Swallowing things ear pain may be caused by herpes pharyngitis, acute pharyngitis and acute tonsillitis. 1. Herpetic pharyngitis: Herpetic pharyngitis is caused by intestinal virus infection, the pathogenic microorganisms or toxic products stimulate the pharyngeal nerves to cause ear pain, leading to the symptoms of ear pain from swallowing things. 2. Acute pharyngolaryngitis: due to the fact that the sensory nerves of the throat and the ear are from the same source and traffic with each other, when the pharyngeal lateral cord is involved, the pain can be radiated to the ear, which will lead to the phenomenon of ear pain when swallowing something. 3. Acute tonsillitis: due to bacterial infection or viral infection, resulting in localized inflammation of the tonsils, if the pharyngeal pain is more intense, can be radiated to the ear, there can be a sore ear when swallowing something. When the patient appears to swallow something earache symptoms, should promptly go to the regular hospital examination, and according to the cause of treatment.