Moderate inner ear pain all day,severe at night.ent says no fluid, infection or tmj. no otcs work, have to take 3tramadol and 2bcs. what could this b?

Otalgia: Can be from teeth,adjacent tissue. Try local anaesthetic drops......it will help.

TMJ expert: The most common cause of non ear pain is the TMJ, If your ENT doc has cleared the ears, I'd recommend a TMJ expert evaluation. Any dentist can be a TMJ expert with the proper training and experience. Most commonly, oral surgeons, prosthodontists, and orofacial pain specialists. Ask your MD, your dentist and your dental society for referrals.