The National Institute of health has an excellent article on
"How to Recognize an Ear Infection". I have experienced this myself with my own children. There are symptoms you can look for:
Tugging or pulling on the ear
Fussiness and crying
Trouble sleeping
Fever
Fluid draining from the ear
Clumsiness or problems with balance
Trouble hearing or responding to quiet sounds.
For more information, http://health.nih.gov
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