Consultation: What is the inexplicable pain in the ear? Is it serious? Wuhan Ren 'an Hospital Answer: Earache is a common symptom, which can be divided into three types: otogenic earache, reflex earache and neuropathic earache. Ototogenic earache, also known as primary earache, refers to earache caused by the pathological changes of the ear itself. Reflex earache, also known as secondary earache, is because the nerve that dominates the ear also dominates the feelings of other parts, so the pain caused by pathological changes in other parts can be reflected to the ear through this nerve to cause earache. Nervous earache is caused by the pathological changes of the ear sensory nerve itself. The cause of each kind of pain is different. The following Wuhan Ren 'an Eye Otolaryngology Hospital introduces the common causes of earache for reference. Common causes of earache 1. Earache caused by otitis media: Acute patients may have dull pain, which is often the first symptom, persistent or painful. Chronic earache is not obvious. 2, nasal diseases such as acute sinusitis can cause earache. 3, oral and pharyngeal diseases: wisdom tooth pericoronitis, tongue root ulcer, acute tonsillitis, tonsillectomy, pharyngeal tumor, pharyngeal abscess, pharyngeal ulcer. 4. Earache caused by trauma: the infection caused by ear digging damages the skin of external auditory canal. The symptoms are severe ear pain in patients with external auditory canal furuncle, which often affects mouth opening, chewing and sleep. In severe cases, low-grade fever, constipation and general malaise may occur. When the boil of the external auditory canal is not broken, there is only a slight wet feeling in the ear canal; Purulent secretions flowed out after puncture, and the pain was obviously relieved. What should I do if my ears continue to hurt? Wuhan Ren 'an Eye, Otolaryngology Hospital suggested that earache should be examined in a regular Otolaryngology hospital as soon as possible, and the cause should be found out before targeted treatment. Treatment of earache 1. Conservative treatment: generally, the main purpose of reducing perforation is to resist bacteria, expel pus and reduce swelling, but it is difficult to achieve the healing of perforation, otitis media is also difficult to cure and easy to recur. 2. Tympanic membrane repair: it is a traditional treatment method, which is suitable for otitis media with osteomyelitis and cholesteatoma. Generally, the lesions of mastoid, tympanic sinus and tympanic cavity are communicated with the external auditory canal to form a cavity covering the epithelium, so as to remove the diseased tissues of mastoid, tympanic sinus, tympanic cavity and eustachian tube, stop purulent secretion and obtain dry ears. The disadvantage is that although some otitis media can be cured, it can not achieve the purpose of clearing the focus and may recur.