Bouts of pain in the ear may be caused by acute otitis media, otitis externa, herpes in the ear and other reasons. 1. Acute otitis media: When the middle ear is attacked by virus or bacteria, it can lead to the attack of acute otitis media. Due to the stimulation of inflammation, it will lead to intermittent and paroxysmal pain in the ear. 2. Otitis externa: For example, frequently pulling out the ear by oneself, improper operation or excessive force when pulling out the ear, etc., can lead to damage to the skin of the external ear canal. At this time, it is easy to get infected with bacteria and inflammatory reaction occurs, which results in yellow water, paroxysmal pain in the ear and other symptoms. 3. Herpes in the ear: For example, when you don’t pay attention to ear hygiene in daily life, the ear is easily infected by the herpes virus, which leads to paroxysmal, burning pain in the area of the ear. When infected with the herpes zoster virus, it not only leads to neuropathic ear pain, but also herpes at the opening of the ear canal and the skin around the ear canal. When paroxysmal pain in the ear occurs, you need to visit an ENT as soon as possible. Tests such as otoscopy are helpful in identifying the cause of the condition and providing targeted treatment.