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Hot Ear - Causes and Their Management

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Hot ears can impact a majority of individuals at some point and might indicate a medical issue or be entirely harmless.

Medically reviewed by

Dr. Krishan Kumar Rajbhar

Published At January 5, 2024
Reviewed AtJanuary 5, 2024

What Is the Hot Ear?

Ears can turn red and warm due to intense emotional reactions like blushing or various conditions such as ear infections, skin infections, ear allergies, hormonal fluctuations, and rare disorders like red ear syndrome. Examining where and how the sensation of hot ears is experienced can provide insights into the root cause. It is paramount to consider whether the issue is localized in one ear or affects both.

Additionally, one should observe whether the ears are physically warm or if there is simply a burning sensation. Other factors to consider include whether the ears feel warm and itchy or if there are accompanying symptoms like fever or nasal allergies. This article explores the potential causes of hot ears and details the symptoms and conditions that require professional medical attention.

What Are the Common Causes of the Hot Ear and Their Management?

1. Sunburn

Sunburn is a common reason for a hot or burning sensation in the ears. Many people overlook the need to protect the delicate skin of their ears from the sun's harmful rays. When a person experiences sunburn on their ears, the sensation is akin to a burn on any other body part. Along with pain and burning, sunburn on the ears can result in:

  • Redness and swelling.

  • Formation of blisters.

  • Skin becomes itchy and peeling in the days following the burn.

Treatment:

Most sunburns typically heal on their own within a few days to a week. Managing mild sunburn involves utilizing over-the-counter (OTC) pain relievers and applying aloe vera salve to alleviate symptoms. The American Academy of Dermatology (AAD) provides several recommendations for easing the skin after a sunburn, whether on your ears or any other part of your body:

  • Take cool baths or showers.

  • Use gentle moisturizers containing aloe vera or soy to hydrate the skin.

  • Take OTC medications like ibuprofen to alleviate pain and swelling.

  • Ensure proper hydration.

If blisters develop on sunburnt skin, it is essential not to puncture them. Blisters are a natural part of the healing process and safeguard your skin from potential infections. The key step in managing a sunburn is to shield and cover your skin, preventing further sun damage.

2. Allergic Reaction

Another cause for the sensation of burning in the ears is an allergic reaction or contact dermatitis. These conditions can occur due to exposure to various allergens, such as:

  • Plants.

  • Insect bites.

  • Personal care products (shampoo, conditioner).

  • Topical creams.

  • Jewelry.

  • Nickel-plated jewelry, in particular, is a common allergen for individuals with pierced ears. A skin allergy might lead to hives, redness, itching, and a burning sensation. Some individuals may also experience swelling, and the affected ear might feel hot to the touch.

Treatment:

The primary approach to managing contact dermatitis involves halting and preventing exposure to the allergen. For instance, if a specific piece of jewelry triggers a reaction, discontinuing its use is essential. Mild allergic reactions usually subside once the allergen is removed. However, in certain cases, it might be necessary to consult healthcare providers or dermatologists. They could prescribe medicated creams to aid the healing process of the skin.

3. Emotion

At times, ears can become warm in response to emotions like anger, embarrassment, or anxiety. The sensation should subside once the emotional state resolves.

4. Ear Infection

The pain and burning sensation caused by an ear infection vary based on its severity and type.

Common symptoms of middle ear infections include:

  • Ear pain.

  • Discomfort.

  • The sensation of ear fullness.

  • Muffled hearing.

  • Nasal congestion.

  • Reduced appetite.

  • Ear drainage.

Treatment: Treatment for ear infections may involve various methods to alleviate symptoms. Simple remedies such as applying a warm compress to the affected ear, utilizing over-the-counter ear drops, and taking non-prescription pain relievers can provide relief. However, it is crucial to note that if ear infections persist or worsen, seeking medical attention is essential for proper evaluation and appropriate treatment.

5. Red Ear Syndrome:

It is an uncommon condition characterized by a burning sensation in the ear. It can be triggered by routine daily activities like stress, neck movements, touching, physical exertion, and even simple tasks like washing or brushing your hair. This condition can impact one or both ears and is occasionally associated with migraines. Its episodes can persist for minutes to hours, occurring multiple times a day or resurfacing after several days.

Treatment: Treating red ear syndrome poses challenges, and the intensity of the condition can vary, ranging from mild discomfort to severe pain. Symptoms can be managed using non-prescription remedies like nonsteroidal anti-inflammatory drugs or ice packs or prescribed treatments such as Gabapentin or Propranolol.

6. Erythermalgia: It is a rare condition known as erythromelalgia or EM and manifests as redness and burning pain in one or more extremities. It may be confined to a person's face and ears in exceptional instances. This condition is typically triggered by mild exercise or warm temperatures. The pain experienced is often intense enough to disrupt daily activities significantly. In extremely rare cases, specific triggers like oranges might induce this condition.

Treatment: Raise or cool the affected area without resorting to ice or soaking, as these methods can result in injury. Additionally, non-prescription pain relievers or prescribed medications like gabapentin or pregabalin can be utilized.

7. Temperature Changes

Exposure to extreme cold can induce vasoconstriction, which reduces blood flow to the body's surface. This phenomenon impacts regions such as the cheeks, nose, and ears, leading to their reddening. Individuals engaged in activities like skiing, snowboarding, and other outdoor endeavors might notice their ears turning red as their bodies adjust to these temperature shifts. This response is a natural mechanism as the body self-regulates its blood circulation.

Conclusion

Although usually harmless, a hot ear or experiencing a sensation of warmth in the ear can suggest underlying issues. Hot ears can result from various factors, leading to different outcomes depending on the underlying cause. Certain conditions like ear infections and sunburns, which are expected, can be easily treated. Maintaining proper ear hygiene, avoiding irritants, and seeking medical assistance when necessary to address this discomfort effectively are crucial.

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Dr. krishan kumar Rajbhar
Dr. krishan kumar Rajbhar

Otolaryngology (E.N.T)

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