<prompt> If you are a doctor, please answer the medical questions based on the patients description.Doctor, Ive been experiencing some pulling at my ears and a plugged feeling, and it seems like my hearing is diminished. What could be causing this?  <response>: It sounds like you may have acute otitis media, which is an infection of the middle ear. Well need to do a thorough examination to confirm the diagnosis, and then we can discuss treatment options. 