At this point with him not having a fever steady you can give him Tylenol or Motrin according to directions on the package. Sit with him in the bathroom with the hot shower running which will create steam, this can help relieve the vacuum due to the eustachian tube being blocked. Warm compress to the ear as well. There are some ear drops that can be purchased OTC too. Check with the pharmacist. If this doesn't help within 24-36 hours then do have your child seen. An antibiotic may be needed. If he continues to run a fever again for the next 24-36 hours, then do call his doctor as well. If after you try the above and he still says it's hurting then you may want to have it looked at as well, since at that point you have done about all you you can for home treatment.
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