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There are many small glands behind the ear, and in neck region. They act as protective glands. If there is any type of infection the lymph glands are first to react and in doing so they become swollen. They stop the infection from spreading. Your child may be having infection on scalp or around the ears.
Painful lumps behind ear causes include: 1  Abscess â These are lumps that develop when tissue or cells become infected. 2  Dermatitis â This takes place when waxy dead skin cells or dry skin builds up and is joined by inflammation and redness. 3  Mastoiditis â The mastoid bone is found behind the ear and can get infected.