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Why is there pain/pressure behind my right ear?

I am a 20 year old female college student in overall excellent health. However, I occasionally get pain behind my right ear. It feels as if the pain/pressure is actually inside my skull, not just surface pain. I wear glasses, and I experience the pain more often when I am wearing them, but also experience it when I'm wearing my contacts. I've been experiencing this pressure for as long as I remember, and it is always behind my right ear.
This is an interesting question, but an unfortunate problem to have dealt with for so long. It is always a good idea to talk to a physician in person if you have pain that persists for a long period of time, and especially if you develop other symptoms or the pain starts to become worse. The fact that you have had these symptoms for so long, and that the symptoms seem to be staying about the same throughout the duration of that time is a good sign that it is not likely to be something terribly serious, but it is still important to speak with a physician. There are many things that could be causing your pain. The area right behind your ear is called your mastoid bone, and when people get ear infections, that bone often becomes involved in the inflammatory reaction as well. Sometimes, pustular fluid can remain in the mastoid long after the ear infection has resolved. Alternatively, as the mastoid has air cells in it (small pockets of air inside of the bone itself, which usually drain somewhat like your nasal sinuses) these pockets can become filled with fluid and can be sensitive to changes such as upper respiratory tract infections. Other issues such as a headache, musculoskeletal pain, or a remote injury could also be playing a part, but it would be impossible to say which for sure without a physical examination.
This answer is for general informational purposes only and is not a substitute for professional medical advice.
If you think you may have a medical emergency, call your doctor or (in the United States) 911 immediately. Always seek the advice of your doctor before starting or changing treatment. Medical professionals who provide responses to health-related questions are intended third party beneficiaries with certain rights under ZocDoc’s Terms of Service.

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