Where and how you experience hot ears can provide clues as to what is going on. Is the problem with one ear or both ears? Are your ears physically hot, or is there just a burning sensation? Are your ears hot and itchy, or are there other symptoms such as fever or nasal allergy?
This article explains the possible causes of hot ears and describes the symptoms and conditions that require treatment by a healthcare provider.
Sunburn
Sunburn is one of the most common reasons that your ears might feel hot or burn. Many people do not realize that the vulnerable, sensitive area of skin needs protection from the sun. It can also be easy to forget to apply sunscreen to your ears—especially if they are partly covered by your hair.
If you get a sunburn on your ears, it will feel similar to how it would feel if you got a burn on another part of your body. In addition to pain and burning, a sunburn on your ears can cause:
Redness and swellingBlistering Itchy, peeling skin days after a burn
Treatment
Most sunburns heal on their own within a few days to a week. Treating a mild sunburn can include taking an over-the-counter (OTC) pain reliever and using an aloe vera salve for your symptoms.
If you get a bad sunburn and you develop a fever, become extremely weak, faint, or have low blood pressure, go to the emergency room.
The American Academy of Dermatology (AAD) recommends several strategies for soothing the skin after a sunburn. If you get a sunburn on your ears or anywhere else, you can try:
Taking cool baths or showersMoisturizing the skin with gentle formulas that contain aloe vera or soyTaking over-the-counter (OTC) medications like ibuprofen to reduce pain and swelling Staying hydrated
The most important thing that you can do if you get a sunburn is to protect and cover your skin to prevent further sun damage.
Allergic Reaction
Another reason that your ears might be burning is because of an allergic reaction or contact dermatitis. These conditions can happen if you are exposed to allergens such as:
PlantsInsect bitesPersonal care products (shampoo, conditioner)Topical creams Jewelry
Nickel-plated jewelry is a common allergen for people who have pierced ears. A skin allergy may cause hives, redness, itching, and burning. Some people experience swelling, and the ear can also feel hot to the touch.
Treatment
The main treatment for contact dermatitis is stopping and preventing exposure to the allergen. For example, if you have a reaction to a piece of jewelry, you would need to stop wearing it.
Mild allergic reactions will typically resolve once you remove the allergen. In some cases, you might need to see your healthcare provider or a dermatologist. They may prescribe you a medicated cream to help your skin heal.
Cutaneous Flushing
Cutaneous flushing is a normal reaction to strong emotions. Red cheeks or blushing is a common physiological response when people feel shame or excitement.
Flushing can also affect the ears. When a person experiences a strong emotion, their ears may get red and feel hot to the touch. They may also feel a burning sensation.
Other causes of cutaneous flushing include:
Drinking alcohol Some prescription medications Physical activity Eating spicy or hot foods Extreme temperature swings
You’re more likely to experience cutaneous flushing if you have certain conditions. Flushing is more common in people who:
Have rosacea Are going through menopause Have an illness that causes high fever
Treatment
Flushing is a normal bodily response and it does not need to be treated. You can sometimes prevent or lessen the response by avoiding triggers, such as alcohol or temperature extremes.
Ear Infection
An ear infection can also cause pain and a burning sensation depending on the severity of and type of infection that you have.
Middle ear infections are a common type of ear infection. The symptoms of an ear infection include:
Ear painMalaiseA sensation of fullness in the earMuffled ear soundNasal congestionLoss of appetiteFluid drainage from the ear
Treatment
Ear infections may go away without treatment but there are some things that you can do to alleviate your symptoms, such as:
Applying a warm compress to the affected ear(s) Using over-the-counter (OTC) ear drops Taking OTC pain medication
Ear infections that do not get better on their own or get worse need to be treated by a healthcare provider. You might need antibiotics to clear up the infection.
Red Ear Syndrome
Red ear syndrome is a poorly understood condition that produces one-sided ear reddening and burning. It can also affect both ears. The burning and redness can last up to several hours, and attacks happen on and off again.
Triggers for red ear syndrome may include:
Physical touchChewingHot or cold temperaturesMoving the neckPhysical exertion
People can experience red ear syndrome at any age. In addition to ear redness, a person can also have redness in the cheek on the same side. The ear can swell, and, in some cases, the eye on the affected side may water or become irritated.
Treatment
Since little is understood about red ear syndrome, it’s not clear what the best treatment for the condition is. People with red ear syndrome might benefit from:
Botox injections Indomethacin Propranolol Topical anesthetic Gabapentin Tricyclic antidepressants Cooling of the skin
Erythromelalgia
Erythromelalgia is a rare condition that affects the extremities, typically the feet. Very rarely, it can also affect the ears. The symptoms can affect one or both sides of the body.
People with erythromelalgia experience:
Severe burning painRedness Skin that’s hot to the touch Tingling of the skin
There’s no definitive known cause for erythromelalgia, but there might be a familial link.
Treatment
Each person with erythromelalgia responds differently to the treatments that are available. What works well for one person with the condition may not work for someone else.
People with erythromelalgia often find cooling is an effective way to soothe their symptoms.
Other treatments include:
Topical medications such as a lidocaine patch Calcium antagonists Magnesium selective serotonin reuptake inhibitors (SSRIs) Tricyclic antidepressants Gabapentin Antihistamines Clonazepam Misoprostol
Skin Infection
A knick, cut, or bug bite can cause the skin around the outside of the ear to become infected. An infection of the skin around the outer ear is called otitis externa.
Other causes of this type of skin infection include acne, eczema, psoriasis, or an allergic reaction.
An infection of the skin of the ear can cause:
RednessSwellingPain (may feel like a burning sensation)ItchingPus Fever (if the infection is severe)
Treatment
Sometimes an infection will go away without treatment. However, if you notice that the infection is getting worse or spreading, you should see a healthcare provider.
Treating a severe skin infection of the ear can be hard because the ear does not have many blood vessels. When considering treatment, your healthcare provider will need to determine whether the infection is bacterial or fungal.
Topical ear drops are usually the first-line treatment for a skin infection that involves the outer ear canal. The drops may contain antibiotics or other ingredients such as acetic acid. Oral antibiotics are the last resort for severe infections.
Seborrheic Eczema
Seborrheic eczema (also called seborrheic dermatitis) affects areas of the skin that tend to produce oil, including the face and scalp. It can also affect the ears. It can look like a rash and may produce a burning sensation.
The symptoms of this type of eczema include:
RednessSwellingScaly patches of skin Pain and itching
Treatment
The basic treatment for seborrheic eczema involves washing the skin with a zinc cleanser and moisturizing after bathing or showering.
Medical treatments include topical antifungals or medicated personal hygiene products.
For severe cases of seborrheic dermatitis, a dermatologist may prescribe a topical corticosteroid or calcineurin inhibitor.
Relapsing Polychondritis
Relapsing polychondritis is a rare degenerative disease that primarily affects the cartilage in the body, including the ears.
The main symptoms of relapsing polychondritis are:
Sudden pain Swelling and tenderness of the ears
The condition can also affect the middle ear, and some people experience hearing loss.
The cause of relapsing polychondritis is not known. However, experts believe that the disease is an autoimmune condition.
Treatment
Treatment for relapsing polychondritis usually involves corticosteroids and OTC pain medications. In very severe cases that involve the heart, a healthcare provider may recommend immunosuppressants.
A Word From Verywell
There are many causes of hot, burning ears. Sometimes the burning sensation occurs with redness and swelling of the skin of the ears. Emotions and environmental exposure to sunlight or very hot or cold temperatures can cause the ears to burn.
While burning ears are not usually a cause for concern, they can be uncomfortable. Cooling the skin or taking OTC pain medication can provide relief. Staying away from triggers is the ideal way to avoid discomfort.
Sometimes having burning ears is a sign of an underlying health problem such as an ear infection or autoimmune condition. If the burning is caused by an infection or autoimmune disease, a healthcare provider can prescribe medication to help treat the symptoms.
If your ears are burning and the pain is not getting better or is getting worse, make an appointment with your healthcare provider. While many skin infections that can affect your ears often heal on their own, some will require antibiotic treatment.
