For a medical emergency call 999. For urgent but non-emergency medical help call NHS 111.

Earache with a cold or flu

Earache is a common part of a cold or flu — the tubes that drain the middle ear (Eustachian tubes) get blocked with mucus and the pressure causes pain. Most earache with a cold settles within a few days as the cold clears.

Looking after yourself

  • Paracetamol or ibuprofen at the doses on the packet
  • A warm (not hot) cloth held over the ear can help
  • Sit up rather than lie flat
  • Do not put drops, oil, cotton buds or anything else into the ear

When to get medical help

Use NHS 111 online, call 111, or contact your GP if:

  • Pain is severe or has lasted more than three days
  • A child under 2 has earache in both ears, or a discharge
  • You feel very unwell or have a high fever
  • Hearing is muffled and has not improved after a few days

Call 999 or go to A&E if you develop swelling behind the ear, a stiff neck, severe headache or drowsiness.

Further information

This page provides general information only. It is not a diagnosis and is not a substitute for professional medical advice.