Why Does My Ear Hurt When I Bend Over? Possible Causes and Solutions

Bending forward and tilting the head can cause ear pain?

Hello doctor, I noticed two days ago that my ear hurts when I bend over or tilt my head.
Whether I bend to the left or the right, it is always my left ear that hurts.
What could be the problem? Should I see an otolaryngologist?
P.S.: I have been coughing for about 3-4 months, but it is not very severe; I cough occasionally every day.
However, I do not have any other cold symptoms.
I previously saw a doctor who suggested it might be a mycoplasma infection.
I took antibiotics for 10 days, and it seemed to improve at first, but after 10 days, it did not completely resolve.
I am unsure if the ear pain and cough are related.

Yafang, 40~49 year old female. Ask Date: 2017/01/07

Dr. Ji Zhaoyun reply Otolaryngology

Hello, the issues you mentioned may be attributed to the following two possibilities:
1) Otitis Media:
a) Acute Otitis Media: This often occurs alongside upper respiratory infections (such as colds) and sinusitis.
In severe cases, there may be ear discharge or pus.
b) Chronic Otitis Media with acute exacerbation: This typically involves a pre-existing perforation in the eardrum, which can become inflamed due to unclean water or improper ear cleaning.

Treatment options include mild cases being managed with ear drops combined with oral medications (such as antibiotics and anti-inflammatory pain relievers), while severe cases may require hospitalization.
If hearing is affected, it is advisable to seek medical attention promptly.
2) Temporomandibular Joint Disorder (TMJ): This condition affects the joint located in front of the ear and often presents with ear pain.
It is commonly caused by poor bite habits and can be managed with medication and adjustments to biting habits.
3) Eustachian Tube Dysfunction: This is common and can occur not only during activities like flying, climbing, or diving but also when forcefully blowing the nose or bending over.
All of the above conditions can be appropriately managed with medical treatment.
If symptoms persist, it is recommended to consult an Ear, Nose, and Throat (ENT) specialist.

Wishing you safety and health,
Dr.
Chi Chao-Yun,
Director of the ENT Department, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2017/01/07

More Info

When you experience ear pain while bending over, it can be quite concerning, especially when combined with a persistent cough. There are several potential causes for this discomfort, and understanding them can help you determine whether you need to seek further medical evaluation.

Possible Causes of Ear Pain When Bending Over
1. Eustachian Tube Dysfunction: The Eustachian tube connects the middle ear to the back of the throat and helps equalize pressure. If this tube is not functioning properly, bending over can create pressure changes that lead to pain in the ear. This dysfunction can be caused by allergies, sinus infections, or even a cold.

2. Middle Ear Infection (Otitis Media): If you have had a cough for several months, it could be related to an underlying infection. A middle ear infection can cause fluid buildup, leading to pressure and pain, especially when bending over or changing positions.

3. Sinusitis: Chronic sinus infections can lead to referred pain in the ears. When you bend over, the pressure changes can exacerbate this pain, particularly if there is inflammation or blockage in the sinus cavities.

4. Muscle Tension or Strain: Sometimes, the muscles around the neck and jaw can become tense, especially if you are coughing frequently. This tension can radiate to the ear, causing discomfort when you bend or turn your head.

5. Temporomandibular Joint (TMJ) Disorders: If you have been clenching your jaw or grinding your teeth, this can lead to TMJ issues, which can cause ear pain that may worsen with certain movements, including bending over.

6. Referred Pain from Throat or Neck Issues: Given your history of a persistent cough, it’s possible that irritation or inflammation in the throat or neck could be causing referred pain to the ear.

Recommendations
Given your symptoms, it would be prudent to consult an ear, nose, and throat (ENT) specialist. They can perform a thorough examination, which may include:
- Physical Examination: Checking for signs of infection or fluid in the ear.

- Hearing Tests: To assess any impact on your hearing.

- Imaging Studies: If necessary, to evaluate the sinuses or other structures.

Self-Care and Management
While waiting for your appointment, consider the following self-care measures:
- Stay Hydrated: Drink plenty of fluids to help thin mucus and promote drainage.

- Steam Inhalation: Inhaling steam can help relieve sinus pressure and improve Eustachian tube function.

- Warm Compress: Applying a warm compress to the affected ear may help alleviate pain.

- Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help manage pain and inflammation.

- Avoid Allergens: If allergies are a concern, try to minimize exposure to known triggers.

Conclusion
In summary, ear pain when bending over can stem from various causes, including Eustachian tube dysfunction, middle ear infections, sinusitis, muscle strain, TMJ disorders, or referred pain from throat issues. Given your persistent cough and the recent onset of ear pain, it is advisable to seek an evaluation from an ENT specialist. They can provide a comprehensive assessment and appropriate treatment options to address both your ear pain and cough.

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