Ear heart pain generally refers to deep ear pain, which may be related to otitis media, acute suppurative otitis externa, neurogenic earache and other causes. 1. Otitis media: often secondary to upper respiratory tract infections, bacteria from the pharynx can enter the middle ear through the Eustachian tube, leading to the occurrence of inflammatory reactions in the middle ear, thus causing severe pain. 2. Acute suppurative otitis externa: Infection caused by water in the ear or skin injury leads to acute suppurative otitis externa. As a result, the hair follicles and sebaceous glands of the skin of the external auditory canal develop purulent inflammation, leading to painful symptoms in the center of the ear. 3. Neurogenic earache: when infected with herpes zoster virus, not only pinprick or electric shock-like pain, but also accompanied by tinnitus and dizziness. 4. Other: such as pharynx, temporomandibular joint, acute inflammation of the parotid gland, or trigeminal neuralgia, dental pain, etc., can make the pain radiate to the ear center, ear heart pain symptoms. In case of pain in the heart of the ear, it is recommended to go to the Pentacenter or Otorhinolaryngology Department of the hospital for examination to confirm whether there is any damage to the eardrum and ear canal, to clarify the cause of the disease, and to follow the doctor’s instructions for treatment. At the same time, avoid water in the ear canal and keep the ear canal clean.