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Acure Otitis Media Symptoms The signs and symptoms of acute otitis media may range from very mild to severe: * The fluid in the middle ear may push on the eardrum, causing ear pain. An older child may complain of an earache, but a younger child may tug at the ear or simply act irritable and cry more than usual. * Lying down, chewing, and sucking can also cause painful pressure changes in the middle ear, so a child may eat less than the normal amount or have trouble sleeping. * If the pressure from the fluid buildup is high enough, it can cause the eardrum to rupture, resulting in drainage of fluid from the ear. This releases the pressure behind the eardrum, usually bringing on relief from the pain. Fluid buildup in the middle ear also blocks sound, which can lead to temporary hearing difficulties. A child may: * not respond...

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