Removing a huge earwax plug (also known as cerumen impaction) should be done carefully to avoid damaging the ear canal or eardrum. If the earwax is impacted and causing discomfort, hearing loss, or a feeling of fullness in the ear, it’s important to handle the situation properly. Here’s how you can safely address earwax buildup:
At-Home Methods: If the earwax plug is not severely impacted and there’s no pain, you can try to remove it yourself with some precautions. However, if the earwax is causing discomfort or you can’t reach it, it’s better to see a healthcare professional.
Ear Drops: Use over-the-counter ear drops (like hydrogen peroxide-based drops or carbamide peroxide) designed to soften earwax. How to use: Tilt your head to the side, apply the ear drops as directed (usually a few drops in the ear), and let them sit for several minutes. This will soften the wax and make it easier to remove. Repeat: Follow the instructions on the packaging, and you can typically repeat this once or twice a day for a few days.
Warm Water Flush: After the ear drops have softened the wax, you can rinse your ear using warm water to flush it out. How to do it: Fill a bulb syringe with warm (body temperature) water. Gently squirt the water into your ear while tilting your head over a sink or bowl to allow the wax to drain out. Caution: Do NOT use cold or hot water, as it can cause dizziness.
Ear Irrigation Kits: You can purchase an over-the-counter ear irrigation kit, which typically includes a syringe and saline solution. These kits are gentle and designed for at-home use to rinse out softened wax. Always follow the manufacturer’s instructions closely.
Olive Oil or Mineral Oil: Use a few drops of warm (but not hot) olive or mineral oil in your ear to soften the wax. Apply the oil before bedtime and allow it to sit overnight. In the morning, you can flush the ear with warm water.
What NOT to Do: Avoid using cotton swabs or Q-tips, as these can push the wax further into the ear canal, causing more blockage and potentially damaging the ear drum. Avoid inserting objects into the ear (such as hairpins, tweezers, or other sharp items), as they can cause injury or infection.
When to See a Doctor: If the earwax plug is large, impacted, or causing significant symptoms like pain, loss of hearing, or if it doesn’t come out after using ear drops, it’s best to see a healthcare professional. They can safely remove the earwax using special instruments and ensure the ear canal is not damaged.
Doctor’s Removal Methods: Microsuction: This technique uses a small vacuum to gently suction the wax out of the ear. Curettage: A doctor may use a small, curved instrument to carefully remove the wax. Ear Irrigation: In some cases, a doctor may irrigate the ear canal using a professional irrigation system to flush out the earwax.
Aftercare: Avoid inserting anything into your ears after removing the earwax. The ear canal is self-cleaning, and inserting objects can disrupt this natural process. Keep your ears dry to prevent water from re-softening any remaining wax that could cause new blockages. If you’re prone to earwax buildup, a doctor may suggest using preventive ear drops every few weeks.
In general, when dealing with earwax impaction, it’s best to err on the side of caution and consult a healthcare professional if you’re unsure or if the wax is difficult to remove. They can provide safe, effective solutions for earwax buildup.