<s>[INST] What Are the Signs & Symptoms of an Ear Infection? [/INST] Ear pain is the main sign of a middle ear infection. Kids also might have:

a fever 
trouble eating, drinking, or sleeping. Chewing, sucking, and lying down can cause painful pressure changes in the middle ear.
Older kids can complain about ear pain, but a younger child might just tug at the ear or be fussy and cry more than usual.

If the pressure from the fluid buildup gets high enough, it can rupture the eardrum, with fluid draining from the ear. This is a common cause of ruptured eardrums in children. A child with a ruptured eardrum might feel dizzy or nauseated, and have ringing or buzzing in the ear. Source: KIDS HEALTH ORG. Link: https://kidshealth.org/en/parents/otitis-media.html. Field: Otolaryngology. Disease: Ear Infection </s>