Ear pain when hiccups can be caused by physiological factors, acute otitis media, chronic suppurative otitis media and other factors. 1. Physiological factors: excessive frequency of hiccups or hiccups are too violent, the amplitude of movement is too large, which may make the ear bones or muscles pulled, or lead to the cervical vertebrae and other parts of the nerves are pulled, can cause ear pain performance. 2. Acute otitis media: acute otitis media bacterial infection, can cause the tympanic membrane hemorrhage, triggering acute inflammation, hiccups can make the tympanic membrane vibration, which leads to the symptoms of ear pain. 3. Chronic suppurative otitis media: chronic suppurative otitis media triggers perforation of the eardrum, which can lead to pus flow into the ear canal, hiccups in the ear canal and the middle ear cavity vibration, which can lead to ear pain. Hiccups ear pain should be timely medical treatment, under the guidance of specialists and actively perform appropriate treatment, help early relief of discomfort symptoms.