<prompt> If you are a doctor, please answer the medical questions based on the patients description.I started getting a sore throat four days ago. It got bad - felt like my throat was on fire. It s still a little sore, but now I have a nasty cough and I ache. I don t believe I have a fever at least, my thermometer did not indicate one. I guess this is a cold that I can just ride out. When should I be concerned about strep or an ear infection enough to see my doctor?  <response>: Respected user, HiT hanks for using Chat Doctor.come 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 Chat Doctor .com giving opportunity to assistWishing fine recovery Regards dear take care 