If there is a hard lump inside the ear that cannot be pulled out and hurts when it is pulled out, it is considered to be caused by cerumen embolism, foreign bodies in the ear canal, boils in the external ear canal and other conditions. 1. Cerumen impaction: Excessive secretion of cerumen glands in the external auditory canal or obstruction of cerumen discharge can cause cerumen impaction. Cerumen that causes ear canal embolism is usually hard in texture, and because it is attached to the skin of the ear canal, the patient may forcibly pull out the ear, which may cause pain, and there is a hard lump in the ear that can not be pulled out, and it hurts when pulling out the ear. 2. Foreign body in the ear canal: mainly refers to the foreign body inadvertently entering the external auditory canal due to injurious diseases, if the foreign body is stones, toys, beans, seeds, etc., there may be hard lumps in the ear can not be pulled out, if the patient pulling out the ear with greater force, may also be accompanied by pain and other symptoms. 3. Boils on the external auditory canal: This disease is caused by the infection of the skin follicles and surrounding tissues of the external auditory canal by Staphylococcus aureus and other secondary infections. Patients often appear follicular pimples in the external auditory canal, with the development of the disease into hard nodules, accompanied by pain, resulting in patients appearing inside the ear hard soft tissue lumps, once pulled out the performance of pain. There are hard lumps in the ear that can’t be pulled out, and it hurts when pulled out, it is recommended that the patient consult a doctor as soon as possible to clarify the specific cause of the disease and follow the doctor’s instructions for treatment.