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You should also call a doctor if: Theyve taken an antibiotic for more than three days and still arent better Theyve taken an antibiotic for more than three days and the ear discharge comes back or never goes away If your child has any of the following symptoms, call their doctor right away: Serious ear pain that doesnt get better after taking ibuprofen Nonstop crying Facial weakness (you may notice their smile looks crooked) Not being able to walk properly A fever higher than 104 degrees F Stiff neck How Can I Prevent an Ear Infection

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Peer review Peer review information Nature Communications thanks Ivan Maximov, Sebastian Ocklenburg and the other, anonymous, reviewer(s) for their contribution to the peer review of this work