What early symptoms of rubeola may appear before the notable rash?

Runny nose and sneezing are indeed early symptoms of rubeola, commonly known as measles. Prior to the onset of the characteristic measles rash, individuals often experience a prodromal phase, which includes these respiratory symptoms. During this time, the virus affects the upper respiratory tract, leading to nasal congestion and discharge, as well as other typical cold-like symptoms. This phase may be accompanied by fever, cough, and conjunctivitis, which further aids in the identification of rubeola before the rash appears.

Other choices present symptoms that may not be specifically associated with early rubeola. Diarrhea and intestinal cramps, for example, are less characteristic for measles during the initial stages. Similarly, while itching can occur with various conditions, it is not a notable symptom associated with rubeola, and ear pain may occur but is more related to complications rather than early symptoms. Thus, runny nose and sneezing effectively signal the initial respiratory involvement of measles prior to the full manifestation of the disease with the classic rash.