When patients have sudden very painful ears, the treatment differs because of the different causes of pain, as follows: 1. Acute inflammatory: When the symptoms of sudden very painful ears are felt, an acute inflammatory condition condition often occurs, which commonly includes acute otitis externa, acute otitis media, etc. Patients can further take some oral antibiotic medications to treat and improve the condition, such as amoxicillin capsules, cefixime dispersible tablets and so on. Some antibiotic ear drops can also be used appropriately in the ear, such as ofloxacin ear drops. 2. Foreign body factors: Some patients may experience foreign body factors such as insects entering the ear, leading to the occurrence of sudden painful symptoms, often accompanied by a certain degree of insect foreign body activity. In this case, a timely visit to the hospital is required to deal with the situation. The insect foreign body needs to be cleaned out in a timely manner, and the discomfort of ear pain symptoms feeling can be rapidly improved or restored.