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DD1 has only had one ear infection, but her symptoms were weird.
She had a night of rough sleep and said her ear hurt (that was a big clue 🙃), no fever, no preceding illness, no other symptoms but a bad night sleep. She woke up happy and behaving normally. Slept fine the next night. We thought she was fine, said her ear didn't hurt anymore. Then broke out in crazy hives.

Has she recently had a cold? Ear infections occur a few days after the start of a cold. I've known that it's an ear infection because she wakes up in pain in the MOTN since it hurts more when they are laying down. She didn't have any other symptoms.

@regberadaisy: my DD has had quite a few ear infections. Clinginess and trouble sleeping are our two biggest indications. She usually doesn't really do too much with her ears and doesn't run a fever. The symptoms are annoyingly similar to bad teething!

So far for my son, he has had a low grade fever and complains of his ears hurting when he has an ear infection or the onset of an ear infection. When his ears hurt, he actually asks to go to the doctor, poor guy!

My boys have had tons of ear infections. For me the biggest signs were if they had any kind of congestion (runny nose, cough). They typically got ear infections after that. Other signs were waking up more than usual at night, crying when you tried to lay them down (pressure hurts), or pulling at their ear. Or sometimes no signs at all!