Quattro owner here. What you’re reporting is definitely a symptom of receivers going/gone south, in my experience. I find this tends to recur about once a year in these aids. Some people get more or less life out of their receivers. You can buy receivers on eBay (often from European suppliers) and replace them yourself for not a lot of dough and less than an audiologist will charge to do the same thing. Look for a YouTube video by ReSound showing how to do it; it’s not hard, as long as you see how. I use a sewing needle in the right place to pop the old ones out.
You need a specific receiver for the left side aid and a different one for the right side aid. They are not interchangeable. When you compare the shape of the old receiver tube to the new one, if it’s markedly different, and it’s pulling in your ear, reshape the new receiver tube by heating it gently with a hair dryer and then bend it while warm to match the new shape to the old one.
Your aid settings have been embedded in the main part of the hearing aid case by your audiologist and will transfer automatically to the new receivers, so no new programming should be needed just for changing receivers. Be sure to take careful note of the numbers/letters on the silver block part of the receiver and order only a perfect match (otherwise you would need your settings adjusted, if the size and power were even a good match for your loss and for the shape and position of your ear). Of course you also only want to deal with an eBay seller with a very, very good, if not 100%, reputation.
It’s not guaranteed this is the only issue making your aids not working so well, but it most likely is and is worth a try before replacing the aids.