What Causes Ear Pain, and When Should You Be Seen?
- Pavel Rybin PA-C
- Mar 31
- 3 min read
Updated: Jul 27
Ear pain is one of the most common reasons people look for care, and it is also one of the most commonly misdiagnosed. A child tugging at their ear and an adult with weeks of pressure can have completely different problems, and the only reliable way to tell them apart is to look inside the ear canal. None of Your EARSwax is a dedicated ear clinic in Huntersville that does exactly that.

Understanding Ear Pain and Its Common Causes
Ear pain can arise from various conditions, each requiring a different approach for relief. The most frequent causes include:
Ear infections. Usually bacterial or viral, causing inflammation and pressure behind the eardrum.
Earwax buildup. Wax pressed against the eardrum causes pressure, muffled hearing, and discomfort.
Swimmer's ear. An infection of the outer ear canal, most common after time in the water.
Estachian tube dysfunction. Pressure that does not equalize properly, often after a cold or allergies.
These are treated very differently, which is why an exam comes before treatment. Guessing at the cause is how unnecessary antibiotics get prescribed.
Ear Infections in Children: What Parents Should Know
Ear infections, especially otitis media, are among the most common reasons parents seek medical care for their children. These infections occur when fluid builds up behind the eardrum, often following a cold or respiratory infection. Symptoms include:
Ear pain or tugging at the ear
Fever
Irritability and trouble sleeping
Difficulty hearing or responding to sounds
Prompt evaluation matters because untreated infections can lead to complications. We see children of all ages at the Huntersville clinic, and evening mobile visits are available Monday through Friday if that works better for your family.
Earwax Buildup: More Than Just a Nuisance
While earwax protects the ear canal by trapping dust and debris, too much earwax can cause significant ear pain and hearing problems. Common signs of earwax blockage include:
Feeling of fullness or pressure in the ear
Mild to moderate ear pain
Decreased hearing or ringing in the ear
Occasional dizziness
We remove earwax using microsuction under a binocular microscope, with direct visualization of the canal and eardrum throughout. No water, no irrigation, no pressure. This is safe for children, hearing aid users, and patients with ear tubes, perforations, or prior ear surgery, all of whom should not be irrigated.

Summer and Swimmer’s Ear: Prevention and Care
As summer approaches, many people enjoy swimming and water activities, which increases the risk of developing swimmer’s ear. This condition is an infection of the outer ear canal caused by trapped water that allows bacteria to grow. Symptoms include:
Intense ear pain, especially when touching the ear or moving the jaw
Itching inside the ear canal
Redness and swelling of the ear canal
Possible discharge from the ear
Swimmer's ear is painful and often needs prescription drops. It is evaluated and treated under an Ear and ENT Evaluation, with diagnosis and treatment at the same visit when appropriate.

Where to Be Seen in Huntersville
Clinic visits are Monday, Wednesday, and Friday from 8 AM to 5 PM at Daetwyler Plaza, 13420 Reese Blvd W, Suite 22, Huntersville. Free parking on site and elevator access. Same day appointments are often available.
If clinic hours do not fit, mobile visits are available Monday through Friday from 4:30 PM to 8 PM across Huntersville, Cornelius, Davidson, and the Lake Norman area, with weekend visits by request. Travel fees apply beyond five miles.
Every visit is with Pavel Rybin, PA-C, board certified through the NCCPA, with over five years of ENT and head and neck oncology experience.
What It Costs
Earwax removal, $135 at the clinic and $150 for a mobile visit. Ear and ENT Evaluation, $180 at the clinic and $200 for a mobile visit. This covers ear pain, ear infections, swimmer's ear, and dense or layered earwax. Foreign body removal, $200 at the clinic and $250 for a mobile visit.
Cash pay only. No insurance, Medicare, or Medicaid billed. HSA and FSA cards accepted. No referral required.
This post is for educational purposes only and does not constitute medical advice. If you are experiencing a medical emergency, call 911 or seek immediate care.



