Symptoms suggesting occurrence of otitis media (OM) in infants and young children are not always right. Objective: Assessment of those infants and children with symptoms suggesting otitis media. Patients & Methods: 113 infants and children were complaining of ear symptoms suggesting otitis media as well as 63 infants and children of same age and sex were not complaining of any of these symptoms suggesting otitis media, were fully investigated prospectively, by full clinical and ear, nose examination as well as swab culture from the ear discharge. Results: There was no statistical significant difference between the prevalence of otitis related symptoms and the risk factors in both groups. There was no correlation found between the otoscopic diagnosis of OM and the main complaint suggesting OM in the patients, mainly ear pain and ear discharge. There was a positive significant correlation between otoscopic diagnosis of OM and fever, diarrhea, and bronchiolitis (significance was at 0.01, 0.01 and 0.05 levels respectively). Conclusion: Otoscopic examination is very important in any infant or child complaining of ear pain, ear discharge or complaining of otitis related symptoms.