The q-tips could be a part of the problem. Especially if you're pushing them in too deep...that can push your earwax back further than it's supposed to go and cause a clog. (Well, according to things I read just now when I googled. Though I have had doctor's tell me before that q-tips arent very good for you.)
I know when i was in 8th grade I had a very nasty ear infection that i fought for most of the year. The doctor kept trying different antibiotics with me and nothing was working.
Eventually, he had to use this (it's kind of gross, sorry) suction machine to suck out all the gunk in my ear. And I remember him using an earwash to rinse my ear....I had to hold a kidney pan up to my face to catch the gross water.
I still use q-tips, but I try and be careful as to how rough I am with them.
Do you swim a lot? That's what brought on most of my ear infections when I was younger. Now I make sure to use ear drops every time after I swim.
I hope you feel better soon! Ear infections are the worst.