What to do About Excess Ear Wax

What to do About excess ear wax

Earwax is something that most people don’t think about until there’s a problem. And, when there is a problem, it can be pretty uncomfortable! In this blog post, we will discuss what earwax is and what causes it. We will also provide tips for safely removing excess earwax. Keep reading to learn more!

What is Earwax?

Earwax, or cerumen, is a natural substance produced by the body to protect the ear canal. It helps keep out dirt and debris, and also lubricates the ear canal. Earwax can be either wet or dry. In fact, wet earwax is more common in Caucasians and Africans, while dry earwax is more common in Native Americans, Pacific Islanders, and Asians.

Earwax can also come in a variety of colors, such as:

  • light brown, orange, or yellow: healthy earwax often seen in children
  • dark brown or black: older earwax darkened with dirt and bacteria often seen in adults
  • dark brown with red: earwax that contains blood and can indicate an injury
  • white: people with white earwax lack the chemical responsible for body odor

Normally, earwax accumulates slowly and is removed naturally as it travels outward. But sometimes too much earwax is produced, or it becomes hard and stuck in the ear canal. Some people may be at an increased risk for developing excess earwax. For example:

earwax buildup in the ear canal
  • People who regularly wear headphones or hearing aids are also at an increased risk for earwax blockage since wearing headphones or hearing aids prevents earwax from naturally coming out.
  • People who regularly remove earwax may trick their body’s into over-producing earwax to compensate.
  • People who are under a lot of stress. The same glands responsible for producing sweat also produce earwax.
  • People who have hairy ear canals, are prone to ear infections, or who have abnormally-formed ear canals or osteomas are also at a higher risk of developing excess earwax.

Earwax buildup can cause:

  • earache
  • Itching
  • sense of fullness in the ear
  • tinnitus (ringing in the ear)
  • hearing loss (temporary)
  • infection

If you have any of these symptoms, you may have a buildup of earwax. But don’t worry! There are things you can do to safely remove the excess wax. Read on for our tips.

How to Remove Excess Earwax

If you have too much earwax, it is important to remove it safely. DO NOT insert anything into your ear canal, such as a cotton swab, paper clip, or your finger. This can push the wax further into the ear and cause other problems. In fact, this is one of the most common causes of earwax blockage. Instead, try one of these safe and effective methods:

Softening Earwax

One effective way to get rid of excess earwax is to soften the earwax, making it easier to remove. This can be done by placing a warm, wet washcloth over your ear for five minutes or so. You can also try using an ear drops solution designed to soften earwax. Other substances such as mineral oil, baby oil, glycerin, hydrogen peroxide, or carbamide peroxide can also be used to soften ear wax.

Irrigating Earwax

Another effective method is irrigating the ear with water or a saline solution. This will help loosen and remove the wax. A few safety tips about ear irrigation:

  • avoid irrigating if you have had recent ear surgery or have a hole in your eardrum
  • never use products made for irrigating the mouth or teeth since they produce too much force and can damage the eardrum

To irrigate your ear safely, fill a syringe with body temperature water (or saline solution) and squirt it into the ear, then allow it to drain by tipping your head. Be sure to use room temperature water because water that is too hot or cold can cause dizziness. In some cases, you may need to repeat this process a few times to completely flush out all the excess wax.

When to See an ENT

If at-home treatments don’t seem to be working, it’s time to see an ENT specialist. Although it may sound simple to remove earwax, doing it improperly can permanently damage your ear and lead to hearing problems. For this reason, it is recommended to see your local ENT if:

ENT removing earwax
  • you experience severe pain in your ear
  • you are experiencing drainage or bleeding from the ear
  • you have had repeated episodes of earwax buildup
  • at-home treatments haven’t worked after a few attempts
  • children under the age of 12 have excess earwax buildup. ENTs can safely and effectively remove the wax using suction, irrigation, or other methods.

An ENT can look into your ear with a special instrument and remove the wax using irrigation, suction, a curette, or a rubber ball syringe. These are all usually quick and painless procedures that can easily and effectively remove earwax. In some cases, they can also use microscopic visualization to see the inside of your ear canal and make sure the wax is completely removed.

Preventing Excess Earwax

Now that you know how to remove excess earwax, let’s talk about how to prevent it in the first place.

The best way to prevent excess earwax is to leave it alone! That’s right – don’t stick anything in your ear canal, no matter how tempting it may be. This includes cotton swabs, bobby pins, or your finger.

In addition, don’t use ear candles or any other type of ear product that claims to remove earwax. These products can actually cause more harm than good and can even lead to serious injury.

If you must clean your ears, do so gently with a washcloth. Gently clean the outer ear, taking care not to go too deep into the ear canal. In some cases, your ENT may prescribe special ear drops to prevent the excess buildup of earwax or to help soften the wax.

And there you have it! Now you know all about earwax: what it is, what causes it, and how to remove it safely. Remember, if you’re ever unsure about something or if at-home treatments aren’t working, be sure to see your local ENT. They will be able to help you out and get you on the road to healthy ears!

Lee A. Kleiman

Dr. Lee A. Kleiman is a double board certified ENT & plastic surgeon at Anne Arundel ENT in Annapolis, Maryland known for his superior clinical outcomes in all Surgical and Non-Surgical ENT, specializing in Sinus Care, Voice and Swallowing, Rhinoplasty and Revision Rhinoplasty, and Facelifts and Non-surgical Aesthetic. He also continues to attend conferences internationally and nationally to keep abreast of the latest treatments and technology. 

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