Hello; I am an Audiologist.
It appears that in your attempt to self-treat an undiagnosed condition, you have made matters worse.
The only way to know whether your ear pain is caused by wax buildup or and bacterial or fungal infection in your ear canal (yes, that is the proper term) or if perhaps the problem is further in the middle ear, is to have an experienced, licensed professional examine your ears.
As others have mentioned cotton swabs (a.k.a. Q-Tips) pack the wax deeper into the ear canal, where it is unable to clear itself and may push on the eardrum or completely occlude the canal. In addition, it can trap water from bathing or swimming that may then breed bacteria or fungus. Another problem with cotton swabs is that the cotton fibers can abrade the very delicate skin in our ears… and as the abrasion heals, the skin itches the same as it does when we have a cut or burn elsewhere on our skin. So what do people do when their ear itches? Stick something in their ear to scratch the itch (swabs, bobby pins, toothpicks, and pencils are just some of the things people have confessed to)... but that only abrades the ear more, and the cycle continues.
Our ears are self-cleaning mechanisms. The wax is a crucial part of that process. The wax protects and lubricates the skin; it traps dirt and debris, preventing it from getting deeper where it can damage the delicate ear drum and middle ear bones; and it traps insects and tries to repel them with an aversive smell/taste.
The hair cells in the ear canal are cilia that push the wax towards the outside of our ear, to be washed away with our finger and a washcloth. Frequent use of cotton swabs can destroy those hairs, rendering the ear inefficient at self-cleaning. Some people have exceptionally narrow ear canals, and some people have exceptionally over-productive ear wax glands… those people require some human intervention to help prevent wax buildup, but the vast majority of people do not.
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In addition to the possibility of a wax buildup, you may have problems with your Eustachian tube contributing to the sense of fullness, pressure and pain you feel, and the fact that you feel some relief when you force some pressure through the Eustachian tube is the reason why I bring this up. The Eustachian tube connects the back of the throat to the middle ear space behind the ear drum. In order for the ear drum to vibrate most effectively for sound transmission, the air pressure behind the ear drum must be equal to the air pressure outside of the ear. So when we yawn or swallow, that tube opens and allows the air pressure to equalize.
However, many people have allergies or enlarged adenoids or other upper respiratory issues that prevent the Eustachian tube to open and close when it should. This leads to a loss of pressure in the middle ear, and we feel as if we are up in a plane or high in the mountains. We feel discomfort and might notice a slight muffling of our hearing even while the pressure is still in the normal range!
Sometimes, the pressure causes fluids or mucus to enter the ear and that can breed bacteria or fungus, leading to infection. When fluid is behind the ear drum, there is a more significant change in hearing, and for most people it is quite painful. If left untreated, the pressure from the fluid could cause the ear drum to burst, which may or may not heal spontaneously, and may or may not have long-term or even permanent impact on hearing sensitivity.
Pressure in the middle ear and even fluid, are not always obvious when looking in the ear with an otoscope – especially if there is no infection. Sometime the bacteria is killed by the antibiotic, but the Eustachian tube is still not functioning properly to drain the fluid, so sterile fluid remains. If I had a dollar for every time the patient says that their primary doctor had just looked in the ears and they were fine, when in fact they were not, I could retire at least 5 years earlier! I’ve even heard this, and then looked in the ear and it is packed wax!
I have also had patients who complain of pressure and fullness in the ears, but their outer and middle ears are completely healthy… there are some conditions in the inner ear that can cause similar symptoms, so our brain associates them with a blockage of sound, even when no physical block is present.
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With all that said, your situation is well past the point of a home remedy, if you suspect that the ear canal itself is swollen. I strongly recommend that you see your primary doctor at the earliest opportunity for examination and treatment recommendations. At this point you may need double antibiotics – drops and oral. If antibiotics are prescribed, be sure to take them exactly as prescribed and to complete the full course of treatment to ensure that ALL the bacteria have been killed off. If there is an outer ear infection, ask your doctor if you should get plugs to cover the ear(s) with when bathing/swimming.
I will gladly answer any further questions you might have, but I have not been able to Fluther often due to my busy schedule lately. I hope you are feeling better soon!