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I think either the ear infection came on overnight or your NP didn't know what she was doing. I never know when my LO ha an ear infection. They say if he tugs at his ears a lot that's a sign. This last time DS has a lot of excess ear wax. Usually it's caught because we go to the doctors and we see a doctor who notices it and gives us antibiotics.

We never knew until they got bad enough for her to have gunk in her eyes. My Lao handled them like a champ so no fussiness and she never ran fever. Her very first one was SO bad by the time it was caught, our pediatrician could not believe how happy she was.

The first time my LO had an ear infection, it got so bad her ear drum ruptured before we saw the doctor. I felt terrible for not catching it earlier. Our main clue is she gets crazy and cranky and tantrums all the time, and often her sleep gets worse (but her sleep is often weird anyway). She is 2.5 and very verbal and still says her ears don't hurt when I ask.

Recently she had her well visit and our pediatrician looked in her ears and told me she had some fluid but it was not infected, so they wouldn't treat it, but watch out for an infection later. I thought she was fine then she had the worst behavior week ever, brought her in, double ear infection. I'm finally starting to get better at just trusting my instincts even if she doesn't have the signs you read about (she has never tugged on her ears for one).

I always know because he runs a high fever. Like 103+. He's never had a fever that high without getting an ear infection. He's only complained one time and it was this last one because it was bad enough they were certain his eardrum would rupture. He gets one like every other month during the school year.

@macintosh: I'm so sorry I'm glad you went this long without one! It's actually very common (in my circle of mom friends, too) to take DD in, suspecting an ear infection, and have nothing. Two days later, raging ear infection.

You will start to have Spidey sense when it comes to ear infections. My kid doesn't get a fever, but she sleeps like crap (laying down builds up pressure in their ears), is grouchy (normally very easy going), etc.

We've had 12-14+ ear infections, tubes now but still get ear infections. I hope this is a fluke for you guys

My son's ear infections came on after he had a cold. So if he had a cold, I'd know to expect an ear infection afterwards. I'd know when he would get a fever and glassy eyes.

We're battling my 8 month old's first ear infection now, and it is horrible! The only way I knew was that her fever suddenly spiked to 104.7-104.9. Before that, she was pretty fussy and had a low grade fever, but she has a tooth coming in, so I didn't think too much of it.

She was diagnosed with a left ear infection on Sunday, began flat out refusing all liquids on Wednesday, went back to the dr, and now has a double ear infection. We got a stronger antibiotic on Wednesday, and she finally seems to be getting better.

We've only dealt with this once, and she didn't display the classic signs people think of. Her sleep was ok (didn't cry when I lowered her, but I could hear her toss and turn), she didn't monkey with her ears. But she was clingy, ran a persistent fever, and was worn out. Hope your LO makes a quick recovery!