulling at the ear. The doctor may blow a puff of air through the otoscope into your eye to see if the eardrum moves normally.
Acetaminophen (Tylenol), ibuprofen (Advil, Motrin and others) or naproxen (Aleve) will decrease pain until the underlying condition is treated or goes away. However, if the symptoms are not getting better after 2 -3 days or they are quickly getting worse, contact your doctor to discuss treatment with an antibiotic. When this tube becomes blocked, and air and fluid cannot flow freely, pressure builds in the ear, causing pain. For a blocked Eustachian tube, drugs commonly used include decongestants and antihistamines. If the symptoms are severe when you first see your doctor, he or she may advise starting an antibiotic right away.



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