Earache

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Earache?

First, let's see if you need to see a doctor urgently.
Pharmacist

If not, we will discuss what is available over-the-counter for earache relief.



Lady with earache symptoms

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Most of the time, what you think is an ear pain caused by ear infection may actually be referred pain.

The pain may be coming from your teeth, throat, sinuses or TMJ (temporomandibular joint)

FYI Continue

 

Earache

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Did you experience a severe sharp ear pain that suddenly stopped?
Pharmacist

Lady with earache


No

 

Yes?
Let's make sure you are not looking at a ruptured eardrum.
Pharmacist

man getting ear checked


 

Was this sharp pain followed by bloody drainage from the ear canal?
Pharmacist

 

Seek urgent care or emergency room.
Pharmacist

Here is why:

  • You may be looking at a ruptured eardrum.

  • Quick treatment is important to preserve your hearing.

  • Complications such as hearing loss can develop.
    Usually, this is temporary and lasts only till the tear or hole in the eardrum has healed. But the size and location of the tear can affect the degree of hearing loss.

  • Risking middle ear infection (otitis media).
    Bacteria can enter your middle ear which might lead to infection that can cause hearing loss later.

  • Complications due to middle ear cyst (cholesteatoma).
    This cyst contains ear wax, dusts, bacteria which the ear drum usually keep out. If your eardrum is ruptured, the debris can pass into your middle ear and form a cyst providing a friendly place for bacteria to grow.

Nearest Clinic

 

Was this sharp pain followed by thick pus-filled drainage from the ear canal?
Pharmacist

 

Seek urgent care or emergency room.
Pharmacist

Here is why:

  • You may be looking at a ruptured eardrum.
  • Quick treatment is important to preserve your hearing.
  • Complications such as hearing loss can develop.
    Usually, this is temporary and lasts only till the tear or hole in the eardrum has healed. But the size and location of the tear can affect the degree of hearing loss.
  • Risking middle ear infection (otitis media).
    Bacteria can enter your middle ear which might lead to infection that can cause hearing loss later.
  • Complications due to middle ear cyst (cholesteatoma).
    This cyst contains ear wax, dusts, bacteria which the ear drum usually keep out. If your eardrum is ruptured, the debris can pass into your middle ear and form a cyst providing a friendly place for bacteria to grow.

Nearest Clinic

 

What about a spinning sensation after this sharp pain?
Pharmacist

 

Seek urgent care or emergency room.
Pharmacist

Here is why:

  • Propably looking at a ruptured eardrum.
  • Quick treatment is important to preserve your hearing.

Nearest Clinic

 

Was it followed by ringing in your ear?
Pharmacist

 

Seek urgent care or emergency room.
Pharmacist

Here is why:

  • Propably looking at a ruptured eardrum.
  • Quick treatment is important to preserve your hearing.

Nearest Clinic

 

Is your face feeling weak after this sharp pain?
Pharmacist

 

Seek urgent care or emergency room.
Pharmacist

Here is why:

  • Propably looking at a ruptured eardrum.
  • Quick treatment is important to preserve your hearing.

Nearest Clinic

 

Those were signs and symptoms of a ruptured eardrum.
Pharmacist

If any applied to you, seek urgent care. You don't want to take chances of hearing loss either now or down the road.

If none apply to you, then let's continue and see what else we may be looking at.

Urgent Care Continue

 

 

 

 

Earache

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Is it an ear infection?

Any fever or sore throat with this earache?
Pharmacist

Woman holding her throat


No

 

Yes?
Let's make sure you are not looking at an ear infection.
Pharmacist

 

Do you have fluid draining from the ear with this earache?
Pharmacist

 

Seek urgent care or call the doctor.
Pharmacist

Here is why:

  • May be looking at an ear infection.

Nearest Clinic

 

Do you feel nausea and/or vomiting with this earache?
Pharmacist

 

Seek urgent care or call the doctor.
Pharmacist

Here is why:

  • Possible ear infection.

Nearest Clinic

 

What about diarrhea with this earache?
Pharmacist

 

Seek urgent care or call the doctor.
Pharmacist

Here is why:

  • Possible ear infection going on.

Nearest Clinic

 

Is there fullness or hearing loss in the affected ear with this earache?
Pharmacist

 

Seek urgent care or call the doctor.
Pharmacist

Here is why:

  • Possible ear infection.

Nearest Clinic

 


Those were possible signs and symptoms of an ear infection in adults.
Pharmacist

Seek urgent care if any applied to you. If none apply to your situation, let's continue

Urgent Care Continue

 

 

 

 

Earache

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Is it swimmer's ear?

Does the ear canal itch?
Pharmacist

Lady with itchy ear


No

 

Let's make sure you are not looking at a swimmer's ear infection.
Pharmacist

 

Any foul smelling, yellow or yellow-green, pus-like discharge from the ear?
Pharmacist

 

Yes?

 

Hold the ear lobe or outer ear and wiggle it.

Does this earache get worse?
Pharmacist

 

Yes?
Possible swimmer's ear infection. Would you like to see our entry on swimmer's ear?
Pharmacist

Swimmer's ear

 

Push on the little "bump" in front of your ear.

Does this ear pain you already have get worse?
Pharmacist

 

Yes?
Possible swimmer's ear infection. Would you like to see the entry on swimmer's ear?
Pharmacist

Symptoms include:

  • Swelling in the ear
  • Itchy ear or ear canal
  • Hurts when you pull on the ear lobe

Swimmer's ear

 

Is the inside of the ear red?
Pharmacist

 

Yes?
This is a sign of a swimmer's ear infection.
Pharmacist

Symptoms of swimmer's ear infection include:

  • Swelling in the ear
  • Itchy ear or ear canal
  • Hurts when you pull on the ear lobe
  • Yellow, yellow-green, pus-like, or foul smelling drainage from the ear.
  • Redness inside the ear

Would you like to see our entry for swimmer's ear or Continue?

Swimmer's ear

 


Those were some of the signs and symptoms of a swimmer's ear infection.
Pharmacist

If they apply to you, seek urgent care or call the doctor. You will need antibiotic or steroidal ear drops among other things. None of these are available over-the-counter.

If none apply to you or you don't think this is swimmer's ear infection, let's continue and figure this earache out.

Urgent Care Continue

 

 

 

 

Earache

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Is it a TMJ disorder?

With this ear pain, are you having difficulty chewing or biting?
Pharmacist

woman holding her mouth


No

 

Let's make sure you are not looking at temporomandibular joint (TMJ) disorder.
Pharmacist

 

Try opening or closing the mouth.

Does the jaw joint "crack" when doing this?
Pharmacist

 

Yes?
Hope we are not looking at TMJ.
Let's Continue.
Pharmacist

 

Alright
What about jaw pain or tenderness of the jaw...

...With this ear pain?
Pharmacist

 

Yes?
Hmmm, hope you are not looking at TMJ
Pharmacist

Symptoms of TMJ include:

  • Difficulty chewing or biting stuff
  • Jaw joint "crack" when opening or closing the mouth
  • Jaw pain or tenderness of the jaw.

 

Does your jaw lock?
Pharmacist

 

It locks?
We are thinking TMJ.
Pharmacist

Symptoms of TMJ include:

  • Difficulty chewing or biting stuff
  • Jaw joint "crack" when opening or closing the mouth
  • Jaw pain or tenderness of the jaw
  • Locking of the jaw.

 

Alright. Are you experiencing a dull, aching pain in the face?
Pharmacist

 

Yes?
This can be a symptom of TMJ disorder.
Pharmacist

Symptoms of TMJ include:

  • Difficulty chewing or biting stuff
  • Jaw joint "crack" when opening or closing the mouth
  • Jaw pain or tenderness of the jaw
  • Locking of the jaw
  • Dull, aching pain in the face.

If you are looking at these symptoms, you will have to see a doctor as soon as possible.

 

Well.
Those were the signs and symptoms of a TMJ disorder.
Pharmacist

If you think you are looking at one, see a dentist or call your doctor for complete evaluation.

If not, let's continue and see what else might be causing this earache you are experiencing before we see what a pharmacist recommend you use over-the-counter.

Dentist Continue

 

 

 

 

Earache

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Could it be earwax?

Are you experiencing a sensation that the ear is plugged with this earache?
Pharmacist

Lady with plugged ear sensation


No

 

Yes?
Let's rule out earwax blockade.
Pharmacist

 

Are you hearing noises in the affected ear?
Pharmacist

 

 

Does the ear feel full to you with a partial hearing loss?
Pharmacist

 

Yes?
This is a symptom of earwax blocking the ear canal.
Pharmacist

If a feeling of fullness in the ear or partial hearing loss is what you are experiencing with this ear pain, we may probably be looking at earwax blocking the ear canal. Check out the entry for earwax for a more detailed discussion.

If this is not the case, let's continue.

Earwax Continue

 

Alright
We just went through some of the signs of earwax blocking the ear canal.
Pharmacist

If a feeling of fullness in the ear or partial hearing loss is what you are experiencing with this ear pain, we may probably be looking at earwax blocking the ear canal. Check out the entry for earwax for a more detailed discussion.

If this is not the case, let's continue.

Earwax Continue

 

 

 

 

Earache

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What cause it?


Try biting down on the same side as the ear pain.

Do you feel a toothache?
Pharmacist


Lady biting a pencil


 

Yes?
You may have a toothache pain that is radiating to the ear on the same side.
Pharmacist

Would you like to see our entry for tootache or Continue if you don't think so?

Toothache

 

Are you hearing fluid in the ear that yawning or coughing cannot get rid of with this earache?
Pharmacist

Lady yawning


 

Yes?

 

What about feeling pressure in the ear that yawning or coughing does not get rid of?
Pharmacist

Lady yawning


 

Yes?
More than likely looking at a sinus pressure situation causing the earache.
Pharmacist

Pressure in the sinus cavities from a cold or sinus infection can increase the pressure in the middle ear causing it to ache.

 

Alright
We tried to look at causes of earache.
Pharmacist

Other causes of earache that you may come accross include earache during or after a flight (Barotruama).

For what may be causing your earache that we did not touch, seek urgent care if the pain is serious or call the primary care doctor.

Let's see what a pharmacist recommend until you can do that.

Urgent Care Pharmacist

 

 

 

 

Earache

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How bad is it?


How bad is this earache on a scale of 1 to 10?
Pharmacist



Pharmacist

 

1 to 3

Send to pharmacist

 

4 to 7

Advice and send to pharmacist

 

Seek urgent care.