Ear pulling pain can be caused by acute otitis media, otitis externa, neurogenic earache and other factors. 1. Acute otitis media: bacterial infection can cause acute otitis media, acute inflammation of the eardrum localization, congestion and edema can occur, and tinnitus, hearing loss and ear tugging pain and other uncomfortable symptoms. 2. Otitis externa: Frequent pulling out the ears and other actions can bring external bacteria and other pathogens into the ear canal, but also easy to damage the skin and mucous membrane of the ear canal, triggering a local infection, redness and swelling of the ear canal, oozing performance, but also the symptoms of ear tugging and pain. 3. Neurogenic earache: infection with herpes zoster virus can lead to herpes zoster, which can lead to neurogenic inflammatory lesions in the ear, which can lead to the appearance of ear tugging pain. If you have a pain in the ear, you should consult a doctor in a timely manner, under the guidance of a specialist to actively carry out the appropriate treatment, which will help to alleviate the discomfort symptoms as soon as possible.