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Why Ear Pain In Cold?

Why Ear Pain in Cold Happens: Causes, Differences, and Remedies

Everyone hates catching a cold. Among other things, people who catch a cold lose their appetites, cough a lot, and have runny noses. Most of us would not want to imagine suffering from a cold and experiencing inner ear discomfort. However, this is something that happens to several people, leading many to wonder why ear pain in cold occurs. This blog discusses earache during cold symptoms, differentiates it from the more prevalent ear infection known as otitis media, and suggests ways to alleviate the pain.

The Eustachian Tube: The Hidden Cause of Ear Pain During Colds

The common cold. This term can mean many things but on top of that, most people do not like being sick with sore throats and dry coughs with nasal congestion. However, for a few miserable individuals, one less fortunate has to endure earache as well. The ache or pain, whether mild or severe, is undoubtedly a torture for anyone suffering from a cold and one will want to have the pain taken away. What is the cause of such an added burden? A hidden hero turned fugitive – the Eustachian tube.

The Vital Role of the Eustachian Tube

Nestled within the complex ear anatomy, a healthy soundscape cannot thrive without the Eustachian tube. A thin pipe connecting two main parts- middle ear and nasal cavity as well as throat located at the bottom of the nose as well as throat- mainly plays a bifunctional 

  • In the auto ventilation system, there exists a valve that equalizes ear pressure and manages air in the middle ear. 
  • It has a drainage system, which helps expel mucus and other fluids from the ear cavity.

The Eustachian tube has functions concerning the regulation of air pressure and assisting the draining of fluid.

  • It works exactly like a valve, which opens and closes when the pressure of the air inside the middle ears equals that outside.
  • It also assists in the ventilation of the middle ear by removing fluids such as mucus that may collect in it.

Consider a small balloon with a middle ear. Healthy sound reception requires that the air pressure in this balloon be in balance with the air outside. As such, the Eustachian tube functions as a valve that opens and closes to maintain this pressure balance. It Additionally Provides Drainage Of Mucus And Other Fluids That Accumulate In The Middle Ear.

How a Cold Disrupts the Eustachian Tube

However, when a cold strikes, this once-reliable hero turns fugitive. The viral infection wreaks havoc on your upper respiratory system, triggering inflammation in several areas:

  • The Lining of the Nose and Throat: This inflammation doesn’t stop at the gates—it can extend its unwelcome reach to the eustachian tube.

The consequences of this inflammation are numerous:

  • Narrowed Passageway: Swelling narrows the Eustachian tube, hindering its ability to perform crucial tasks.
  • Impeded Drainage: Fluid drainage from the middle ear becomes hampered. This trapped fluid can build up, creating pressure on the eardrum.
  • Disrupted Pressure Regulation: Swallowing, yawning, and chewing help open the Eustachian tube and equalize pressure. But these actions can be harrowing during a cold due to throat soreness. This reduced frequency of pressure regulation further contributes to the discomfort in your ear.

By understanding the Eustachian tube’s role and how a cold disrupts it, we can explore strategies to help it return to its heroic role and restore balance to your ears and your cold experience.

Differentiating Between Ear Pain in Colds and Ear Infections

While ear pain is a common symptom of colds and ear infections (otitis media), vital distinctions can help you determine the cause of your discomfort.

Ear Pain in Colds:

  • Onset: Ear pain typically develops alongside or shortly after other cold symptoms like congestion, runny nose, sore throat, and cough.
  • Pain Characteristics: Ear pain from a cold is often described as dull, achy, or pressure-like. It may come and go or be constant, but it generally feels less intense than ear infection pain.
  • Duration: The ear pain usually resolves within a few days as the cold improves and the Eustachian tube functions normally again.
  • Accompanying Symptoms: Other cold symptoms, such as congestion, runny nose, cough, and sore throat, are usually present.

Ear Infection:

  • Onset: Ear pain in an ear infection may develop suddenly, even a few days after the initial cold symptoms appear.
  • Pain Characteristics: The pain is often described as sharp, throbbing, or pulsating and can be severe, particularly at night.
  • Duration: Ear infection pain tends to persist for longer, often requiring antibiotics to clear up.
  • Accompanying Symptoms: Fever, especially in young children, is a common sign of an ear infection. Other symptoms may include difficulty hearing, muffled hearing, feeling of fullness in the ear, and pus drainage from the ear canal.

If you experience any of the following alongside ear pain, it’s crucial to consult a doctor to rule out a potential ear infection:

  • Fever, particularly in young children
  • Severe ear pain that doesn’t improve with home remedies
  • Pus drainage from the ear
  • Difficulty hearing
  • Dizziness

Managing Ear Pain in Colds: Finding Relief

While ear pain in colds isn’t typically severe, it can be unpleasant. Here are some strategies to help manage the discomfort and promote healing:

  • Pain relievers: Acetaminophen and ibuprofen are two medicines that can help reduce pain and inflammation. Make sure you closely follow dosage instructions and visit your doctor if you have any medical conditions.
  • Warm compresses: A warm compress on the affected ear can provide soothing relief. Use a clean, damp washcloth soaked in warm water and place it over your ear for 15-20 minutes. Repeat as needed.
  • Nasal decongestants: These medications help reduce swelling and congestion in the nasal passages, which may indirectly improve drainage through the Eustachian tube and alleviate ear pain. Recoil congestion is one of the side effects that decongestants can cause with prolonged use. Consult your doctor if symptoms worsen.
  • Steam inhalation: The inhalation of steam may assist in loosening mucus

Conclusion

While unpleasant, ear pain during a cold is a consequence of the disruption caused by the cold virus rather than a separate illness. The Eustachian tube, usually a diligent guardian of your ear health, becomes a temporary fugitive due to inflammation. This inflammation hinders its ability to drain fluid and regulate pressure within the middle ear, leading to the familiar throbbing or aching sensation.

However, because we know the function of this structure, we can look for ways to help it regain the control that it has lost. In the following section practical approaches to coping with earache due to the common cold will be presented focusing on the alleviation of pain, facilitation of drainage and minimising edema inflow, and enhancement of comfort in the ears. If you still have persistent pain in the ear, especially when there’s no cold or hearing problems, it would be a good idea for you to go for a hearing test in Delhi. Finding a reputable hearing test service will allow any concerns to be diagnosed with precision so that appropriate measures for ear health can be taken. Don’t worry, this too shall pass when the cold is milder and one can focus on strengthening their Eustachian Tube with a little bit of love and care.

Frequently Asked Questions

Why does ear pain occur during colds?

Ear pain during colds stems from a malfunctioning Eustachian tube. This narrow passageway connects your middle ear to the back of your nose and throat. Usually, it regulates air pressure and drains fluid from the middle ear. A cold inflames the Eustachian tube, narrowing it and hindering drainage. Trapped fluid can build up, creating pressure on the eardrum and causing ear pain.

Ear pain from a cold usually develops alongside other cold symptoms and feels dull, achy, or pressure-like. It resolves within a few days as the cold improves. Ear infection pain, however, can be sharp, throbbing, and severe, potentially accompanied by a fever, especially in children. Ear infection pain lingers for a longer duration and might require antibiotics.

  • Pain relievers:  Acetaminophen and ibuprofen, two over-the-counter pain medications, can help lessen discomfort and inflammation. (If you have any medical issues, visit your doctor and follow the dose directions.)
  • Warm compresses: The afflicted ear may feel better after applying a warm compress.
  • Nasal decongestants: These medications help reduce swelling and congestion in the nasal passages, which may indirectly improve drainage through the Eustachian tube and alleviate ear pain. (Be aware that decongestants can cause rebound congestion with prolonged use. (Consult your doctor if symptoms worsen.)
  • Steam inhalation: Inhaling steam may help loosen mucus and promote drainage.

The Eustachian tube links the middle ear to the back of the nose and throat and has two primary functions necessary for maintaining the health of the ears.

  • Regulating air pressure: It acts like a valve, ensuring equal air pressure between the middle ear and the outside environment, essential for proper hearing.
  • Facilitating drainage: It clears mucus and fluid naturally accumulating in the middle ear.

A cold can inflame the lining of the eustachian tube, causing it to narrow. This narrowing makes it difficult for fluid to drain from the middle ear and for air pressure to be properly regulated. As a result, ear pain may arise from an accumulation of fluid and pressure in the middle ear.

Dr. Harshi, is an accomplished Audiologist with extensive expertise in treating individuals with hearing impairments.

Dr. Harshi, MBBS, Audiologist

Dr. Harshi

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