Ear pain or frequent ear tugging
Crying more than usual, especially when lying down
Trouble sleeping
Fever
Fussiness or irritability
Reduced appetite or trouble feeding
Drainage of fluid or pus from the ear
Trouble hearing or not responding to sounds as usual
Balance problems or extra clumsiness
Recent cold, runny nose, or congestion
Redness or swelling around the ear
A bulging eardrum seen by a doctor