Maybe: Pain from a middle ear infection often comes from excessive pressure in the ear. If you have a hole in the eardrum you likely wouldn't have pain because the pressure can't build up, but you would likely have a significant amount of drainage from the ear in that case. With a cold you can have a noninfected effusion in the middle ear and these may not be painful (though you can have hearing loss).
Answered 4/15/2014
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