Otitis media comes in several types, with most cases of acute otitis media involving ear pain, typically throbbing or stabbing pain, followed by decreased hearing, or tinnitus. There may also be ear discharge or pus; using a cotton swab, one might notice an unusual smell from the ear secretions. Systemic symptoms such as fever and chills are less common, with the primary symptoms being localized, mainly consisting of ear pain, reduced hearing, and discharge.