Hello. Over 3 weeks ago, I started feeling pain deep
Possible causes and further steps to treat or follow up as discussed
Pain in the ear area is most of the time caused by ear problems and sometimes from the structures around and be confused as an earache.
If the pain is worse on moving the head or touching the area while there is no lesion or redness visible in the area, very likely this is muscular pain.
If the pain is worse on opening and closing the mouth or clenching your teeth, the jaw joint can be considered.
If you have fullness in the ear like your head is in the water or reduced hearing or noise inside the ear, then ear problems are more likely.
In adults, the wax is a common cause and using some olive oil 2-3 times a day for a few days might be advised. Lack of fever rules out acute infection of the middle ear and lack of secretions makes otitis media less likely as well.
I see you have used heat, Tylenol and Advil. You can use them regularly for 2-3days more. If not better in 2-3 days or earlier if you notice any worsening, please see your doctor for a thorough clinical check-up.
Examining the ears with an otoscope is needed which can tell if the pain comes from the ears or not and which is the needed as a treatment. Muscular pain and jaw problems can also be determined by a good physical examination.
I hope this answers to your question.
Let me know if I can assist you further.
Dr Antoneta Zotaj,
General and Family Physician
To detect lump and masses
The examinations further needed could vary from x-ray to check the jaw joint and the teeth to ultrasound to see for lumps or masses and rarely CT scans or MRI if still more info is needed. This all depends on the findings when the doctor examines you.
I think your doctor is trying to explain you what could possibly happen but it doesn't mean this will be the case.
It is not necessarily needed to have examinations though, the doctor you are referred to might examine you and might agree that it is a muscular pain and give you some days to watch how you are doing, unless something specific is found when he examines you.
I hope this answers to your questions but please let me know if I can assist you further.
Wish you good health.
Antoneta Zotaj, General and Family Physician