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ICD-10 code H92.09 for Otalgia, unspecified ear is a medical classification medical classification A medical classification is used to transform descriptions of medical diagnoses or procedures into standardized statistical code in a process known as clinical coding. https://en.wikipedia.org › wiki › Medical_classification

Medical classification – Wikipedia

as listed by WHO under the range – Diseases of the ear and mastoid process mastoid process The mastoid part of the temporal bone is the posterior (back) part of the temporal bone, one of the bones of the skull. Its rough surface gives attachment to various muscles (via tendons) and it has openings for blood vessels.

Mastoid part of the temporal bone – Wikipedia

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ICD-9 code 382.00 for Acute suppurative otitis media without spontaneous rupture of eardrum is a medical classification as listed by WHO under the range -DISEASES OF THE EAR AND MASTOID PROCESS (380-389).

What is ear pain called?

Otalgia; Pain – ear; Ear pain.

What is the ICD for both ear pain?

03.

What is the ICD-10 code for ear and throat pain?

ICD-10-CM Code for Pain in throat R07.0.

What is the ICD code for acute otitis?

A186Tuberculosis of (inner) (middle) ear A360Pharyngeal diphtheria A361Nasopharyngeal diphtheria A362Laryngeal diphtheria A545Gonococcal pharyngitis A564Chlamydial infection of pharynx A665Gangosa A690Necrotizing ulcerative stomatitis A691Other Vincent’s infections B001Herpesviral vesicular dermatitis B002Herpesviral gingivostomatitis and pharyngotonsillitis B053Measles complicated by otitis media B085Enteroviral vesicular pharyngitis B370Candidal stomatitis B3783Candidal cheilitis B3784Candidal otitis externa C000Malignant neoplasm of external upper lip C001Malignant neoplasm of external lower lip C002Malignant neoplasm of external lip, unspecified C003Malignant neoplasm of upper lip, inner aspect C004Malignant neoplasm of lower lip, inner aspect C005Malignant neoplasm of lip, unspecified, inner aspect C006Malignant neoplasm of commissure of lip, unspecified C008Malignant neoplasm of overlapping sites of lip C009Malignant neoplasm of lip, unspecified C01Malignant neoplasm of base of tongue C020Malignant neoplasm of dorsal surface of tongue C021Malignant neoplasm of border of tongue C022Malignant neoplasm of ventral surface of tongue C023Malignant neoplasm of anterior two-thirds of tongue, part unspecified C024Malignant neoplasm of lingual tonsil C028Malignant neoplasm of overlapping sites of tongue C029Malignant neoplasm of tongue, unspecified C030Malignant neoplasm of upper gum C031Malignant neoplasm of lower gum C039Malignant neoplasm of gum, unspecified C040Malignant neoplasm of anterior floor of mouth C041Malignant neoplasm of lateral floor of mouth C048Malignant neoplasm of overlapping sites of floor of mouth C049Malignant neoplasm of floor of mouth, unspecified C050Malignant neoplasm of hard palate C051Malignant neoplasm of soft palate C052Malignant neoplasm of uvula C058Malignant neoplasm of overlapping sites of palate C059Malignant neoplasm of palate, unspecified C060Malignant neoplasm of cheek mucosa C061Malignant neoplasm of vestibule of mouth C062Malignant neoplasm of retromolar area C0680Malignant neoplasm of overlapping sites of unspecified parts of mouth C0689Malignant neoplasm of overlapping sites of other parts of mouth C069Malignant neoplasm of mouth, unspecified C07Malignant neoplasm of parotid gland C080Malignant neoplasm of submandibular gland C081Malignant neoplasm of sublingual gland C089Malignant neoplasm of major salivary gland, unspecified C090Malignant neoplasm of tonsillar fossa C091Malignant neoplasm of tonsillar pillar (anterior) (posterior) C098Malignant neoplasm of overlapping sites of tonsil C099Malignant neoplasm of tonsil, unspecified C100Malignant neoplasm of vallecula C101Malignant neoplasm of anterior surface of epiglottis C102Malignant neoplasm of lateral wall of oropharynx C103Malignant neoplasm of posterior wall of oropharynx C104Malignant neoplasm of branchial cleft C108Malignant neoplasm of overlapping sites of oropharynx C109Malignant neoplasm of oropharynx, unspecified C110Malignant neoplasm of superior wall of nasopharynx C111Malignant neoplasm of posterior wall of nasopharynx C112Malignant neoplasm of lateral wall of nasopharynx C113Malignant neoplasm of anterior wall of nasopharynx C118Malignant neoplasm of overlapping sites of nasopharynx C119Malignant neoplasm of nasopharynx, unspecified C12Malignant neoplasm of pyriform sinus C130Malignant neoplasm of postcricoid region C131Malignant neoplasm of aryepiglottic fold, hypopharyngeal aspect C132Malignant neoplasm of posterior wall of hypopharynx C138Malignant neoplasm of overlapping sites of hypopharynx C139Malignant neoplasm of hypopharynx, unspecified C140Malignant neoplasm of pharynx, unspecified C142Malignant neoplasm of Waldeyer’s ring C148Malignant neoplasm of overlapping sites of lip, oral cavity and pharynx C300Malignant neoplasm of nasal cavity C301Malignant neoplasm of middle ear C310Malignant neoplasm of maxillary sinus C311Malignant neoplasm of ethmoidal sinus C312Malignant neoplasm of frontal sinus C313Malignant neoplasm of sphenoid sinus C318Malignant neoplasm of overlapping sites of accessory sinuses C319Malignant neoplasm of accessory sinus, unspecified C320Malignant neoplasm of glottis C321Malignant neoplasm of supraglottis C322Malignant neoplasm of subglottis C323Malignant neoplasm of laryngeal cartilage C328Malignant neoplasm of overlapping sites of larynx C329Malignant neoplasm of larynx, unspecified C390Malignant neoplasm of upper respiratory tract, part unspecified C462Kaposi’s sarcoma of palate C760Malignant neoplasm of head, face and neck D0000Carcinoma in situ of oral cavity, unspecified site D0001Carcinoma in situ of labial mucosa and vermilion border D0002Carcinoma in situ of buccal mucosa D0003Carcinoma in situ of gingiva and edentulous alveolar ridge D0004Carcinoma in situ of soft palate D0005Carcinoma in situ of hard palate D0006Carcinoma in situ of floor of mouth D0007Carcinoma in situ of tongue D0008Carcinoma in situ of pharynx D020Carcinoma in situ of larynx D100Benign neoplasm of lip D101Benign neoplasm of tongue D102Benign neoplasm of floor of mouth D1030Benign neoplasm of unspecified part of mouth D1039Benign neoplasm of other parts of mouth D104Benign neoplasm of tonsil D105Benign neoplasm of other parts of oropharynx D106Benign neoplasm of nasopharynx D107Benign neoplasm of hypopharynx D109Benign neoplasm of pharynx, unspecified D110Benign neoplasm of parotid gland D117Benign neoplasm of other major salivary glands D119Benign neoplasm of major salivary gland, unspecified D140Benign neoplasm of middle ear, nasal cavity and accessory sinuses D141Benign neoplasm of larynx D165Benign neoplasm of lower jaw bone D3701Neoplasm of uncertain behavior of lip D3702Neoplasm of uncertain behavior of tongue D37030Neoplasm of uncertain behavior of the parotid salivary glands D37031Neoplasm of uncertain behavior of the sublingual salivary glands D37032Neoplasm of uncertain behavior of the submandibular salivary glands D37039Neoplasm of uncertain behavior of the major salivary glands, unspecified D3704Neoplasm of uncertain behavior of the minor salivary glands D3705Neoplasm of uncertain behavior of pharynx D3709Neoplasm of uncertain behavior of other specified sites of the oral cavity D380Neoplasm of uncertain behavior of larynx G4730Sleep apnea, unspecified G4733Obstructive sleep apnea (adult) (pediatric) G4734Idiopathic sleep related nonobstructive alveolar hypoventilation G4736Sleep related hypoventilation in conditions classified elsewhere G4739Other sleep apnea G4750Parasomnia, unspecified G4752REM sleep behavior disorder G4754Parasomnia in conditions classified elsewhere G4759Other parasomnia G4763Sleep related bruxism G4769Other sleep related movement disorders G478Other sleep disorders H6000Abscess of external ear, unspecified ear H6001Abscess of right external ear H6002Abscess of left external ear H6003Abscess of external ear, bilateral H6010Cellulitis of external ear, unspecified ear H6011Cellulitis of right external ear H6012Cellulitis of left external ear H6013Cellulitis of external ear, bilateral H6020Malignant otitis externa, unspecified ear H6021Malignant otitis externa, right ear H6022Malignant otitis externa, left ear H6023Malignant otitis externa, bilateral H60311Diffuse otitis externa, right ear H60312Diffuse otitis externa, left ear H60313Diffuse otitis externa, bilateral H60319Diffuse otitis externa, unspecified ear H60321Hemorrhagic otitis externa, right ear H60322Hemorrhagic otitis externa, left ear H60323Hemorrhagic otitis externa, bilateral H60329Hemorrhagic otitis externa, unspecified ear H60331Swimmer’s ear, right ear H60332Swimmer’s ear, left ear H60333Swimmer’s ear, bilateral H60339Swimmer’s ear, unspecified ear H60391Other infective otitis externa, right ear H60392Other infective otitis externa, left ear H60393Other infective otitis externa, bilateral H60399Other infective otitis externa, unspecified ear H6040Cholesteatoma of external ear, unspecified ear H6041Cholesteatoma of right external ear H6042Cholesteatoma of left external ear H6043Cholesteatoma of external ear, bilateral H60501Unspecified acute noninfective otitis externa, right ear H60502Unspecified acute noninfective otitis externa, left ear H60503Unspecified acute noninfective otitis externa, bilateral H60509Unspecified acute noninfective otitis externa, unspecified ear H60511Acute actinic otitis externa, right ear H60512Acute actinic otitis externa, left ear H60513Acute actinic otitis externa, bilateral H60519Acute actinic otitis externa, unspecified ear H60521Acute chemical otitis externa, right ear H60522Acute chemical otitis externa, left ear H60523Acute chemical otitis externa, bilateral H60529Acute chemical otitis externa, unspecified ear H60531Acute contact otitis externa, right ear H60532Acute contact otitis externa, left ear H60533Acute contact otitis externa, bilateral H60539Acute contact otitis externa, unspecified ear H60541Acute eczematoid otitis externa, right ear H60542Acute eczematoid otitis externa, left ear H60543Acute eczematoid otitis externa, bilateral H60549Acute eczematoid otitis externa, unspecified ear H60551Acute reactive otitis externa, right ear H60552Acute reactive otitis externa, left ear H60553Acute reactive otitis externa, bilateral H60559Acute reactive otitis externa, unspecified ear H60591Other noninfective acute otitis externa, right ear H60592Other noninfective acute otitis externa, left ear H60593Other noninfective acute otitis externa, bilateral H60599Other noninfective acute otitis externa, unspecified ear H6060Unspecified chronic otitis externa, unspecified ear H6061Unspecified chronic otitis externa, right ear H6062Unspecified chronic otitis externa, left ear H6063Unspecified chronic otitis externa, bilateral H608X1Other otitis externa, right ear H608X2Other otitis externa, left ear H608X3Other otitis externa, bilateral H608X9Other otitis externa, unspecified ear H6090Unspecified otitis externa, unspecified ear H6091Unspecified otitis externa, right ear H6092Unspecified otitis externa, left ear H6093Unspecified otitis externa, bilateral H61001Unspecified perichondritis of right external ear H61002Unspecified perichondritis of left external ear H61003Unspecified perichondritis of external ear, bilateral H61009Unspecified perichondritis of external ear, unspecified ear H61101Unspecified noninfective disorders of pinna, right ear H61102Unspecified noninfective disorders of pinna, left ear H61103Unspecified noninfective disorders of pinna, bilateral H61109Unspecified noninfective disorders of pinna, unspecified ear H61111Acquired deformity of pinna, right ear H61112Acquired deformity of pinna, left ear H61113Acquired deformity of pinna, bilateral H61119Acquired deformity of pinna, unspecified ear H61121Hematoma of pinna, right ear H61122Hematoma of pinna, left ear H61123Hematoma of pinna, bilateral H61129Hematoma of pinna, unspecified ear H61191Noninfective disorders of pinna, right ear H61192Noninfective disorders of pinna, left ear H61193Noninfective disorders of pinna, bilateral H61199Noninfective disorders of pinna, unspecified ear H6120Impacted cerumen, unspecified ear H6121Impacted cerumen, right ear H6122Impacted cerumen, left ear H6123Impacted cerumen, bilateral H61301Acquired stenosis of right external ear canal, unspecified H61302Acquired stenosis of left external ear canal, unspecified H61303Acquired stenosis of external ear canal, unspecified, bilateral H61309Acquired stenosis of external ear canal, unspecified, unspecified ear H61311Acquired stenosis of right external ear canal secondary to trauma H61312Acquired stenosis of left external ear canal secondary to trauma H61313Acquired stenosis of external ear canal secondary to trauma, bilateral H61319Acquired stenosis of external ear canal secondary to trauma, unspecified ear H61321Acquired stenosis of right external ear canal secondary to inflammation and infection H61322Acquired stenosis of left external ear canal secondary to inflammation and infection H61323Acquired stenosis of external ear canal secondary to inflammation and infection, bilateral H61329Acquired stenosis of external ear canal secondary to inflammation and infection, unspecified ear H61391Other acquired stenosis of right external ear canal H61392Other acquired stenosis of left external ear canal H61393Other acquired stenosis of external ear canal, bilateral H61399Other acquired stenosis of external ear canal, unspecified ear H61811Exostosis of right external canal H61812Exostosis of left external canal H61813Exostosis of external canal, bilateral H61819Exostosis of external canal, unspecified ear H61891Other specified disorders of right external ear H61892Other specified disorders of left external ear H61893Other specified disorders of external ear, bilateral H61899Other specified disorders of external ear, unspecified ear H6190Disorder of external ear, unspecified, unspecified ear H6191Disorder of right external ear, unspecified H6192Disorder of left external ear, unspecified H6193Disorder of external ear, unspecified, bilateral H6240Otitis externa in other diseases classified elsewhere, unspecified ear H6241Otitis externa in other diseases classified elsewhere, right ear H6242Otitis externa in other diseases classified elsewhere, left ear H6243Otitis externa in other diseases classified elsewhere, bilateral H628X1Other disorders of right external ear in diseases classified elsewhere H628X2Other disorders of left external ear in diseases classified elsewhere H628X3Other disorders of external ear in diseases classified elsewhere, bilateral H628X9Other disorders of external ear in diseases classified elsewhere, unspecified ear H6500Acute serous otitis media, unspecified ear H6501Acute serous otitis media, right ear H6502Acute serous otitis media, left ear H6503Acute serous otitis media, bilateral H6504Acute serous otitis media, recurrent, right ear H6505Acute serous otitis media, recurrent, left ear H6506Acute serous otitis media, recurrent, bilateral H6507Acute serous otitis media, recurrent, unspecified ear H65111Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), right ear H65112Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), left ear H65113Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), bilateral H65114Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, right ear H65115Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, left ear H65116Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, bilateral H65117Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, unspecified ear H65119Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), unspecified ear H65191Other acute nonsuppurative otitis media, right ear H65192Other acute nonsuppurative otitis media, left ear H65193Other acute nonsuppurative otitis media, bilateral H65194Other acute nonsuppurative otitis media, recurrent, right ear H65195Other acute nonsuppurative otitis media, recurrent, left ear H65196Other acute nonsuppurative otitis media, recurrent, bilateral H65197Other acute nonsuppurative otitis media recurrent, unspecified ear H65199Other acute nonsuppurative otitis media, unspecified ear H6520Chronic serous otitis media, unspecified ear H6521Chronic serous otitis media, right ear H6522Chronic serous otitis media, left ear H6523Chronic serous otitis media, bilateral H6530Chronic mucoid otitis media, unspecified ear H6531Chronic mucoid otitis media, right ear H6532Chronic mucoid otitis media, left ear H6533Chronic mucoid otitis media, bilateral H65411Chronic allergic otitis media, right ear H65412Chronic allergic otitis media, left ear H65413Chronic allergic otitis media, bilateral H65419Chronic allergic otitis media, unspecified ear H65491Other chronic nonsuppurative otitis media, right ear H65492Other chronic nonsuppurative otitis media, left ear H65493Other chronic nonsuppurative otitis media, bilateral H65499Other chronic nonsuppurative otitis media, unspecified ear H6590Unspecified nonsuppurative otitis media, unspecified ear H6591Unspecified nonsuppurative otitis media, right ear H6592Unspecified nonsuppurative otitis media, left ear H6593Unspecified nonsuppurative otitis media, bilateral H66001Acute suppurative otitis media without spontaneous rupture of ear drum, right ear H66002Acute suppurative otitis media without spontaneous rupture of ear drum, left ear H66003Acute suppurative otitis media without spontaneous rupture of ear drum, bilateral H66004Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, right ear H66005Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, left ear H66006Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, bilateral H66007Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, unspecified ear H66009Acute suppurative otitis media without spontaneous rupture of ear drum, unspecified ear H66011Acute suppurative otitis media with spontaneous rupture of ear drum, right ear H66012Acute suppurative otitis media with spontaneous rupture of ear drum, left ear H66013Acute suppurative otitis media with spontaneous rupture of ear drum, bilateral H66014Acute suppurative otitis media with spontaneous rupture of ear drum, recurrent, right ear H66015Acute suppurative otitis media with spontaneous rupture of ear drum, recurrent, left ear H66016Acute suppurative otitis media with spontaneous rupture of ear drum, recurrent, bilateral H66017Acute suppurative otitis media with spontaneous rupture of ear drum, recurrent, unspecified ear H66019Acute suppurative otitis media with spontaneous rupture of ear drum, unspecified ear H6610Chronic tubotympanic suppurative otitis media, unspecified H6611Chronic tubotympanic suppurative otitis media, right ear H6612Chronic tubotympanic suppurative otitis media, left ear H6613Chronic tubotympanic suppurative otitis media, bilateral H6620Chronic atticoantral suppurative otitis media, unspecified ear H6621Chronic atticoantral suppurative otitis media, right ear H6622Chronic atticoantral suppurative otitis media, left ear H6623Chronic atticoantral suppurative otitis media, bilateral H663X1Other chronic suppurative otitis media, right ear H663X2Other chronic suppurative otitis media, left ear H663X3Other chronic suppurative otitis media, bilateral H663X9Other chronic suppurative otitis media, unspecified ear H6640Suppurative otitis media, unspecified, unspecified ear H6641Suppurative otitis media, unspecified, right ear H6642Suppurative otitis media, unspecified, left ear H6643Suppurative otitis media, unspecified, bilateral H6690Otitis media, unspecified, unspecified ear H6691Otitis media, unspecified, right ear H6692Otitis media, unspecified, left ear H6693Otitis media, unspecified, bilateral H671Otitis media in diseases classified elsewhere, right ear H672Otitis media in diseases classified elsewhere, left ear H673Otitis media in diseases classified elsewhere, bilateral H679Otitis media in diseases classified elsewhere, unspecified ear H68001Unspecified Eustachian salpingitis, right ear H68002Unspecified Eustachian salpingitis, left ear H68003Unspecified Eustachian salpingitis, bilateral H68009Unspecified Eustachian salpingitis, unspecified ear H68011Acute Eustachian salpingitis, right ear H68012Acute Eustachian salpingitis, left ear H68013Acute Eustachian salpingitis, bilateral H68019Acute Eustachian salpingitis, unspecified ear H68021Chronic Eustachian salpingitis, right ear H68022Chronic Eustachian salpingitis, left ear H68023Chronic Eustachian salpingitis, bilateral H68029Chronic Eustachian salpingitis, unspecified ear H68101Unspecified obstruction of Eustachian tube, right ear H68102Unspecified obstruction of Eustachian tube, left ear H68103Unspecified obstruction of Eustachian tube, bilateral H68109Unspecified obstruction of Eustachian tube, unspecified ear H68111Osseous obstruction of Eustachian tube, right ear H68112Osseous obstruction of Eustachian tube, left ear H68113Osseous obstruction of Eustachian tube, bilateral H68119Osseous obstruction of Eustachian tube, unspecified ear H68121Intrinsic cartilagenous obstruction of Eustachian tube, right ear H68122Intrinsic cartilagenous obstruction of Eustachian tube, left ear H68123Intrinsic cartilagenous obstruction of Eustachian tube, bilateral H68129Intrinsic cartilagenous obstruction of Eustachian tube, unspecified ear H68131Extrinsic cartilagenous obstruction of Eustachian tube, right ear H68132Extrinsic cartilagenous obstruction of Eustachian tube, left ear H68133Extrinsic cartilagenous obstruction of Eustachian tube, bilateral H68139Extrinsic cartilagenous obstruction of Eustachian tube, unspecified ear H6900Patulous Eustachian tube, unspecified ear H6901Patulous Eustachian tube, right ear H6902Patulous Eustachian tube, left ear H6903Patulous Eustachian tube, bilateral H6980Other specified disorders of Eustachian tube, unspecified ear H6981Other specified disorders of Eustachian tube, right ear H6982Other specified disorders of Eustachian tube, left ear H6983Other specified disorders of Eustachian tube, bilateral H6990Unspecified Eustachian tube disorder, unspecified ear H6991Unspecified Eustachian tube disorder, right ear H6992Unspecified Eustachian tube disorder, left ear

What is the ICD-10 for left ear ache?

02.

What is ear abrasion ICD-10?

1. ICD-10-CM Codes

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2. S00-T88

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3. S00-S09

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4. S00-

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5. 2023 ICD-10-CM Diagnosis Code S00.41

What is the ICD-10 for hole in ear?

ICD-10 code: H72.9 Perforation of tympanic membrane, unspecified.

What is the difference between earache and ear pain?

What’s the difference between an earache and an ear infection? An earache is a pain in the ears, affecting one or both ears, and isn’t always due to bacterial infections. Ear infections, on the other hand, are caused by a bacterial or viral infection. Bacterial infections usually require treatment such as antibiotics.

What is the most common ear pain?

Parents know how common earaches are in children, but adults can get frequent ear pain, too. You don’t have to have an infection, or even anything wrong with your ears, to have ear pain. These are the most common causes: Your ear makes and gets rid of wax all the time.

When the process doesn’t work well, the gunk builds up and hardens so your ear canal gets blocked. Your doctor will call this impacted wax. Sometimes, it causes pain, Don’t use cotton swabs or other objects to try to get wax out. You’ll just push it farther into your ear canal and make it more likely to get impacted.

Your ear might hurt, itch, discharge gunk, or get infected. You could even lose your hearing for a while. You can treat mildly impacted ears at home with over-the-counter ear drops that soften the wax so it can naturally drain. Or go see your doctor if the wax has hardened.

1. She can get the wax out without damaging the eardrum.
2. Learn more about earwax,
3. Most of the time, your ear does a great job of keeping pressure equal on both sides of your eardrum.
4. That little pop you feel when you swallow is part of the process.
5. But quick changes, like when you’re on an airplane or in an elevator, can throw off the balance.

Your ear might hurt, and you could have trouble hearing. This is typically a eustachian tube dysfunction which can be a chronic in some people. To avoid problems on a plane:

Chew gum, suck on hard candy, or yawn and swallow during takeoff and landing.Stay awake while the plane descends.Take a deep breath, pinch your nostrils shut, then gently try to blow air out of your nose.Avoid air travel and diving when you have a cold, a sinus infection, or allergy symptoms,

Learn more about air pressure and your ears, If your ear hurts when you pull on your earlobe or push on the tiny flap that closes it, you probably have this outer ear infection, You get it when water trapped in your ear canal begins to breed germs. Your ear might get red, swollen, or itch and leak pus.

It isn’t contagious. To avoid it, keep your ears dry during and after swimming. Your doctor will probably prescribe antibiotic ear drops to clear it up. Learn more about swimmer’s ear, A cold, allergies, or a sinus infection can block the tubes in your middle ear. When fluid builds up and gets infected, your doctor will call it otitis media,

This is the most common cause of ear pain. If your doctor thinks the cause is a bacteria, she may prescribe antibiotics. If not, then she may recommend a decongestant allergy treatment with an antihistamine and a nasal steroid. Let her know if your pain doesn’t improve or returns.

If it isn’t treated, a middle ear infection can spread or cause hearing loss, Learn more about ear infection treatments, You may feel pain in your ears even when the source is somewhere else in your body, like a toothache, That’s because the nerves in your face and neck pass very close to your inner ear.

Doctors call this type of pain that starts in one area but is felt in another “referred pain.” If your earache comes with a severe sore throat, it could be an infection like tonsillitis or pharyngitis, In fact, ear pain is often the worst symptom of one of these conditions.

Learn more about sore throat symptoms, Tooth abscesses, cavities, and impacted molars also can cause ear pain. Your doctor will be able to tell if your teeth are to blame by tapping on a tooth or your gums to see if they feel sore. Learn more about toothaches, The temporomandibular joint, or TMJ, is the “hinge” of your jaw that sits directly below your ears.

You might get TMJ pain from grinding your teeth, or it could be a symptom of arthritis, The ache in your ears or face comes after you chew, talk, or yawn. To treat it, take over-the-counter pain medicine and put warm compresses on your jaw. Try not to clench your teeth.

What is the most common cause of otalgia?

The most common cause of primary otalgia is infection. Other causes require a greater index of suspicion. Specialist referral could be made if there are complications of primary otalgia or if a secondary cause needs to be excluded in a patient with a normal otology examination.

What are the most common causes of referred otalgia?

Common Causes of Ear Pain – Acute otitis media is probably the most common cause of primary otalgia (online Figure D),,, The tympanic membrane is classically red and bulging, but it can also be white or pink, and the discoloration sometimes involves only part of the tympanic membrane.

Otitis externa (or swimmer’s ear) generally leads to swelling and redness of the ear canal. There is often debris in the ear canal or covering the tympanic membrane. Subtle otitis externa can be difficult to identify on inspection, but it usually causes tenderness when the examiner pulls on the auricle or presses on the tragus (online Figures A and B),

Foreign bodies in the ear canal are most common in children. In one study, the most common objects removed were beads, paper, popcorn kernels, and insects. Most foreign bodies can be removed under direct visualization with a curette or alligator forceps.

If this is not successful, the child should have removal of the foreign body under sedation and otomicroscopy. Although most foreign bodies in the ear canal can be managed nonurgently, hearing-aid batteries should be removed promptly to prevent alkali burns. Barotrauma typically occurs while scuba diving or during an airplane flight with the onset of pain during descent.

Eustachian tube dysfunction caused by an upper respiratory infection or allergic rhinitis increases the risk of barotrauma. The tympanic membrane is typically hemorrhagic, and there may be blood or serous fluid in the middle ear. TMJ syndrome is characterized by pain and crepitus with talking or chewing, and tenderness or crepitus on palpation of the TMJ joint ( online Figure C),

It causes ear pain, especially with chewing. However, TMJ crepitus is prevalent, and its presence should not prematurely halt further investigation into other causes of otalgia. Dental causes of otalgia generally involve the molar teeth. A variety of dental diseases can produce otalgia, but the most common are caries, periodontal abscesses, and impacted third molars.

The physician should palpate the gingiva and tap on the teeth with a tongue blade to assess for tenderness. Pharyngitis and tonsillitis often cause referred pain to the ear. In some patients with pharyngitis, ear pain can be the primary complaint even when the ear is normal.

Idiopathic otalgia is common, but patients and physicians can be uncomfortable with this diagnosis.,, If a thorough evaluation is unrevealing and the physician suspects a benign cause, empiric treatment for TMJ syndrome with nonsteroidal anti-inflammatory drugs and a soft diet would be reasonable (,, ),

If the physician suspects neuropathic pain, a trial of gabapentin (Neurontin) or amitriptyline is reasonable.

Is otalgia curable?

Otalgia Treatment & Management: Medical Care, Surgical Care, Consultations Identification of a causative etiology is often necessary to successfully treat referred otalgia. Once determined, most causes of referred otalgia can be readily treated. Use antibiotics in treating various types of infections (eg, tonsillitis, pharyngitis, sinusitis).

• Use antivirals if the causative agent is suspected to be viral, such as in cases associated with herpes zoster or shingles.
• Antifungals are indicated if the source is caused by a fungus (eg, oral thrush/candidiasis).
• Antiulcer/antacid medications can be used for esophagitis and gastroesophageal reflux disease.

Use NSAIDs when myalgias and neuralgias are suspected. Reexamine the patient after a 2-week trial of NSAIDs. Strong narcotic analgesics are not indicated and should not be used to treat referred otalgia. Narcotics may mask symptoms, making the correct diagnosis difficult to reach.

• Perform a detailed search for the underlying diagnosis before initiating treatment.
• Starting analgesics before reaching a diagnosis increases the difficulty of determining the cause and may possibly obscure a life-threatening condition such as an occult cancer.
• Any of the previously mentioned treatments can be implemented when the exact cause of referred otalgia is suspected.

If the problem persists after a 2- to 3-week trial, a more advanced algorithm is indicated. History should include the following:

Otologic history – Tinnitus, hearing, vertigo Sinuses Pulmonary history Cardiac history Dental history – Mastication GI history – Dysphagia, esophagitis, reflux Neurologic history – Neuralgias Musculoskeletal history – Arthritis Cervicofacial history Myalgias Trauma – Cervical spine (C-spine) Infections – Tonsillitis, pharyngitis

Physical examination should include the following:

Nasopharyngoscopy Laryngoscopy

Preliminary testing (appropriate to symptoms) should include the following:

Audio Barium swallow Electrocardiography (ECG) C-spine radiography Chest radiography Panorex imaging

Treat the underlying problem appropriately with trial medications (eg, antibiotics, NSAIDs) and 2-week follow-up or with appropriate consultation (eg, dentist, gastroenterologist, neurologist, rheumatologist, neurosurgeon). If the findings on history, physical examination, and testing are inconclusive, consider local anesthesia to block the source of pain as follows:

Nasal cavity pathology – Spray may localize the problem to the sinus or sphenopalatine oral cavity; consider specific nerve blocks Larynx – Use gargle or transtracheal 4% lidocaine Ear canal – Use topical agent for sensitive ear canal; consider injection for chorda tympani Muscular trigger points – Lidocaine injection can be useful in diagnosis

If history and physical examination findings are inconclusive, perform other diagnostic procedures if suspicion still exists for the following conditions:

Upper respiratory tract tumor – Panendoscopy, chest radiography, CT scanning, or MRI as needed Sinus disease – Sinus CT scanning Intracranial/intratemporal disease – Audiometric battery and CT scanning or MRI as needed Autoimmune disease – ESR, thyroid function studies (thyroiditis, temporal arteritis) Endolymphatic hydrops – ESR, thyroid function test (TFT), fluorescent treponemal antibody absorption (FTA-Abs) test, fasting glucose, lipid profile Eustachian tube dysfunction – Autoinsufflation (consider myringotomy) Psychiatric disorder – Consider psychiatric consultation

If no diagnosis is reached, consider watchful surveillance for 1-3 months and then re-evaluate. : Otalgia Treatment & Management: Medical Care, Surgical Care, Consultations