Pain in the ear when swallowing: causes and remedies

Young woman expressing pain

Experiencing ear pain when swallowing can be quite uncomfortable and disruptive, affecting many individuals. Commonly referred to as ear and throat infection, this issue is prevalent, particularly during colder seasons or among those prone to upper respiratory tract infections. The severity of pain can vary from mild to intense and is frequently accompanied by symptoms like a sore throat, earache, or fever. The causes of this condition can range from a common cold to more severe ailments. In this article, we will delve into the various causes, symptoms, and potential treatment approaches for addressing this widespread concern.

Ear pain when swallowing without a cold

If one has an earache when swallowing without an apparent cold, this could indicate several other possible causes. These could be, for example, inflammation of the tonsils or an infection in the throat area, which do not necessarily have to be associated with a cold. Additionally, problems such as irritation of the larynx, an injury to the throat area, or even problems related to teeth or jaw joints can cause ear pain that occurs when swallowing. In such cases, it is advisable to consult a doctor to determine the exact cause and take appropriate measures to alleviate the symptoms.

What causes ear pain when swallowing?

Earache when swallowing can stem from various factors, ranging from minor concerns to more serious conditions. Among the most prevalent causes are:

Ear infections


An ear infection is frequently to blame for ear pain during swallowing. It triggers inflammation and swelling in the middle ear, resulting in discomfort and pressure, particularly when swallowing or yawning. Without treatment, an ear infection can lead to more serious complications, including hearing impairment.

Sinus infections


Ear pain when swallowing may also arise from sinus infections, given the connection between the sinuses and Eustachian tubes. Sinus inflammation can exert pressure on the ears, resulting in discomfort, particularly when swallowing or blowing your nose.

Throat infections


Ear pain when swallowing can also be attributed to throat infections like tonsillitis or pharyngitis. Since the throat and Eustachian tube are interconnected, throat inflammation can induce pressure and discomfort in the ears.

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Ear pain when swallowing: other causes

Ear pain when swallowing may also indicate less common issues such as TMJ disorder, injuries, Eaustachian tube dysfuncion and others: 

TMJ disorder

TMJ disorder, or temporomandibular joint disorder, impacts the joint linking the jaw to the skull. It often results in pain and discomfort in the jaw, face, and ears, particularly during chewing or swallowing.


Allergic reactions can trigger inflammation and swelling in the sinuses and Eustachian tubes, resulting in pressure and discomfort in the ears when swallowing.

Structural problems

Structural issues like a deviated septum or enlarged tonsils can create obstructions in the Eustachian tube, resulting in ear pressure and pain during swallowing. Additionally, injuries such as head or ear trauma can also lead to discomfort when swallowing.


Injuries to the ear, such as impacts to the head or ear area, can result in discomfort when swallowing.

Eustachian tube dysfunction

Ear pain when swallowing can result from Eustachian tube dysfunction, which may stem from factors such as allergies, sinus infections, or shifts in altitude.


When the tonsils become inflamed, it can lead to ear pain during swallowing, especially if the tonsils are positioned near the Eustachian tube.

Throat and ear pain on one side when swallowing

Experiencing sore throat and ear pain on one side when swallowing can occur due to several reasons, including:

  • Unilateral infection: If there's an infection, such as tonsillitis or an ear infection, it may affect only one side of the throat or ear
  • Asymmetrical anatomy: Structural differences between the left and right sides of the throat or ear can make one side more susceptible to pain or inflammation
  • Referral pain: Pain originating from nearby structures, such as the jaw joint (TMJ) or nearby teeth, can radiate to one side of the throat or ear, even if the actual problem lies elsewhere
  • Nerve irritation: Irritation or inflammation of specific nerves on one side of the throat or ear can lead to localized pain
  • Trauma or injury: Trauma to the throat, ear, or surrounding tissues on one side can cause pain specific to that side
  • Tumors: In rare cases, the presence of tumors or growths in the throat or ear region may lead to unilateral pain symptoms

Understanding the underlying cause of the pain on one side typically requires a thorough evaluation by a healthcare professional to determine the specific issue and appropriate treatment.

How to stop ear pain when swallowing

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There are several natural remedies that can help alleviate ear pain when swallowing:

  • Apply warm compresses or a hot water bottle to the affected ear
  • Gently pour a few drops of warm olive oil into the ear
  • Use ear drops to ease discomfort
  • Try decongestant nasal drops to reduce swelling in the Eustachian tube
  • Chew gum or suck on candy to help equalize pressure in the ear
  • Rest and relaxation can aid the body's healing process
  • Stay hydrated by drinking enough fluids to promote healing

It's important to bear in mind that these home remedies may not work for everyone. If ear pain when swallowing is severe or persists, it's advisable to seek medical attention.

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FAQs about earache when swallowing

How to relieve ear pain when swallowing?

To relieve ear pain when swallowing, you can try:

  1. Over-the-counter pain relievers like ibuprofen or acetaminophen to reduce inflammation and alleviate discomfort
  2. Applying a warm compress to the affected ear to soothe the pain and reduce inflammation.
  3. Using over-the-counter ear drops to help relieve pain and inflammation
  4. Gargling with warm salt water to help reduce throat inflammation and alleviate pain
  5. Avoiding irritants such as smoking or exposure to secondhand smoke, as these can aggravate ear pain
  6. Staying hydrated by drinking plenty of fluids to help thin mucus and reduce throat irritation
  7. Resting and avoiding activities that may exacerbate the pain until it improves

If the ear pain persists or is severe, it's important to consult a healthcare professional for further evaluation and treatment.

Can an ear infection cause pain when swallowing?

Certainly. When you have an ear infection, the inflammation and pressure in the middle ear can extend to the surrounding areas, including the throat. This can cause discomfort or pain when swallowing as the inflammation affects the Eustachian tube, which connects the middle ear to the back of the throat. Additionally, the act of swallowing can exacerbate the pain as it puts pressure on the already sensitive ear structures.

Can tmj cause ear pain when swallowing?

Yes, temporomandibular joint (TMJ) disorders can indeed cause ear pain, especially when swallowing. The temporomandibular joint connects your jawbone to your skull and is involved in various movements, including chewing and swallowing. When this joint is dysfunctional or inflamed, it can lead to referred pain, meaning you might feel pain in other areas, such as the ears, when the problem originates in the jaw. Swallowing can exacerbate this pain as it involves movement in the jaw area, potentially aggravating the TMJ. If you're experiencing ear pain when swallowing, it's a good idea to consult with a healthcare professional, such as a dentist or an ear, nose, and throat specialist, to determine the underlying cause and appropriate treatment.

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