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However, there are several key symptoms to look for: Pain in the ear (amplified when chewing, sucking, or lying down) Pulling/rubbing ears Difficulty hearing Redness in the eardrum or outer ear Fluid leaking from ears Difficulty sleeping Fever Vomiting Headache Causes of Earaches The main causes of earaches are injury, infection, irritation in the ear, or referred pain (pain that is felt in the ear even though the ear is not the original source of the pain)