Medical professional examines patient's auditory canal using a specialized illuminated instrument

Earwax is like a self-cleaning system for our auditory system and is important for the health of the ear. Created by wax glands in the external ear canal, it protects the skin of the ear from water and infection. But when earwax builds up too much, it can cause a blockage within the ear, leading to a reduction in the ability to hear and possible damage to the eardrum.

Symptoms of an earwax blockage can include:

  • A feeling of fullness in the ear
  • An earache
  • Itchiness
  • Ringing in the ear
  • Dizziness

How much and the consistency of the wax varies considerably from person to person and is largely determined by genetics, among other things. Certain factors increase the likelihood of an earwax blockage. These factors include:

  • Structural issues, such as narrow or irregularly formed ear canals
  • Hairy ear canals, which can make it harder for the ear to push the wax outward
  • Osteoma (a type of benign bone tumor within the ear)
  • Eczema
  • Age – As people get older, earwax tends to get drier and harder, increasing the chance that it will become impacted
  • Certain health conditions, such as lupus and Sjogren’s syndrome
  • Certain intellectual disabilities, such as Down Syndrome

Although many people use cotton swabs to remove earwax, hearing health experts advise against it because of the risk of puncturing the eardrum with the swab; pushing the earwax deeper inside the ear, potentially causing damage; and/or introducing bacteria, which can lead to infection.

People who have concerns about earwax should see a hearing healthcare provider who can examine the ear, remove any wax buildup, and advise on home ear care. Pharmacists can advise on the appropriate use of over-the-counter products. Source