Tuesday, 30 June 2026

How Do You Know If You Have an Ear Infection?

shingles vaccine doses eligibility and how it works in the uk

Ear pain has a way of creeping up on you. One morning, you wake up and something feels off: a dull ache, muffled sounds, or that uncomfortable pressure that just will not shift. Ear infection symptoms can be easy to dismiss at first, but they rarely disappear on their own. Knowing what to look for and when to act can make a real difference to how quickly you recover.


In this guide, we break down the signs, causes, and your best options for earache treatment, so you can stop guessing and start feeling better.

What Are the Common Ear Infection Symptoms?

Most ear infections share a recognisable cluster of signs. In adults, the most frequently reported symptoms include:


  • A persistent or throbbing earache, often worse when lying down
  • A feeling of fullness or blocked pressure inside the ear
  • Muffled or reduced hearing
  • Fluid or discharge leaking from the ear
  • Itching inside the ear canal
  • A raised temperature or a general feeling of being run down

 

According to the NHS, ear infections are one of the most common reasons people seek advice from a pharmacist or GP, particularly during winter.

What Are the Main Ear Pain Causes?

Ear pain causes vary, but two types of infection account for the majority of cases.

Outer Ear Infections

These affect the ear canal and are often triggered by water trapped in the ear, cotton bud damage, or skin conditions such as eczema. The canal becomes inflamed, itchy, and tender to touch.

Middle Ear Infections

These sit behind the eardrum and frequently follow a cold or respiratory infection. Fluid builds behind the eardrum, causing pressure and pain. Ear infection signs in adults are often dismissed as tiredness; do not ignore a persistent ache accompanied by muffled hearing.

When Should You Seek Help?

Mild infections often clear within a week, but some symptoms demand prompt attention. Seek advice if you notice:


  • Pain that does not improve with over-the-counter pain relief after 2–3 days
  • Sudden or significant hearing loss
  • Swelling or redness behind or around the ear
  • A high temperature above 38°C
  • Discharge from the ear

What Are Your Earache Treatment Options?

You have more options than you might think, and a GP appointment is not always your first step.

Self-Care at Home

For mild symptoms, paracetamol or ibuprofen will ease pain and reduce inflammation. A warm flannel held against the ear can also provide relief. Avoid inserting anything into the ear canal and keep the ear dry until symptoms fully clear.

Earache Pharmacy Treatment

Earache pharmacy treatment is one of the fastest routes to proper care in the UK. Under the NHS Pharmacy First, pharmacists can now assess and treat earache directly, including supplying antibiotic ear drops for outer ear infections, without a GP referral. 

Get Fast Relief from Ear Pain Today

Ear infections rarely improve on their own, and prompt support can help prevent symptoms from worsening. Community pharmacies such as Lawton Pharmacy are staffed by qualified healthcare professionals who regularly assist patients with ear infection symptoms. Individuals experiencing ear pain can book an appointment to receive expert advice and appropriate treatment from a trusted member of the pharmacy team.

Frequently Asked Questions

How long does an ear infection last?

Most clear up within 7–10 days. If symptoms worsen or persist beyond three days, speak to a pharmacist.

Do I always need antibiotics?

No. Many ear infections are viral. A pharmacist or GP will advise whether antibiotics are clinically appropriate.

Can a pharmacist treat my ear infection?

Yes. Under NHS Pharmacy First, pharmacists can assess and treat earache in adults and children aged one and over, including supplying prescription ear drops where needed.

Is it safe to fly with an ear infection?

It is not recommended. Cabin pressure changes can significantly worsen pain and may risk a perforated eardrum. Seek advice before travelling.


Can earwax cause the same symptoms as an ear infection?

Yes. Earwax build-up can cause muffled hearing, a feeling of fullness, and mild earache, symptoms that closely mirror an infection. A pharmacist can help distinguish between the two and recommend the appropriate treatment.