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When Is Earwax Normal, And When Should You Be Concerned?

Earwax helps protect your ears by trapping dirt, dust, and bacteria. But changes in its color or consistency can sometimes signal a problem. Here's what to look for:
  • Color

    Earwax naturally ranges from light yellow to orange or brown. Very dark or black earwax may indicate a buildup, while a red tint could be a sign of bleeding and should be evaluated by a healthcare professional.
  • Consistency

    Earwax can be wet and sticky or dry and flaky: both are normal and are often influenced by genetics and skin type. However, white, green, or pus-like discharge may indicate an ear infection or injury and should be checked by a healthcare provider.
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Why Does Earwax Build Up?

Causes of Earwax Buildup

Earwax usually moves out of the ear naturally. However, when your body produces too much earwax or the wax can't leave the ear canal on its own, it can harden and cause a blockage. In some cases, using cotton swabs or other objects to clean your ears can push earwax deeper into the ear, making the problem worse.

Several factors can increase your risk of earwax buildup, including:

  • Older age

    As you get older, earwax tends to become drier and harder, making it more difficult for your ears to clear it naturally.
  • Using cotton swabs or inserting other objects into the ear

    Cotton swabs, bobby pins, or other objects can push earwax deeper into the ear canal, increasing the risk of a blockage.
  • Wearing hearing aids or earplugs

    Hearing aids and earplugs can interfere with the ear's natural cleaning process by preventing earwax from moving out of the ear canal.
  • Excess hair in the ear canal

    Hair in the ear canal can trap earwax and make it more difficult for it to exit the ear naturally.
  • Certain skin conditions

    Skin conditions such as eczema or psoriasis can affect earwax production and increase the likelihood of buildup.
  • Developmental disabilities

    Some developmental conditions may make it more difficult for the ears to clear earwax naturally, leading to more frequent buildup.
  • Diet

    While research is still limited, some studies suggest that overall health and nutrition may influence earwax production in certain individuals.
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Symptoms of Earwax Buildup

Earwax buildup can cause a range of symptoms, from mild irritation to noticeable hearing problems. If you experience any of the following symptoms, excess earwax may be blocking your ear canal.
  • Earache or fullness in the ear

    A buildup of earwax can create pressure inside the ear, leading to discomfort, pain, or a feeling that your ear is plugged.
  • Itching of the ear

    Excess earwax can irritate the ear canal, causing persistent itching or the urge to scratch inside the ear.
  • Discharge or odor coming from the ear

    Unusual drainage or a foul smell may indicate impacted earwax or, in some cases, an ear infection that requires medical attention.
  • Dizziness

    A severe earwax blockage can sometimes affect your balance, making you feel dizzy or unsteady.
  • Ringing of the ear (tinnitus)

    Impacted earwax may trigger or worsen ringing, buzzing, or humming sounds that only you can hear.
  • Hearing loss that may continue to worsen

    Earwax buildup can block sound from reaching the eardrum, causing temporary hearing loss or muffled hearing that may worsen if left untreated.

Earwax and Hearing Loss

Can Earwax Cause Hearing Loss?

Yes - earwax buildup can cause temporary hearing loss. When excess earwax blocks the ear canal, it prevents sound waves from reaching the eardrum effectively, resulting in muffled hearing, a feeling of fullness in the ear, or difficulty understanding conversations. This type of hearing loss from earwax is known as conductive hearing loss and is often reversible once the blockage is safely removed.

While earwax is essential for protecting your ears from dirt, dust, and bacteria, it normally moves out of the ear naturally through everyday jaw movements like talking and chewing. Problems arise when the body produces too much earwax or the wax becomes impacted, creating a blockage in the ear canal.

However, earwax isn't always the cause of hearing problems. If your symptoms persist after earwax removal, or if your hearing loss develops gradually without signs of blockage, an underlying hearing condition may be responsible.

A professional hearing screening can determine whether your hearing loss is caused by earwax or another issue and recommend the most appropriate treatment.

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Not sure if earwax is affecting your hearing?

Taking a quick online hearing test is a simple first step. While it can't diagnose earwax buildup, it can help you determine whether you should schedule a comprehensive hearing evaluation with a hearing care professional.

What to Do About Wax

Preventing Earwax Buildup

Earwax is an essential part of your ear health, but buildup and blockages can, nevertheless, still occur. Here are some ways you can prevent earwax buildup:

  • Don't stick any objects, such as cotton swabs, in your ears and don't overclean them.
  • Avoid suction devices or ear candles.
  • If you wear hearing aids, keep them as clean as possible.
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Should I Clean My Ears?

In most cases, no. Your ears are self-cleaning, meaning earwax naturally moves out of the ear canal through everyday jaw movements like talking and chewing.

Most people don't need to clean their ears regularly, and inserting cotton swabs or other objects into the ear can push wax deeper, increasing the risk of impaction and hearing problems.

If you think you have excess earwax, start with a safe, at-home option. However, if your symptoms don't improve after a few days, or if you experience pain, drainage, dizziness, or persistent hearing loss, it's time to see a hearing care professional or healthcare provider for screening and safe earwax removal.

Wax-dissolving drops

Over-the-counter ear drops can soften and loosen hardened earwax, making it easier for the wax to leave the ear naturally. Follow the product instructions and stop using them if you experience pain or irritation.

Earwax irrigation

A healthcare professional may recommend ear irrigation to gently flush softened earwax from the ear canal. This method is not appropriate for everyone, especially if you have ear tubes, a perforated eardrum, or an active ear infection.

Manual removal

If ear drops or irrigation don't resolve the blockage, a hearing care professional can safely remove impacted earwax using specialized instruments under direct visualization. Never attempt to remove deeply impacted earwax yourself.

Why Treat Buildup?

A buildup of earwax may seem harmless on the surface, but left untreated, it can lead to other problems. The blockage could continue to get worse, leading to ear irritation, infections, additional hearing loss, and other problems going undiagnosed.

If you wear a hearing aid, buildup can also interfere with proper functioning of the device.

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Don't wait for symptoms to get worse

Untreated earwax buildup can lead to hearing problems and other ear health issues. Find out what's affecting your hearing today.
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Earwax & hearing loss: FAQ

Improving hearing health together

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Understanding conductive hearing loss: Symptoms to treatment

Conductive hearing loss is one of three types of hearing loss. It happens when sound reaches the inner ear through the outer and middle ear, but not as effectively as it should. Find out what causes conductive hearing loss, the symptoms, and more information on proper prevention and treatment.
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How to treat your hearing loss

Hearing health is one of the building blocks of a happy life. If you can understand how your hearing works and what you can do to protect it, you won't just be doing your ears a favor, you'll be boosting your overall health and well-being, too.
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Getting help for your hearing loss

Hearing loss not only affects how you hear, but how well your brain is able to function. From protecting your physical and mental well-being to improving your career outlooks, your hearing plays an essential role in it all. With HearUSA by your side, you’ll have all the tools you need to stop the effects of hearing loss and start hearing better today.
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