Ear pain is unpleasant and frequently occurs in the context of colds or infections. Usually, it is caused by irritation or inflammation in the middle ear or in the ear canal. It is particularly common in children. In most cases, the symptoms resolve on their own.
Possible causes
Middle Ear Infection
An inflammation behind the eardrum, often following a cold. It causes throbbing pain and sometimes a feeling of pressure.
Ear Canal Infection
An irritation of the skin in the outer ear canal, for example after swimming or from frequent cleaning. Typically, there is pain when pulling on the earlobe.
Earwax Plug
Compacted earwax can block the ear canal and trigger pressure or a muffled sensation.
Eustachian Tube Dysfunction
During an infection or when traveling, pressure equalization may be disrupted, causing a feeling of fullness and pain.

Typical steps at the doctor's office
- 1The doctor looks into the ear canal with an otoscope and assesses the eardrum.
- 2If necessary, a hearing test or a swab is performed to more precisely identify the cause.
- 3Treatment depends on the findings and ranges from decongestant measures and cleaning of the ear canal to treatment of inflammation.
What you can do yourself
- Warmth in the form of a warm cushion placed on the ear may be perceived as soothing.
- Keep the ear dry and protect it from water when showering or bathing.
- Avoid using cotton swabs and attempting to clean inside the ear canal.
- Drink plenty of fluids and allow your body to rest during an infection.
Severe ear pain with fever, swelling or redness behind the ear, or discharge from the ear should be seen by the doctor on the same day. If the pain persists longer, keeps recurring, or hearing worsens, an assessment is advisable. The general practitioner's office or an ENT practice is responsible.

Frequently asked questions
- Am I allowed to fly with ear pain?
- During an acute infection, pressure equalization may be more difficult and can intensify symptoms. A brief consultation before traveling is advisable.
- Is ear pain contagious?
- The pain itself is not contagious, but the underlying cold infection that often accompanies it is.
Not sure whether you should go or whom to see? Describe your symptoms — we'll find the right practice in your area.
