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Ear infections often start with a cold or other illness. This can lead to redness, swelling and fluid in your child's middle ear (behind the eardrum). Ear infections can be very painful for your child and sometimes cause fevers with temperatures up to 104°F. Your pediatrician may prescribe antibioticsto treat infection, but you may have to provide additional relieffor pain and fever.

If your child has a painful ear infection, he or she may have a hard time eating or sleeping. Babies may rub their ears, have trouble sleeping or cry more than usual. If you think your child has ear pain, or you see fluid coming out of the ear, call your doctor for an appointment.

Five Symptoms to Watch For: Watch out for these symptoms in addition to fevers as they may signs of a serious– and possible dangerous – illness. Keep an eye out for the following five symptoms, which could indicate a problem when coupled with a fever.

• 1.LETHARGY
  • Your child has lost his appetite, has little energy, or is noticeably pale of flushed, or you notice other changes in his behavior and appearance.
• 2.RASH
  • Your child has small, purple-red spots on his skin that don't turn white when you press on them, or large purple blotches.
• 3.DIFFICULTY SWALLOWING
  • Your child is unable to swallow and is drooling excessively.
• 4.DIFFICULTY BREATHING
  • Your child has difficulty breathing even after you clear his nose with a bulb syringe.
• 5.MOOD
  • Your child seems delirious, glassy–eyed, or extremely cranky or irritable.

If you notice any of these symptoms with a fever, call your pediatrician right away.

In general, it's a good idea to check with you pediatrician if you feel uncomfortable about your child's appearance or behavior, no matter what his temperature is. Trust your gut.

Remember, too, that fever is only one sign of illness. Be sure to mention symptoms such as a cough and ear pain (if you suspect it) or vomiting and diarrhea – these can help your pediatrician make a more accurate diagnosis.