Earache is a common problem, particularly in children. It can be worrying, but it's usually only caused by a minor infection and will often get better in a few days without treatment.
Earache can be a sharp, dull or burning pain in the ear that comes and goes or is constant. You may get pain in just one or both ears.
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When to get medical advice
It's not always necessary to see your doctor if you or your child have earache. The pain will often improve in a few days and there are things you can do to help in the meantime (see below).
You should contact your doctor or local out-of-hours service if:
- you or your child also has other symptoms, such as a high temperature (fever), vomiting, a severe sore throat , swelling around the ear, or discharge from the ear
- there's something stuck in your or your child's ear
- the earache doesn't improve within a few days
What you can do at home
Placing a warm flannel against the affected ear may also help relieve the pain.
Your pharmacist may be able to recommend over-the-counter eardrops for your earache. Tell them about your symptoms and ask for their advice first.
Find a pharmacy near you.
Eardrops or olive oil drops shouldn't be used if your eardrum has burst (a perforated eardrum), and in treating an ear infection.
It's important to avoid getting the affected ear wet if you have an ear infection.
Common causes of earache
If an ear infection is causing your earache, there may be a watery or pus-like fluid coming out of your ear.
Ear infections often clear up on their own without treatment after a few days or weeks, but in some cases your doctor may prescribe eardrops or antibiotics .
Glue ear, also known as otitis media with effusion (OME), is a build-up of fluid deep inside the ear, which commonly causes some temporary hearing loss . The condition tends to be painless, but sometimes the pressure created by the fluid can cause earache.
Glue ear often clears up on its own, but it can take a few months. If the problem is particularly persistent, a minor procedure to place small tubes called grommets in the ear may be recommended to help drain the fluid.
Read more about treating glue ear .
Earache can sometimes be caused by an injury to the inside of the ear – for example, by scraping earwax from the ear canal using a cotton bud, or poking a cotton bud too far into your ear, which can puncture the eardrum.
The ear canal is very sensitive and can be easily damaged. The ear should heal on its own without treatment, but it can take up to two months for a perforated eardrum to heal.
If you have a perforated eardrum, you shouldn't use eardrops.
A build-up of earwax can sometimes cause earache.
If you have a build-up of earwax in your ear, your pharmacist will be able to recommend eardrops to soften it so it falls out naturally.
In some cases, your doctor may need to remove the wax (once softened with eardrops) by flushing the ear with water. This is known as ear irrigation .
An object in the ear
If there's something in your or your child's ear that's causing pain, don't try to remove it yourself because you may push it further inside, which could damage the eardrum.
Contact your doctor or local out-of-hours service. Your doctor may need to refer you or your child to a specialist to have it removed.
If you find it painful to swallow and you have a sore throat , your earache could be a symptom of a throat infection, such as:
- tonsillitis – inflammation of the tonsils that's usually caused by a viral infection
- quinsy – an abscess on one side of the back of your throat, which can sometimes make it very difficult to swallow even fluids
Tonsillitis sometimes clears up after a few days without the need for antibiotics .
If you have quinsy, you'll need to see your doctor as soon as possible for treatment. You may have quinsy if you have a sore throat that gets worse very quickly.
Earache can be caused by a problem with the joint of your jaw bone (where the jaw meets the skull).
Jaw pain can often be relieved with painkillers, warm or cold compresses, and trying not to clench your jaw and grind your teeth.
A dental abscess is a collection of pus that can form in your teeth or gums as a result of a bacterial infection. The main symptom is pain in the affected tooth, which can be intense and throbbing. Sometimes, the pain can spread to your ear.
Make a dental appointment as soon as possible if you think you have a dental abscess. Your dentist will need to remove the source of the infection and drain the pus from the abscess.
Read more about treating dental abscesses .
Find a dentist near you.