Hi, and thanks for your medical question on eHealth forum!
The area over the ear or the temple can be painful due to several reasons. Since the area is painful to touch it is unlikely to be due to blood pressure, loud sounds, migraine and simple headache. Tension headache is a possibility but again less likely. Temporal arteritis, internal ear infection, TMJ and tooth decay can all be the cause of pain.
In temporal arteritis there is inflammation of the blood vessel at the temple. Internal ear infection, fluid in ear (went in during swimming or during a shower bath or due to infection), or impacted wax can be a problem. TMJ and infection of tooth, exposed nerve endings of tooth can be a problem.
Infection in the eye, glaucoma, near and far sightedness and sinusitis are the other causes. It is difficult to diagnose the cause without examination. You will have to consult your PCP and maybe need a referral to an ENT, eye specialist and a dentist. Hope this helps. Take care!
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