My 5 year old had a really bad ear ache. he has had a cold so this followed. i treated the symptoms and he finally slept a little last night. he woke up this morning with the ear ache but not as bad. he wants to sleep and is not hungry. no fever...

Should be seen.: A diagnosis of Otitis media can only be made by visualizing the ear drum. So that is my best advice, before it progresses.

Ear Pain: It is likely this is an ear infection. Most physicians feel that treating the pain is the primary goal. This may include antibiotics, although the major cause in viral. The follow up care is important. Have his ear examined to make sure the infection/fluid is resolving to prevent hearing loss. All the best.