Earwax (cerumen) is a yellowish waxy substance produced by healthy ears. Earwax protects the ear from bacteria, water and foreign particles. It also assists in the cleaning and lubrication of the ear canal. Usually, excess wax is removed from the ear canal naturally. If a buildup does occur, the earwax will become hard and block the ear.
A blockage of earwax is usually caused by an overproduction of earwax or insufficient cleaning. Surprisingly, the most common cause of a blockage is incorrect at-home earwax removal. Often, instead of cleaning out the earwax it is just pushed deeper inside the ear. Earphone usage can also cause wax buildup, as the earphones can prevent earwax from naturally coming out of the ear canal.
Earaches, a feeling of fullness in the ear, hearing loss and ringing in the ear (tinnitus) are all common signs of earwax blockage. If the earwax is not removed an infection can develop. This would include severe pain in the ear that does not subside and a fever. If a patient is experiencing any of these symptoms, they should talk to their doctor, as these may also be signs of a more serious condition.
In order to diagnose a buildup of earwax, a doctor will need to look in the ear with a special magnifying instrument called an otoscope. Once diagnosed, the doctor can remove the wax buildup a few ways: with a small curved instrument called a curet, through suction or by flushing out the wax using a water pick or warm water. If this continues to be a problem, earwax-removal medications may be recommended.
As long as the patient’s ear is healthy and does not have tube or a hole in it, at-home treatments can be helpful to manage earwax buildup. An eyedropper can be used to apply a few drops of baby oil, mineral oil or hydrogen peroxide into the ear canal; this is done to soften the wax. Once soft, after an hour or a few days, the wax is ready to be removed. A rubber-bulb syringe can be used to gently squirt warm water into the ear canal. Once the water has drained out of the ear, the ear should be dried with a towel. This procedure can be repeated several times until the wax has been removed.
Call Southern Utah Ear, Nose, Throat, Allergy, and Facial Plastics at (435) 628-3334 for more information or to schedule an appointment.