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DEAR DOCTOR K:
I have a lot of wax in my ear. Should I try to remove it? How?
Earwax is created when the oily substance made by cells lining the ear canal mixes with dead skin and debris. Normally, the mixture slowly moves out of the ear on its own.
But sometimes earwax gets blocked in the ear. Certain conditions make this more likely:
- An especially narrow or curvy ear canal.
- A skin condition, such as eczema, that is affecting the canal.
- Excessive hair growth in the canal.
- Cleaning your ears with Q-tip. This can push the wax farther back into the ear canal, where it builds up and hardens.
- Wearing a hearing aid or earplugs.
By collecting dead skin and debris, earwax helps clean the ear. It also helps prevent dryness and itching in the ear canal, protects the canal and eardrum from damage, and helps prevent infection.
In many people, the earwax continuously oozes out of the ear canal and onto the skin around the ear, where it is washed away when you bathe or shower. At any given time, the amount of the oily substance is so small that you can’t even see it. However, when the wax does not seep out of the ear, it builds up inside the ear.
The outer, middle, and inner ear
If the wax buildup in your ear isn’t causing trouble, leave it alone. You need to remove earwax only if it causes problems. If the wax blocks the canal, it can interfere with hearing until it’s removed. It also can cause a sensation of fullness or itching in the ear. Some textbooks say that it can cause earache, dizziness or ringing in the ears, but I’m dubious: I’ve never seen it.
To unblock the wax, try using an over-the-counter ear-cleaning treatment, such as Debrox, to flush out the wax. If this doesn’t work, or if you have a history of ear drum perforation or have had ear surgery, make an appointment with your doctor.
Never try to dig out earwax with something like a Q-tip, paperclip or hairpin. That could push the wax farther into the canal or injure your eardrum. Also avoid ear candling. That’s when you stick a lighted hollow candle into the ear. Do people really do that? Yes, they do: There is a lot of dangerous folklore “medical” advice out there. Believe me, it doesn’t work, and it could cause serious harm.
If you have frequent blockages, try using mineral oil drops or another earwax softener once a week. This may help keep the wax from hardening and building up.
In general, your best bet is simply to clean your outer ear with a washcloth. That makes it easier for the wax that’s deeper inside the ear canal to ooze out. Above all, treat your ear well, and don’t deal with the annoying problem of earwax by doing something that will injure your ear.