What should I do if one ear hurts when I swallow saliva?

Generally, ear pain on the side where swallowing occurs may be caused by conditions such as otitis media, acute tonsillitis, or acute pharyngitis. Appropriate treatment should be administered based on specific diagnosis. Details are as follows:

1. Otitis Media

Otitis media is an inflammation occurring in the middle ear. The middle ear is separated from the outer ear by the eardrum and connects to the back of the nose and throat via the Eustachian tube. Symptoms may include ear pain, ear discharge, hearing loss, and tinnitus. It is recommended that patients take medications such as cefprozil dispersible tablets or cefaclor dispersible tablets as directed by a physician.

2. Acute Tonsillitis

Acute tonsillitis is a common infectious disease of the pharynx, characterized by severe sore throat and pain during swallowing. It may affect the Eustachian tube, leading to referred ear pain. Patients are advised to take medications such as penicillin V potassium tablets or dicloxacillin sodium tablets under medical guidance.

3. Acute Pharyngitis

Acute pharyngitis is a common acute upper respiratory tract infection, presenting symptoms such as throat discomfort, dryness, burning sensation, and pain. It may also involve the Eustachian tube, thereby causing ear pain. Treatment may include erythromycin tablets or roxithromycin tablets as prescribed by a doctor.

In addition, other possible causes include external otitis, tympanic membrane perforation, or Eustachian tube blockage. Patients are advised to seek timely medical attention when experiencing discomfort to avoid delayed treatment. Additionally, maintaining a light diet and getting adequate rest are recommended in daily life.