Hello, Hope your ear pain is better after the medication. The high pitched sound in the ear may be an indication of a middle ear infection. Do you have a running/ blocked nose/ phlegm associated? Severe pain with sounds could signify an underlying middle ear infection. In the initial stages the ear drum bulges; looks red and angry. If untreated it may rupture. But once the drum ruptures the pain reduces and a mucus like discharge comes out of the ear. So it is unlikely that the drum has ruptured. Your physician will physically examine your ears and decide on the next course of action. So just relax in the meantime. Takecare