Symptoms of acute otitis media usually develop suddenly and can include:
- Pain or discomfort in the ear. However, it is difficult to determine if an infant or child who hasn't yet learned to speak has an ear infection. Some children may indicate pain if they have trouble swallowing food. Some parents believe that tugging on the ear indicates an infection, but this gesture is more likely to indicate pain from teething.
- Nasal congestion
- Loss of appetite