Sudden Relief from Ear Pain: Possible Causes and Connections - Otolaryngology

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The ear was initially very painful but suddenly stopped hurting?


Hello doctor, I would like to ask about something.
This morning when I woke up, I noticed a slight pain in my right ear, which persisted until noon, but after I had lunch, the pain suddenly went away.
I would like to know what could be the reason for this.
Additionally, a few days ago, I had a toothache and saw a doctor who said it was a bacterial infection, and I have been taking antibiotics.
Could this be related to the pain in my ear? (P.S.: both issues are on the right side.)

Xiao Guan, 10~19 year old female. Ask Date: 2021/06/24

Dr. Zheng Jueyi reply Otolaryngology


Hello: There are many causes of ear pain, which may be related to dental infections.
If the symptoms improve, you may observe them for a while.
However, if the pain persists without improvement, it is advisable to seek medical evaluation.
Wishing you safety and good health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2021/06/24

More Info


Sudden relief from ear pain can be attributed to various factors, and it is essential to consider both the immediate and underlying causes. In your case, the fact that the pain subsided after eating may suggest a few possibilities related to the anatomy and physiology of the ear and surrounding structures.

Firstly, the ear, particularly the middle ear, is closely connected to the throat and nasal passages via the Eustachian tube. This tube helps equalize pressure in the ear and drains fluid. Eating can stimulate swallowing, which may help open the Eustachian tube, allowing for pressure equalization and potentially relieving discomfort. If your ear pain was related to pressure changes or mild Eustachian tube dysfunction, the act of swallowing while eating could have provided the relief you experienced.

Secondly, the connection between your ear pain and recent dental issues is also noteworthy. Dental infections, particularly those involving the upper molars, can lead to referred pain in the ear. This phenomenon occurs because the nerves that supply the teeth and the ear share common pathways. If you had a bacterial infection in your teeth, it is plausible that the inflammation could have contributed to your ear pain. The antibiotics you are taking for the dental infection may have also played a role in alleviating any associated inflammation, thus contributing to the sudden relief of ear pain.

Additionally, it is important to consider other potential causes of ear pain, such as:
1. Infections: Otitis media (middle ear infection) or otitis externa (outer ear infection) can cause pain. If you had a mild infection that resolved on its own, this could explain the sudden relief.

2. Eustachian Tube Dysfunction: As mentioned earlier, dysfunction can lead to pressure imbalances, causing discomfort. This can be exacerbated by allergies, colds, or sinus infections.

3. Temporomandibular Joint (TMJ) Disorders: Issues with the jaw joint can cause pain that radiates to the ear. If you have been clenching your jaw or grinding your teeth due to dental pain, this could also explain the ear discomfort.

4. Barotrauma: Sudden changes in pressure, such as during flights or rapid altitude changes, can lead to ear pain. If you experienced any recent changes in altitude, this might be a factor.

5. Referred Pain: As mentioned, pain from nearby structures, such as the throat or teeth, can manifest as ear pain.

Given your symptoms and the recent dental infection, it would be prudent to monitor your ear pain. If it recurs or worsens, or if you develop additional symptoms such as hearing loss, dizziness, or persistent pain, it would be advisable to consult an ear, nose, and throat (ENT) specialist. They can perform a thorough examination, including an otoscopic evaluation, to determine if there are any underlying issues that need to be addressed.

In summary, the sudden relief from your ear pain after eating could be related to Eustachian tube function, the resolution of pressure imbalances, or the effects of your dental infection and treatment. Keep an eye on your symptoms, and don't hesitate to seek medical advice if needed.

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