Usually, tonsil stones do not cause itchy and painful ears. The symptoms of itchy and painful ears are mainly considered to be related to otitis externa, otitis media and other diseases. The etiology and pathogenesis of tonsil stones are still unclear, and its main symptoms include pharyngeal pain, foreign body sensation in the throat, itchy throat, cough, bitter mouth, bad breath, etc.; some patients with large stones may also experience a sense of blockage of food intake. Failure to intervene in time may also induce rheumatism or upper respiratory tract infection. However, under normal circumstances, this disease does not cause itchy ears. The symptoms of itching and pain in the ear are mainly considered to be related to pathologic factors such as otitis externa, otitis media, eczema in the ear, allergy in the ear, foreign body in the ear, and external injury. Whether the symptoms of itchy ears are related to tonsil stones or not, it is important to pay attention to the symptoms and consult a doctor as soon as possible to confirm the cause of the disease and provide targeted treatment.