went to the dr and hearing test was fine,trouble is still continuing and my ears are hurting a little! i still believe it is from the z pak,does anyone know if permanent damage can be from a z pak?
Yep--could definitely be Eustachian tube trouble--probably is--but you should have a hearing test done nevertheless. Your regular doctor should be able to determine with a tuning-fork test whether your hearing trouble is due to a conduction problem (such as ETD) or a sensorineural hearing loss, which requires immediate attention from a specialist.
Those are common symptoms of Eustachian Tube Dysfunction (ETD) but only a doctor can diagnose it. There is no effective treatment, but it usually goes away on its own.
Check out this information on ototoxicity:
http://dizziness-and-balance.com/disorders/bilat/ototoxins.html
and tell your doctor immediately if you haven't already.