Neck pain below the earlobe may be caused by inflammation of the lymph nodes, or it may be caused by mumps. If it is caused by inflammation of lymph nodes, it is manifested by redness, swelling and pain of lymph nodes, and there may be pus head on the surface, which is mainly caused by bacterial infection, usually Staphylococcus aureus, and requires oral administration of first or second generation cephalosporins, such as cefixime or cefradine, or intravenous penicillin for symptomatic treatment, and the inflammation of lymph nodes can subside and the pain can be relieved in 7-10 days of treatment. If the pain is caused by mumps, these symptoms will also appear under the earlobe, accompanied by a mass, 1-2 centimeters in diameter, which is caused by a viral infection and requires oral antiviral medication, such as oseltamivir, and the pain can be relieved with general treatment for about a week. It is important to get plenty of rest and drink plenty of water to strengthen the immune system during the treatment.