This is so painful for little ones. Even tho I am a 'Natural' girl, I know when to pull out the pain drugs, too.
I did use Tylenol and Motrin (My ped told me the best way to dose it, so check WITH THEM to feel safe!). I also added Arnica and Chammilla (a homeopathic) as this is something that can help (but you need to research your child's profile before using or know about this before you do it!).
I also worked my son's feet. So much is 'mapped' on the feet that this helped to sooth him. It helped the endorphins kick in and helped for sleep.
Don't forget: when they have an ear infection, and they are laid down, the pressure builds and the pain can be worse. Especially when the molars are also pressing there. It all ties in together.
Lot's of cold wash clothes and teether's they can get into the mouth help so much (more than you think they do.)
As for tubes, I wish I knew about a few holistic things before I put my son under for this. If I tried it; I think it would have worked better. But I was clueless about it. Just know there are other 'Alternative' options that are safe and natural that do not further stress your child out. I only wish I knew as my son was petrified that he was separated from me at the hospital. (And made me feel worse.)
You will get thru this, just breathe and hold on tightly to him! You being there helps just as much as anything else! :)