Pain inside the ear may be caused by otitis media, infection of the external ear canal, ear tumor, etc. Different treatment measures are taken according to different causes, including medication or surgery. 1. Otitis media: the patient’s ear is infected by bacteria and will secrete pus, with the aggravation of the condition, the pus will gradually increase to compress the tympanic membrane and cause pain, systemic therapeutic drugs include cefuroxime, erythromycin, etc., and local therapeutic drugs include dexamethasone, phenol glycerin, and oxfloxacin ear drops, etc. For the acute stage of otitis media, glucocorticosteroids can be used to treat it by taking oral or intravenous glucocorticosteroids. 2. External auditory canal infection: it is limited or diffuse inflammation of the skin of the external auditory canal caused by bacterial infection, the external auditory canal should be cleaned, local ichthyol ointment, infrared irradiation and other anti-inflammatory to reduce swelling, and systemic antibiotics to control the infection, such as cephalosporins or penicillin and so on. 3. Ear tumor: it is divided into benign tumor and malignant tumor, the tumor has irritating effect on the ear canal, and may also compress the nerve to cause pain, the nature of the tumor should be clarified and surgical treatment should be carried out, and the malignant tumor should also be treated with radiotherapy for comprehensive treatment. There may be other reasons for the pain inside the ear, so it is recommended that patients go to the hospital in time to get a clear diagnosis and treatment.