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Only theory of pressure that I can think of is a cochlear invasion of otoschlerosis. What happens is otoschlerosis begins at the stapedes (within the middle ear) and eventually works its way into the cochlea. The cochlea contians fluid if the otoschlerosis displaces the fluid, that would cause pressure.
But I do believe you need to see an ENT, and I would consider this an emergency.
How can they diagnose anything, several tests need to be done, audiological, etc. possibly even a CT/MRI. But the final diagnosis of otoschlerosis is explorative surgery.
Find an ENT that will take your concerns seriously.
Dizzy under pressure indicates a fistula (leak) in the cochlea or semi circular canals.
Dizzy due to a loud sound indicates a dehesence (SP) of the Semi Circular Canal.
Either of which is an important diagnostic finding and should be further investigated.
http://video.google.com/videoplay?docid=-5672531617628959663
The link is a video of a stapendectomy which is the surgery done for otoschlerosis. It was posted by some doctor using mundane tools that look they haven't been washed in a decade.... all done to the tune of "Smoothe Operator." Imagine the aragonce it takes to do that.