Understanding and Managing Earwax Build-up

A Patient's Guide to Cerumen Impaction

Family Medicine

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Last updated: Mar 24, 2025

What is Earwax?

Earwax (cerumen) is a natural, protective substance produced by glands in your ear canal. It helps:

  • Trap dust and debris
  • Protect against bacteria
  • Lubricate the ear canal
  • Maintain ear canal pH balance

Common Symptoms of Earwax Build-up

  • Decreased hearing
  • Feeling of fullness in the ear
  • Tinnitus (ringing in the ears)
  • Earache
  • Dizziness

Risk Factors

You may be more likely to experience earwax build-up if you:

  • Use hearing aids or earplugs regularly
  • Have narrow or hairy ear canals
  • Are elderly
  • Frequently use cotton swabs in your ears

Safe Management Methods

At-Home Care

  • Over-the-counter ear drops
  • Mineral oil or glycerin drops
  • Gentle irrigation with warm water

Professional Treatment

  • Manual removal by healthcare provider
  • Microsuction
  • Professional irrigation

Prevention Tips

  1. Avoid inserting objects into your ears
  2. Let ears clean themselves naturally
  3. Use ear drops periodically if prone to build-up
  4. Schedule regular check-ups if recurring

When to Seek Medical Help

  • Severe ear pain
  • Drainage from ears
  • Significant hearing loss
  • Failed home treatment attempts
  • History of ear surgery

Important Warnings

Do not:

  • Use cotton swabs inside ear canal
  • Insert any objects into ears
  • Attempt removal if you have ear tubes
  • Use ear candles

Always consult your healthcare provider for persistent symptoms.

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