Hello, Thanks for using healthcaremagic.com I have gone through your query and I can understand your concerns. Probable diagnosis: Serous otitis (ear infection) secondary to pharyngitis Probable cause : bacterial/viral infection Plan of treatment : Conservative with antibiotics,analgesics,decongestants Outcome : Excellent As per your description it seems that you have bacterial/viral infection in your throat(pharyngitis) which in turn cause irritation and pain in your ear(middle ear and throat are connected each other by Eustachian tube ). If I were your treating physician I would do an otoscopy (visual inspection your ear) to rule out perforation of ear drum, impacted wax etc. As a first line therapy we would start a short course of antibiotics like amoxicillin for five to seven days. You can also take simple analgesics like ibuprofen or paracetamol for pain and discomfort,antihistamine like cetrezine would provide some symptomatic relief., Do warm saline gargles and and use nasal decongestants. If symptom persist despite all these consult an ENT specialist and get a CT scan done to rule out middle ear diseases. Hope this information helps. Wishing you good health. Regards. Dr Shinas Hussain