Hiccups eardrum pain may be a normal physiological reaction, may also be caused by otitis media, throat diseases and other reasons, should be timely consultation to identify the cause. 1. Physiological reaction: hiccups eardrum pain may be related to frequent hiccups and hiccups hard. When hiccups, the gas in the eustachian tube impacts the eardrum, which will cause pressure changes in the middle ear cavity and eardrum pain. Usually, the symptoms can improve and disappear after stopping hiccups. 2. Otitis media: Otitis media is an inflammatory disease involving the whole middle ear (including the eustachian tube, tympanic chamber, tympanic sinus and mastoid airspace). In the early stage of the disease, the pus accumulates in the middle ear cavity, resulting in eardrum congestion and edema, which causes severe earache and hearing loss. Hiccups can aggravate the symptoms of earache. 3. Diseases of the pharynx: If the patient has inflammation or trauma in the pharynx, especially after tonsillectomy, when the patient hiccups, the pain in the pharynx will reach the wall of the ear canal through the radiation of the hyoidopharyngeal nerve, because the hyoidopharyngeal nerve has a branch inside the wall of the ear canal, and in this case, the pain in the throat will be radiated to the ear, producing earache. There may be other causes of hiccup eardrum pain, so ask your doctor to identify the exact cause and treat accordingly if necessary.