If your baby has been on antibiotics for an ear infection for 10 days and is still pulling on their ear and waking up at night, it is best to return to the doctor's office. The doctor can evaluate if the ear infection is still present and determine if a different treatment is necessary. Sometimes antibiotics may not be as effective as desired, and other options may need to be considered. Additionally, the doctor can determine if the symptoms are due to a current infection or fluid buildup behind the eardrum, which may require a different approach such as a cortisone nasal spray. It is important to seek medical advice to ensure the best course of action for your baby's health.