What symptoms indicate an acute episode of otitis media in children?

Fever and ear pain are classic symptoms that indicate an acute episode of otitis media in children. Otitis media, commonly known as a middle ear infection, often occurs following a respiratory infection, leading to inflammation and fluid buildup in the middle ear. The discomfort caused by this condition is typically manifested as ear pain, which can be severe. The presence of fever is also a common reaction in children, signaling an infection and the body's immune response.

While children with otitis media may also experience other symptoms, such as irritability or difficulty sleeping, fever and ear pain are the hallmark indicators that suggest a more immediate and acute episode requiring medical evaluation and possibly treatment. Other symptoms mentioned in the incorrect options, such as a runny nose and cough or gastrointestinal symptoms like vomiting and diarrhea, are not specific indicators of otitis media and can be associated with various other conditions. The rash and headache mentioned in another option do not align with the typical presentation of otitis media either, further emphasizing why fever and ear pain are the most relevant symptoms for this condition.