The connection between sinus infections and ear pain
Medically reviewed by Dr. Betsy Koickel, MD on November 11th, 2025.
A sinus infection is inflammation of the sinus cavities, typically caused by a virus or bacteria. While the infection is centered in the sinuses, it can cause other symptoms, such as headaches, a sore throat, and even ear pain.
If you are struggling with a sinus infection and start having ear pain, here is everything you need to know about symptoms, treatment and when to see a healthcare provider for help.
How sinus infections lead to ear pain
A sinus infection happens when fluids and mucus build up in the sinus cavities, which are hollow pockets in the face. If fluid becomes trapped in the sinuses, it can block the eustachian tubes, which connect the middle ear to the back of the nose, leading to fluid buildup and pressure in the ears.
When these tubes fill with fluid, it can lead to pain, pressure, difficulty hearing, dizziness, and an ear infection if the fluid remains for too long. Often, it can take several days or even weeks for the pain in the ear from a sinus infection to improve.
Symptoms of sinus infections and ear pain
Symptoms of a sinus infection don’t always include ear pain, but some symptoms overlap. This might include:
- Congestion
- Facial pain
- Fever
- Pain in the ear
- Pain in the jaw or teeth
- Pressure in the ear
A sinus infection alone may also cause headache, cough, postnasal drip or bad breath. If the infection spreads to the ear, you may also experience hearing loss, discharge from the ear and redness or swelling.
Understanding the anatomy behind sinus infections and ear pain
The sinuses and the ear are connected via the eustachian tubes, narrow tubes that help regulate pressure and drain fluid.
When the sinuses are infected, they will become inflamed and filled with fluid and mucus. The swelling can cause normal drainage pathways, including the eustachian tubes, to become blocked.
This causes pressure to build up in the middle ear, causing pain, fullness and even temporary hearing loss.
Treatment options for sinus infection and ear pain
So, what helps ear pain from a sinus infection? The first step to relieve pain in the ear from a sinus infection is to determine the underlying cause of the infection. If it is a bacterial sinus infection, your healthcare provider will prescribe antibiotics.
If the cause is viral, then the provider may recommend home care measures to relieve symptoms. Home care may include rest, using a humidifier, warm compresses and saline nasal sprays or rinses. Drinking enough fluids can help as well.
Certain over-the-counter medications can also be used to manage pain, such as acetaminophen or ibuprofen. Decongestants can also help reduce some of the pressure.
At times, sinus infections can become chronic. Treatment for a chronic infection may require the use of nasal steroids or surgery to help improve drainage.
When to see a doctor for sinus infections and ear pain
A healthcare provider can determine the right treatment based on your symptoms. They can determine whether the sinus infection is bacterial or viral to recommend the most effective course of treatment.
If your symptoms last beyond 10 days, get worse or are severe, you may need further evaluation. To get started working with a caring provider, find the urgent care center nearest you and walk in or save your spot online. We also offer Virtual Visits from the comfort of your own home.
We are open 365 days a year to help you feel better faster.
FAQs
Here are some frequently asked questions about sinus infections and ear pain.
Can ear pain from a sinus infection go away on its own?
Yes, ear pain from a sinus infection can sometimes go away on its own as the infection clears.
Can over-the-counter medications help relieve ear pain caused by a sinus infection?
Yes, over-the-counter pain relievers, decongestants and nasal sprays can help relieve ear pain.
Why does a sinus infection cause ear pain?
A sinus infection causes ear pain because swelling and fluid can block the eustachian tubes, which connect the ear and sinuses, creating pressure in the middle ear.
Are sinus infections and ear pain more common during certain seasons?
Yes, they are more common during cold and allergy season due to circulating respiratory infections that can impact the sinuses.
Can chronic sinus infections lead to recurring ear pain?
Yes, chronic sinus infections can cause recurring ear pain due to repeated inflammation.
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