Ear infections, also known as otitis media, can occur in the middle ear and can have a variety of symptoms. Common signs and symptoms of an ear infection include:

1. Ear pain or discomfort: This is often the most noticeable symptom and can range from mild to severe. Infants and young children may tug at their ears or show signs of ear pain, such as irritability or crying.

2. Hearing difficulties: The presence of fluid or pus in the middle ear can cause temporary hearing loss.

3. Fluid drainage from the ear: If the eardrum ruptures, there may be drainage of pus or clear fluid from the ear.

4. Fever: Some ear infections can be associated with a fever, especially in children.

5. Irritability and fussiness: Infants and young children may be more irritable and fussy when they have an ear infection.

6. Difficulty sleeping: Ear pain and discomfort can make it challenging for a child to sleep.

7. Balance problems: The inner ear is involved in balance, so some ear infections can lead to balance issues, especially in children.

8. Loss of appetite: Ear pain and discomfort may cause a loss of appetite in children.

9. Mild to moderate hearing loss: This can be temporary and typically resolves after the infection is treated.

It’s important to note that the severity and combination of symptoms can vary from person to person, and not everyone with an ear infection will experience all of these symptoms. If you experience symptoms of an ear infection, it’s important to consult a healthcare provider for a proper diagnosis and appropriate treatment. Left untreated, ear infections can lead to complications, so prompt medical attention is advisable.