There are many reasons for ear pain after swallowing, which may be related to acute tonsillitis, acute otitis media, mumps and other diseases, and you need to clarify the causes and then target treatment. 1. Acute tonsillitis: Acute tonsillitis is mostly a bacterial infection, with sore throat and fever as the main symptoms. Due to the nerve reflex effect, some patients will also have earache when swallowing saliva. Need to actively anti-infective symptomatic treatment, if the tonsils are repeatedly inflamed, you can perform surgical resection tonsillectomy. 2. Acute otitis media: Acute otitis media sometimes also occurs when swallowing saliva ear pain, most of the cases are considered to be caused by bacterial infection. It requires active anti-infection and symptomatic treatment. 3. Mumps: Mumps can be caused by viral or bacterial infections. Since the anatomical part of the parotid gland is located just below the earlobe, the inflammation of the parotid gland can also affect the ear, resulting in earache. It is necessary to combine the blood routine, parotid ultrasound and other tests to clarify the cause of infection and actively treat it. If the above symptoms occur, it is recommended to seek prompt medical attention and have the appropriate treatment plan formulated by a specialist.