B.M.
hey there, my son's 28 months (i hate saying it that way but doing it for speech therapy purposes)...anyway, i called ECI for the same reasons as you. he didn't have near 50 words at 24 months (he does now - yay!) and his peers seemed way above him. i never thought there was a thing wrong w/his hearing but we're doing a hearing test on friday to rule it out i guess. the ECI lady said it'd be required before the ISD started providing services anyway. he had a speech eval last month & i was told he speaks at about 20 months & understands at about 22 months. so...i'm glad i called ECI when i did. i kinda wished i called sooner but i just kept holding out & holding out for him to just magically wake up and talk one day.
i unfortunately don't know much about the fluid build up & earache thing...but the speech therapist told me they can have ear infections and not know it, thereby fluid building up & us not knowing it. i wasn't necessarily against the hearing test, but i just never saw the reason for it b/c he doesn't exhibit any symptoms of hearing impaired, hearing loss, etc. but after she told me that i think she may know something i don't (duh, of course!). my son talks or tries to talk in the back of his throat, doesn't enunciate (sp) well. so his hearing or fluid may have something to do w/it...idk. but anyway, good luck to you & your baby girl. :)