Respected user , Hi Thanks for using Healthcaremagic.com I have evaluated your query thoroughly . * Minor symptoms indicate upper respiratory infection with mild virus or bacteria . * Heavy infection or symptomatic strep with ear infection is suggested by - Severe congestion , redness , dysphagia , dyspepsia - Fluctuating temperature spikes - Ear ache , ear discharge , hearing impairment , tinnitus - Other according to the host factors also with virulence of strain . Hope to clarify your query Welcome for further assistance Thanks for using Healthcaremagic.com & giving opportunity to assist Wishing fine recovery Regards dear take care