[53F] Experiencing earache with referred scalp pain

Patient Description

A 53-year-old female presents with a one-day history of intermittent earache described as an ache with occasional shooting pain towards the scalp. The pain is deeper inside the ear rather than on the outer part. Additionally, the patient reports tenderness and a burning sensation on the scalp, which is tender to the touch and has been present for the same duration. The patient has experienced similar scalp tenderness in the past, sometimes associated with sinus issues, but denies any recent sinus problems. There is no reported fever, chills, changes in vision, severe headaches, jaw pain, difficulty chewing, hearing loss, or dizziness. The patient's medical history, current medications, and other potential symptoms were not discussed.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are a few possible conditions:

  • Middle Ear Infection (Otitis Media): This is an infection of the middle ear, which is located just behind the eardrum. Symptoms can include ear pain, and sometimes tenderness of the surrounding areas.

    • Treatment usually involves antibiotics to clear the infection.
  • Temporomandibular Joint Disorders (TMJ): These are problems affecting the 'chewing' muscles and the joints between the lower jaw and the base of the skull. It's possible to have referred pain in the ear and surrounding areas.

    • Treatment usually involves pain relief, and sometimes physical therapy or dental treatments.
  • Trigeminal Neuralgia: This is a chronic pain condition that affects the trigeminal nerve, which carries sensation from your face to your brain. It can cause severe, sudden burning or shock-like face pain that lasts anywhere from a few seconds to as long as 2 minutes per episode.

    • Treatment usually involves medications, injections, or in some cases, surgery.

What you can do

Please consult with a healthcare professional for a formal diagnosis. They may need to conduct further tests to confirm the diagnosis. In the meantime, you can try the following to alleviate your symptoms:

  1. Over-the-counter pain relief: Non-prescription medications like acetaminophen or ibuprofen can help to relieve ear pain.
  2. Warm compress: Applying a warm cloth to the affected ear may also help to reduce pain.
  3. Avoid triggers: If you notice that certain activities or foods seem to trigger your symptoms, try to avoid them.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Severe pain or discomfort
  • Fever or chills
  • Swelling or redness around the ear
  • Discharge from the ear
  • Hearing loss or changes in hearing
  • Dizziness or balance problems

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, diagnosis, and treatment.

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11 mo ago

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People Also Ask


What are the common symptoms of a middle ear infection?

Common symptoms of a middle ear infection include ear pain, a feeling of fullness in the ear, hearing loss, and sometimes fluid drainage from the ear. In some cases, fever and irritability may also be present.


How can temporomandibular joint disorders cause ear pain?

Temporomandibular joint disorders can cause ear pain because the temporomandibular joint is located near the ear. Dysfunction or inflammation in this joint can lead to referred pain in the ear and surrounding areas, including the jaw and temples.


What is trigeminal neuralgia and how is it treated?

Trigeminal neuralgia is a chronic pain condition affecting the trigeminal nerve, which carries sensation from the face to the brain. It causes severe, sudden facial pain that can feel like burning or electric shocks. Treatment options include medications, nerve blocks, or surgery, depending on the severity and response to initial treatments.


When should I seek immediate medical attention for ear pain?

You should seek immediate medical attention for ear pain if you experience severe pain, fever, chills, swelling or redness around the ear, discharge from the ear, hearing loss, or dizziness, as these could indicate a more serious condition requiring prompt treatment.


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