Check your child’s temperature regularly. A persistent fever, especially one above 101°F (38.3°C) after starting amoxicillin, suggests the infection isn’t responding well. Look for improvements within 24-48 hours; ear pain should lessen, and your child should show more energy.
Observe ear drainage. While some initial drainage is normal, increased or foul-smelling discharge warrants a call to the doctor.
Monitor your child’s behavior. Is their appetite improving? Are they sleeping better? If their overall condition doesn’t show improvement within 48-72 hours, contact your pediatrician.
| Fever | Reduction within 24-48 hours | Persists above 101°F (38.3°C) after 48 hours |
| Ear Pain | Decreased within 24-48 hours | No improvement or worsening after 72 hours |
| Ear Drainage | Decreased or clear drainage | Increased, foul-smelling, or bloody drainage |
| Irritability/Lethargy | Increased energy and better mood | Continued irritability and lethargy after 72 hours |
Complete the full course of amoxicillin, even if symptoms disappear before the medication is finished. This prevents relapse. If you have concerns, don’t hesitate to schedule a follow-up appointment with your doctor.


