Pain and swelling in the ear can occur due to several reasons, including ear infection, boils in the ear canal, wax buildup, injury, or inflammation of the outer ear. The correct treatment depends on the exact cause, so it is important not to use random ear drops without proper examination. For temporary relief, paracetamol may help reduce pain when taken in the recommended dose. Avoid putting oil, water, earbuds, or any objects into the ear, as this can worsen irritation or infection. Keeping the ear dry is also important. If the swelling is due to an outer ear infection, doctors may prescribe an antibiotic or anti-inflammatory ear drops. In some cases, oral antibiotics may also be needed, especially if there is significant swelling, fever, or pus discharge. If a wax blockage is present, it should be removed safely by a healthcare professional rather than attempting home cleaning. You should see an ENT doctor soon, especially if the pain is severe, hearing is reduced, fever develops, pus or blood comes from the ear, or the swelling spreads around the face or neck.