We get them a lot. It can be worse at night. We don't always get temperatures. Often I notice more crying at night, off his food but no other symptoms. Oh, sometimes the ear is more waxy than usual. Usually we get them when he is snotty. Panadol or nurofen helps at night. The Drs don't always prescribe ABs, usually they do if it doesn't go away reasonably quick by itself. My DS ear infections are always prolonged so we always end up with ABs.