Pain inside the ear may be caused by otitis externa, otitis media, cerumen blockage, etc. You can choose to take oral or topical antibiotic ear drops for treatment. 1. Otitis externa: Skin infection of the external ear canal can lead to redness, swelling and pain in the ear canal, which can be treated with topical ofloxacin ear drops for anti-inflammatory treatment, and if the symptoms are serious, cephalosporin antibiotics can be taken orally as prescribed by the doctor for treatment. Correct bad ear digging habits, avoid water in the ear canal. 2. Otitis media: is caused by bacterial inflammation of the middle ear cavity, usually manifested as ear pain, pus, hearing loss, etc. Usually, under the guidance of a doctor, oral cephalosporin antibiotics, or local topical levofloxacin ear drops for treatment. Patients with severe symptoms or chronic otitis media may need surgery. 3. Cerumen impaction: Cerumen impaction in the external auditory canal can also cause pain in the ear canal, which needs to be thoroughly cleaned out before it can be relieved. Patients with symptoms of pain inside the ear are advised to seek prompt medical attention to clarify the cause of the problem and follow the doctor’s instructions for treatment.