Getting pharyngitis a cough inside the ear pain may be acute pharyngitis, acute otitis media and other diseases. 1. Acute pharyngitis: Acute pharyngitis may be caused by viral and bacterial infections, or it may be related to dust, smoke, decreased resistance, excessive smoking and alcohol. The sensory nerves in the pharynx may have vagus nerve and glossopharyngeal nerve transmission into the ear, and when coughing, the involved nerves cause earache. 2. Acute otitis media: This disease refers to the middle ear area being infected by pathogens, resulting in the Eustachian tube becoming congested and swollen, thus causing earache, tinnitus and middle ear pus accumulation and other symptoms. Because the Eustachian tube is the middle ear and nasopharyngeal cavity of the channel, if pharyngitis spread to here, can be secondary to acute otitis media, manifested as a cough involved in the tympanic membrane tension increases and causes pain in the ear. Patients with pharyngitis coughing in the ear, it is recommended to go to the hospital in a timely manner, after a systematic examination to clarify the diagnosis.