Causes, When to Worry & ENT Treatment in Kuala Lumpur
Ear pain, medically called otalgia, is one of the most common complaints in ENT clinics. It can affect children and adults, and may range from mild discomfort to severe, throbbing pain. While many people assume ear pain is always due to infection, the underlying causes can vary widely, and proper evaluation by an ENT specialist is crucial for effective treatment.
Persistent or severe ear pain can affect sleep, concentration, and daily life, so timely assessment is important.
What Does Ear Pain Feel Like?
Patients describe:
- Sharp, throbbing, or dull aching pain
- Pain inside the ear or around it
- Occasional radiating pain to the jaw, throat, or head
- Sensitivity to touch around the ear
- Associated fever or discomfort
Common Causes of Ear Pain
1. Outer Ear Infection (Otitis Externa)
Often caused by water exposure or trauma. Symptoms: pain, redness, swelling, sometimes discharge.
2. Middle Ear Infection (Otitis Media)
Common in children. Symptoms: earache, fever, hearing difficulty, sometimes fluid behind the eardrum.
3. Referred Pain
Jaw problems (TMJ), throat infections, or dental issues may cause ear pain without an actual ear problem.
4. Wax Impaction
Impacted earwax can cause discomfort, pressure, or muffled hearing.
5. Eardrum Perforation or Trauma
Pain may be sudden, sharp, or associated with discharge after injury or loud noise.
6. Rare Causes
Tumours or nerve-related issues may occasionally present with ear pain — usually one-sided and persistent.
🚨 When Should You Worry About Ear Pain?
Seek ENT review urgently if you have:
- Severe or persistent pain lasting more than 2–3 days
- High fever or systemic symptoms
- Hearing loss
- Ear discharge (pus or blood)
- One-sided pain without obvious cause
How an ENT Specialist Evaluates Ear Pain
- Detailed symptom history
- Ear examination with otoscope
- Hearing tests if indicated
- Microscopic examination or endoscopy for persistent cases
- Imaging (CT/MRI) if structural issues are suspected
Treatment Options for Ear Pain
✅ Medical Treatment
- Antibiotics for infection
- Pain relief with analgesics
- Ear drops (for outer ear infection)
✅ Ear Cleaning & Wax Removal
Performed safely by ENT specialists
✅ Surgical Treatment (Rare)
- Myringotomy for chronic middle ear fluid
- Removal of growths or polyps if present
Frequently Asked Questions (FAQ)
Q: Can adults get ear infections?
Yes, outer and middle ear infections can occur at any age.
Q: Should I put drops in my ear?
Only after ENT assessment; improper use may worsen the problem.
Q: Is ear pain always an infection?
No, many cases are referred pain from teeth, jaw, or throat.
When Should You See an ENT Specialist in Kuala Lumpur?
Consult an ENT specialist if:
- Pain persists beyond a few days
- Symptoms recur frequently
- Associated with hearing loss, fever, or discharge
Timely ENT evaluation ensures accurate diagnosis and effective treatment.
👨⚕️ ENT Specialist’s Perspective
Ear pain is a symptom, not a diagnosis. Proper assessment distinguishes infection, referred pain, and structural causes. Early ENT evaluation prevents complications, ensures effective treatment, and improves patient comfort and quality of life.
Dr. Ameen, ENT Specialist in Kuala Lumpur 