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Why do my ears get red hot and burn a bit sometimes? Vasodilation: The outer ear or pinna has a rich blood supply and sometimes, the nerves that dilate (expand) those blood vessels (branches of the vagus nerve) become activated and the blood vessels dilate and give a red color to the pinna and a warm feeling.
Even if the trapped fluid in the ear is not infected, the fluid puts pressure on the eardrum, causing it to bulge and throb. With an earache from a cold, you or your child may have difficulty sleeping, run a fever, and have green or yellow mucus in the nose. Pressure changes in the middle ear as the child swallows, causing more pain. 2  Irritability. 3  Poor sleep. 4  Pain may be more persistent when lying down as fluid is shifting. 5  Fever. 6  Ear infections can cause temperatures up to 104 degrees F. 7  Vertigo. 8  You may have a sense of spinning. 9  Drainage from the ear.