An individual should see a doctor if an earache is accompanied by a consistent fever of 104 degrees Fahrenheit or higher, according to Healthline. An infant with a fever over 101 degrees Fahrenheit should receive immediate medical attention.
A person with a sudden and severe onset of pain should also receive immediate medical attention, advises Healthline. If an earache does not improve or it gets worst within 24 to 48 hours after the initial onset of symptoms, the individual should see a doctor. Additional symptoms that mandate a doctor's appointment include dizziness, drooping of the facial muscles, swelling around the ear, a bad headache and blood or pus draining from the ear.