Why does one ear hurt while the other does not, and what should I do?

Nov 14, 2024 Source: Cainiu Health
Dr. Lu Cheng
Introduction
In general, one-sided ear pain may be caused by factors such as trauma, cerumen impaction, otitis media, herpes zoster, or trigeminal neuralgia. It can be improved through local cold compresses, medication, and other treatments. If symptoms persist, it is recommended to seek timely medical attention at a hospital and receive appropriate treatment under a doctor's guidance. In daily life, it is important to ensure adequate rest.

Generally, one-sided ear pain may be caused by factors such as trauma, cerumen impaction, otitis media, herpes zoster, and trigeminal neuralgia. This condition can be improved through local cold compresses, medication, and other treatments. If discomfort occurs, it is recommended to seek timely medical attention at a hospital and receive symptomatic treatment under the guidance of a physician. A detailed explanation is as follows:

1. Trauma

If the ear experiences external force such as compression or impact, it may cause local soft tissue injury. Applying a cold compress with an ice pack to the affected area can help reduce swelling and alleviate pain.

2. Cerumen Impaction

Excessive earwax in the ear canal may form a blockage, pressing on the ear canal wall and causing pain. It is recommended to visit a hospital and, under a doctor's guidance, use professional instruments to remove the cerumen safely, avoiding improper self-treatment that could damage the ear canal.

3. Otitis Media

Otitis media may be caused by bacterial or viral infections and can lead to one-sided ear pain, accompanied by symptoms such as hearing loss and tinnitus. Consult a doctor to determine appropriate medication, such as Amoxicillin Capsules, Roxithromycin Tablets, or Cefalexin Dry Mix Suspension.

4. Herpes Zoster

Herpes zoster may be caused by the varicella-zoster virus, which can affect the nerves of the ear, resulting in unilateral nerve-related ear pain. It may also be accompanied by symptoms like fatigue and mild fever. Follow medical advice to use antiviral medications such as Valacyclovir Hydrochloride Granules, Valacyclovir Hydrochloride Tablets, or Acyclovir Capsules.

5. Trigeminal Neuralgia

Trigeminal neuralgia may cause recurrent pain in the trigeminal nerve region, resulting in one-sided ear pain. In severe cases, it may be accompanied by facial muscle twitching and facial flushing on the same side. It is recommended to use medications such as Carbamazepine Tablets, Gabapentin Tablets, or Phenytoin Sodium Tablets under medical guidance to relieve pain symptoms.

In daily life, it is important to rest appropriately, maintain sufficient sleep, and avoid strenuous exercise to promote body recovery. Additionally, maintain a light diet and avoid consuming spicy or irritating foods such as pepper and chili, which is beneficial for overall health.