Call Your Doctor Now (night or day) If

• Your child looks or acts very sick
• Earache is severe and not improved 2 hours after taking ibuprofen
• Pink or red swelling behind the ear
• Stiff neck (can't touch chin to chest)
• Fever above 105° F (40.6° C)
• Pointed object was inserted into the ear canal (e.g., a pencil, stick or wire)