Do I wear the plugs when i sleep?

I got a 14g today and stretched my right ear and put the plug in. Im guessing i sleep with it in to heal at that size? And i only stretched my right ear because i always felt pain in my left ear when i was pushing the taper a little farther in, unlike my right ear, where i felt pain only when i pushed it in too fast but i got it to the wider end by tonight already. I cant even get my left ear to stretch over half of the taper's length. I took out the taper on my left ear and it was a little red, and when i massaged it, i felt a kinda hard bump under/next to where the hole was. Should i wait for that to heal and then try stretching again? And how do i clean them when the plugs are in? Do i take them out everyday and then clean or do i leave them in? Please answer as much as you can, thank you!