Table of ContentsView AllTable of ContentsTypesCausesSymptomsRemovalPrevention

Table of ContentsView All

View All

Table of Contents

Types

Causes

Symptoms

Removal

Prevention

When earwax is impacted, it can cause itchiness, coughing, dizziness, ringing in the ear, and a significant loss of hearing. You may be able to remove the earwax at home, but you may be better served to see a healthcare provider if there is any discomfort or hearing loss.

Learn why you may suddenly have so much earwax, ways you can safely remove it, and when it is time to see a healthcare provider.

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A male doctor examining a woman’s ear

Function and Types of Earwax

Ear wax protects theouter ear canalfrom dirt, insects, bacteria, and other harmful agents. It also repels water and keeps the ear canal moist and free from dryness and cracking.

Earwax also has antibacterial and antifungal properties. Studies show that a healthy amount of earwax may decrease your risk for ear infections likeotitis externa.

What Causes Excessive Earwax?

Typically the body removes earwax through the action of chewing or talking. Jaw movement causes the earwax to move from yourinner eartowards your outer ear.

However, certain conditions can cause the excess production of earwax and/or the impaction of earwax in the ears. Chief among them is the type of earwax you have.

These include:

Dry earwax can be problematic as it is less able to cling to the walls of the ear canal. Instead, it may start to clump as sebum glues it together with dead skin and debris.

Other causes and risk factors for earwax overproduction and impaction include:

Some people produce more earwax than others for no apparent reason, referred to as idiopathic cerumen overproduction. In cases like these, earwax buildup tends to be recurrent.

Excess Earwax Symptoms

Earwax blockagecan cause the following symptoms:

Removing Excess Earwax

About 12 million people get treated for excess earwax every year in the United States.

There are several ways toremove earwax at home, including over-the-counter ear drops containing mineral oil, glycerin,hydrogen peroxide, and saline (salt) solution.

Rinsing of the ear canal can be done with a rubber bulb syringe purchased at most drug stores. Use only lukewarm water. If cold water or water that is too warm is used, it can cause vertigo (a sensation that the world is spinning around you).

However, if you have pain or significant hearing loss, you should contact a healthcare provider. Similarly, if your child has excess earwax, see a pediatrician rather than trying to remove it yourself.

If left untreated, excessive earwax can cause impaction symptoms to worsen. These include hearing loss, ear pain, dizziness, and tinnitus.A buildup of earwax can also make it difficult to see inside it ear during a physical examination, which can lead to the misdiagnosis of a middle ear problem

What Not to Do

You should never try to remove earwax with the following methods:

The Danger of Q-Tips

Risks of Earwax Removal

Removal of earwax is relatively safe if performed with a healthcare provider. However, rare complications may occur, including:

Preventing Earwax Buildup

The following measures may help prevent the buildup of earwax. However, you should speak with your healthcare provider before trying them, especially if you have a history of ear problems:

Summary

Symptoms of excess earwax may include a cough, hearing loss, ear pain, itchiness, or tinnitus. To treat earwax impaction, it’s best to see a healthcare provider. They may use ear irrigation, cerumenolytic ear drops, or manual extraction tools to remove the earwax safely.

10 Sources

Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.

Mittal A, Kumar S.Role of pH of external auditory canal in acute otitis externa.Indian J Otolaryngol Head Neck Surg. 2014;66(1):86-91. doi:10.1007/s12070-013-0684-0

Shibuya Y, Morioka D, Nomura M, Zhang Z, Utsunomiya H.Earwax of patients with hidradenitis suppurativa: a retrospective study.Arch Plast Surg.2019 Nov;46(6):566–571. doi:10.5999/aps.2019.00290

Horton GA, Simpson MTW, Beyea MM, Beyea JA.Cerumen management: an updated clinical review and evidence-based approach for primary care physicians.J Prim Care Community Health.2020 Jan-Dec;11: 2150132720904181. doi:10.1177/2150132720904181

Hou X, Wei Z, Zouboulis CC, Ju Q.Aging in the sebaceous gland.Front Cell Dev Biol.2022;10:909694. doi:10.3389/fcell.2022.909694

Wright T.Ear wax.BMJ Clin Evid.2015;2015:0504.

Schwartz SR, Magit AE, Rosenfeld RM, et al.Clinical practice guideline (update): Earwax (cerumen impaction).Otolaryngol Head Neck Surg. 2017;156(1_suppl):S1-S29. doi:10.1177/0194599816671491

University of California, Los Angeles/UCLA Health.6 things you need to know about earwax removal.

National Eczema Society.Ear eczema.

Adegbiji WA, Alabi BS, Olajuyin OA, Nwawolo CC.Earwax impaction: symptoms, predisposing factors and perception among Nigerians.Family Med Prim Care.2014 Oct-Dec;3(4):379–382. doi:10.4103/2249-4863.148116

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