Ear Pain in Children During Colds and Coughs: Causes and Home Remedies

Does your child complain of ear pain when they have a cough or cold? This is a common issue caused mainly by mucus buildup and pressure in the ear after nasal congestion due to a cold.

Although usually not serious, ear pain often resolves on its own. However, if accompanied by high fever, hearing loss, or severe pain, consult your pediatrician immediately.

Why Do Colds Cause Ear Pain?

When your child has a cough or cold, several things happen:

Exposure to viruses: Cold symptoms affect not only the nose but also the throat and the Eustachian tubes in the ears.
Mucus buildup: Increased mucus may block the Eustachian tubes, causing discomfort.
Pressure in the ear: The trapped mucus creates pressure in the middle ear, sometimes making your child’s voice sound hoarse or different.
Ear blockage: Ear pain from colds is often due to this congestion. While common, it should not be ignored.

Causes of Ear Pain During Colds and Coughs

1. Mucus Blockage

The Eustachian tube connects the middle ear to the upper throat and back of the nose. Normally, it helps regulate air pressure and fluid drainage.

During a cold, mucus and nasal fluids can block the tube, causing discomfort and sometimes leading to a secondary infection.

2. Middle Ear Infection

A middle ear infection (otitis media) is a common complication of colds or flu. It occurs when the Eustachian tube swells and becomes blocked, trapping fluid in the middle ear.

Symptoms may include:

Ear swelling and redness
Hearing difficulties
Fever
Sinus inflammation

3. Sinus Pressure

Prolonged colds can lead to sinusitis, causing pressure around the nose and forehead that extends to the ears, resulting in pain.

Home Remedies for Ear Pain in Children

Most ear pain from colds improves on its own. You can help your child feel comfortable using these methods:

Warm compresses: Apply a warm, moist cloth to the ear for 10–15 minutes to reduce pain.
Warm oil: If no fluid is leaking, a small amount of warm olive oil may soothe the ear.
Keep your child hydrated: Swallowing helps open the Eustachian tube and drain trapped fluid.
Elevate the head: Place a pillow under the mattress so your child’s head is slightly higher, aiding fluid drainage.
Rest: Proper rest supports the immune system to fight viruses or secondary infections.

When to See a Doctor

Seek medical attention if your child shows any of the following symptoms:

Severe ear pain
High fever
Hearing loss or changes in hearing
Pain in both ears

These may indicate a more serious condition requiring treatment.