Health Library Logo

Health Library

Earwax Blockage

Overview

Earwax, also called cerumen, is a natural substance that helps protect your ears. It's like a tiny shield, cleaning and coating your ear canal, trapping dust and germs and preventing bacteria from growing. Sometimes, earwax can build up too much or harden, making it difficult for your body to remove it on its own. This is called an earwax blockage.

If you have an earwax blockage, it's important to see a healthcare professional. They can safely and easily remove the excess earwax, preventing any problems like hearing loss or discomfort.

Symptoms

Earwax buildup can cause several problems. Here are some common signs and symptoms:

  • Earache: A painful sensation in your ear.
  • Feeling of fullness: Your ear might feel like it's stuffed or blocked.
  • Ringing or buzzing sounds (tinnitus): You might hear noises in your ear when there's no external sound.
  • Hearing loss: You may have trouble hearing clearly. This can range from a slight muffled sound to a complete loss of sound in the affected ear.
  • Dizziness: Feeling unsteady or lightheaded.
  • Cough: Sometimes, a cough can be a symptom of earwax blockage, especially if the blockage is affecting the eustachian tube (the tube connecting the middle ear to the back of the nose).
  • Itching: An itchy sensation inside your ear.
  • Bad smell or discharge: A foul odor or unusual discharge from your ear.
  • Ear pain or infection: A more serious sign, pain or infection in your ear can indicate a deeper problem that may need medical attention. This could be a sign of a complication from the earwax buildup.

If you experience any of these symptoms, it's important to see a doctor. They can diagnose the problem and recommend the best course of action, such as safely removing the earwax. Don't try to remove earwax yourself, as this can sometimes push the wax further in or cause damage.

When to see a doctor

Sometimes, earwax buildup can happen without causing any problems and may go away on its own. However, if you notice any signs that something might be wrong with your ears, it's important to see a doctor.

Signs like ear pain or hearing problems could be caused by something other than earwax. A doctor is the only one who can check your ears and tell if you have too much earwax. Just because you have ear pain or trouble hearing doesn't automatically mean you have earwax. There could be another medical issue.

It's best to have a healthcare professional remove earwax. Your ear canal and eardrum are very delicate and easily damaged. Don't try to clean your ears yourself, especially if you've had ear surgery, have a hole in your eardrum, or are experiencing ear pain or discharge. Using things like cotton swabs can push the wax further in or cause harm.

Doctors often check children's ears during regular checkups. If there's a need, they can safely remove excess earwax during the appointment.

Causes

Earwax is a natural substance produced by glands in the skin of your ear canal. It's a bit like a protective shield. This wax, along with tiny hairs in your ear canal, works to trap dust, dirt, and other small particles that could harm more delicate parts of your ear, like your eardrum.

Normally, a small amount of earwax travels out of your ear canal on its own. Your body naturally removes it, either by washing it out or by replacing it with new wax. But sometimes, people make too much earwax, or their bodies don't remove it efficiently enough. When this happens, the wax can build up and block the ear canal.

A common way people try to deal with this buildup is by using cotton swabs or other tools to clean their ears. Unfortunately, this often just pushes the wax further into the ear canal, making the problem worse. It's important to let your body naturally remove earwax, and not to try to remove it yourself.

Diagnosis

Your doctor can check for earwax buildup by examining your ear. They use a tool called an otoscope. This tool has a light and a magnifying lens, allowing them to clearly see inside your ear canal.

Treatment

Doctors can remove earwax buildup in several ways. A small, curved tool called a curet can be used to gently scrape out the excess wax. Another method uses suction to remove the wax. Sometimes, a doctor will use a syringe filled with warm, salt water (saline) or a diluted solution of hydrogen peroxide to flush out the wax. Medicated ear drops, like those containing carbamide peroxide (often found in kits like Debrox or Murine), can also help soften the earwax. However, these drops can irritate the ear, so it's crucial to follow the doctor's instructions carefully.

If you have a lot of earwax that's hard to remove on your own, a doctor can help. They can use tools to carefully remove the wax.

For people who frequently have trouble with earwax buildup, a doctor might recommend regular checkups, perhaps once or twice a year, to keep the earwax under control. To help soften the wax, your doctor might suggest using things like saline solution, mineral oil, or olive oil. These solutions can help make the wax softer and easier to remove naturally.

Self-care

Many over-the-counter ear cleaning products, like ear irrigation kits or vacuum cleaners, haven't been thoroughly tested. This means they might not work and could be harmful.

The best way to deal with earwax buildup is to see a doctor or other healthcare professional. If you often have earwax problems, your healthcare provider can show you safe ways to manage it at home. This might involve using special ear drops or other solutions to soften the wax. It's crucial to avoid using ear drops if you have an ear infection unless your doctor tells you it's okay.

Don't try to remove earwax yourself using things like paperclips, cotton swabs, or hairpins. These can push the wax deeper into your ear and potentially damage your eardrum or the delicate lining of your ear canal. This can cause serious problems.

Preparing for your appointment

You'll probably start by seeing your doctor. In unusual situations, you might be sent to a specialist who has special knowledge about ear problems (an ear, nose, and throat doctor, or ENT).

Before your appointment, jot down questions you have. Your doctor will likely ask you questions too, such as:

  • How long have you had ear pain or trouble hearing?
  • Have any fluids or other discharge come out of your ear?
  • Have you had ear pain, hearing problems, or ear drainage before?
  • Are your symptoms constant, or do they come and go?

Address: 506/507, 1st Main Rd, Murugeshpalya, K R Garden, Bengaluru, Karnataka 560075

Disclaimer: August is a health information platform and its responses don't constitute medical advise. Always consult with a licenced medical professional near you before making any changes.

Made in India, for the world