If an earache is accompanied by any of the following symptoms, a healthcare provider should be consulted as soon as possible:
• Severe pain.
• Discharge from the ear.
• A fever of 102°F (38.8°C) or higher.
• A sudden change in hearing.
• A sudden onset of dizziness.
• An inability to concentrate.
• Facial muscle weakness.
• The earache is worse during chewing.
• Pain, tenderness, or redness of the over the area of the mastoid process, which often indicates a serious infection.
Antibiotics, decongestants, and antihistamines are often prescribed to halt the infection and inflammation that may be the cause of ear pain. The insertion of ear tubes may be recommended for children who have persistent ear infections to reestablish proper functioning of the middle ear. However, the effectiveness of this treatment is still widely debated. Repeated swallowing or gum-chewing can relieve ear pain caused by changes in pressure secondary to changes in altitude. Allowing infants and young children to suck on a bottle during descent can help relieve popping and ear pain. TMJ dysfunction should be evaluated by a dentist. Anti-inflammatory medication, tranquilizers, or muscle relaxants may be prescribed for temporary relief. Other treatments for TMJ problems include braces to correct the bite or a bite plate to wear when sleeping.
