Owie! My head hurts!

When you've got a little drama mama on your hands, the illnesses and complaints never stop.  How can you tell when she's hurting and when she's emoting?

5:30 am, the calls come from the room next door.  Her head hurts.  I walk into the room.  It's hot in there!  She's sitting up in bed, eyes half open.  Her cheeks are red.  I can see that in the dim light.  I pick her up.  She's like a baked potato in pajamas.