The Lowdown on Ear Wax and Safe Wax Removal

Ear wax, medically known as cerumen, is a natural substance produced by the body to protect the ears from dust, foreign particles, and microbial infections. However, an excess buildup of ear wax can lead to discomfort, hearing problems, and even tinnitus. In this blog post, we'll explore what ear wax is, why it can become an issue, and the safe methods of ear wax removal.

Understanding Ear Wax

Ear wax is produced by glands in the ear canal and serves several essential functions:

  • Protection: It traps dust, debris, and foreign objects, preventing them from reaching the eardrum.

  • Moisturization: Ear wax keeps the ear canal moisturized, preventing dryness and itchiness.

  • Antibacterial Properties: Ear wax contains enzymes that help prevent bacterial and fungal infections in the ear.

Why Does Ear Wax Become a Problem?

While ear wax is generally beneficial, it can cause issues when it accumulates excessively. Factors that can contribute to an ear wax buildup include:

  • Overproduction: Some individuals naturally produce more ear wax than others.

  • Use of Cotton Swabs: Inserting cotton swabs into the ears can push wax further into the ear canal, leading to compacted wax.

  • Hearing Aid Usage: Hearing aid wearers may experience increased ear wax production due to the device's proximity to the ear canal.

  • Narrow Ear Canals: People with narrow ear canals may be more prone to ear wax blockages.

Symptoms of Ear Wax Blockage

An earwax blockage can cause various uncomfortable symptoms, including:

  • Earache or Pain: The blockage can put pressure on the eardrum, causing pain.

  • Hearing Problems: Reduced ability to hear or a feeling of fullness in the ear.

  • Tinnitus (Ringing in the Ears): Ear wax impaction can cause ringing or buzzing sounds in the ears.

  • Dizziness: Severe ear wax blockages might cause dizziness or balance issues.

Safe Methods for Ear Wax Removal

It's essential to use safe methods to remove ear wax to avoid damaging the delicate structures of the ear. Here are some safe options:

  • Ear Drops: Use over-the-counter ear drops to soften the ear wax, making it easier for the wax to naturally move out of the ear.

  • Irrigation: Your audiologist may use warm water or a saline solution to irrigate the ear gently and flush out the softened ear wax.

  • Microsuction: An audiologist may use a specialized instrument to suction the ear wax out carefully, ensuring a safe and efficient removal.

  • Manual Removal by a Professional: An ear, nose, and throat specialist or audiologist can use specialized tools to gently remove the ear wax manually.

    ** Avoid Cotton Swabs: Avoid inserting cotton swabs or any sharp objects into the ear canal, as this can push the wax further into the ear canal and potentially damage the ear.

Prevention and Maintenance

To prevent excessive ear wax buildup, consider these practices:

  • Regular Cleaning: Gently clean the outer ear with a warm washcloth, but avoid inserting anything into the ear canal, like a cotton swab.

  • Annual Check-ups: Include an ear examination as part of your regular health check-ups to monitor ear wax levels and overall ear and hearing health.

Conclusion

Ear wax is a natural and protective substance, but when it accumulates excessively, it can cause discomfort and hearing issues. Safe removal methods, regular monitoring, and avoiding potentially harmful practices (cotton swabs) are key to maintaining healthy ears. If you experience persistent symptoms or discomfort due to ear wax, reach out to an audiologist for a safe and effective wax removal. 


Curtis Wetmore

Curtis is the founder and director of Tidal Hearing & Balance, a private vestibular audiology and hearing aid clinic located in Saint John, NB. He also works part time as a clinical audiologist with Horizon Health Network at the Sussex Health Centre. He holds adjunct scholar status with Dalhousie University where he teaches the vestibular course to second year audiology students. He currently serves as a member of the executive committee for the CAA National Vestibular Special Interest Group and recently obtained a certification of competency in vestibular rehab in partnership with Texas State University and the University of Wisconsin. He has contributed to articles in publications including ENT & Audiology News and the Canadian Journal of Neurological Sciences, and has been involved in research studies investigating the prevalence of vestibular and cognitive impairments in community fall prevention programs.

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