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What medicine should I take if I have a cold or earache?

2026-01-28 15:26:37 healthy

What medicine should I take if I have a cold or earache?

Colds are common respiratory diseases, usually accompanied by symptoms such as nasal congestion, cough, and sore throat. However, some patients also experience ear pain during a cold, which may be caused by inflammation of the nasopharynx that spreads to the Eustachian tube (Eustachian tube). This article will combine the popular health topics on the Internet in the past 10 days to provide you with detailed answers to the medication recommendations and precautions for colds and earaches.

1. Common causes of colds and earaches

What medicine should I take if I have a cold or earache?

Ear pain when you have a cold is often related to:

ReasonDescription
Eustachian tube obstructionInflammation of the nasopharynx causing swelling of the Eustachian tube and imbalance of pressure in the middle ear
secondary otitis mediaBacteria or viruses that infect the middle ear through the Eustachian tube
Sinusitis spreadsSinus inflammation spreads to adjacent ear structures

2. Recommend drug treatment plan

For the symptoms of cold and earache, you can choose the following medicines according to different situations:

Symptom typeRecommended medicineMechanism of actionThings to note
Simple Eustachian tube obstructionPseudoephedrine (decongestant)
Ibuprofen (pain-relieving and anti-inflammatory)
Shrink nasal mucosal blood vessels and relieve swelling
Inhibit prostaglandin synthesis
Use decongestants with caution in patients with hypertension
suspected bacterial otitis mediaAmoxicillin (antibiotic)
Acetaminophen (reduces fever and relieves pain)
Inhibit bacterial cell wall synthesis
Block pain signaling
Antibiotics need to be used after diagnosis by a doctor
Caused by allergic factorsLoratadine (antihistamine)
Nasal corticosteroids
Block histamine receptors
Reduce local inflammation
Long-term use of hormones requires medical advice

3. Adjuvant treatment measures

In addition to medication, the following methods can help relieve symptoms:

methodOperating InstructionsEffect
chewing actionChew sugarless gum or simulate chewing movementsPromote Eustachian tube opening
Warm compressApply a warm towel to the affected ear for 10-15 minutesImprove local blood circulation
Nasal irrigationUse a saline nasal spray or nasal rinseReduce nasopharyngeal secretions

4. When Do You Need Medical Treatment?

It is recommended to seek medical treatment immediately when the following situations occur:

red flagpossible prompt
Severe earache that lasts more than 48 hoursacute suppurative otitis media
High fever (body temperature >38.5℃)severe bacterial infection
Ear canal discharge or bleedingPossible tympanic membrane perforation
Significant hearing lossmiddle ear fluid or nerve damage

5. Preventive measures

To prevent ear discomfort caused by colds, note:

PrecautionsSpecific methods
Blowing your nose correctlyBlowing nostrils on one side alternately to avoid using too much force
Enhance immunityEat a balanced diet and supplement vitamin C in an appropriate amount
Avoid secondhand smokeSmoke can irritate the respiratory tract and Eustachian tubes
Get vaccinatedFlu vaccine may reduce risk of colds

6. Special reminder

1. Do not use ear drops yourself unless you have a clear diagnosis of otitis externa
2. Children’s Eustachian tubes are shorter and flatter than those of adults, making them more prone to otitis media and require special attention.
3. If you catch a cold while traveling by plane or diving, it is recommended to postpone your trip.
4. Long-term use of headphones may aggravate ear discomfort, so use them less during illness.

The content of this article combines recent discussion hot spots in medical forums and guidelines and recommendations from authoritative organizations. It should be noted that individual differences are large, please consult your doctor or pharmacist for specific medication. If symptoms persist or worsen, be sure to seek medical treatment promptly to avoid delays in treatment.

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