Earwax (cerumen) is a yellow, brown or black 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 with Q-tips or cotton swabs. 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 can cause severe pain in the ear and rarely a fever. If you are experiencing any of these symptoms, you should talk to your doctor.
In order to diagnose a buildup of earwax, your doctor will need to look in your ear with a special magnifying instrument called an otoscope. Once diagnosed, your doctor can remove the wax buildup a few ways: with a small curved instrument called a curette, through suction or by flushing out the wax using warm water.
As long as your ear is healthy and does not have a 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 Comprehensive ENT at (804) 228-4480 for more information or to schedule an appointment.