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Impacted Earwax: Causes, Symptoms, and Treatments

Impacted earwax, also known as cerumen impaction, occurs when earwax builds up in the ear canal and becomes difficult to naturally expel. Here’s an overview of the causes, symptoms, and treatments for impacted earwax:

Causes:

  1. Overproduction of Earwax: Some individuals naturally produce more earwax than others, which can increase the likelihood of impaction.
  2. Inadequate Ear Canal Cleaning: Improper cleaning methods, such as using cotton swabs or inserting objects into the ear canal, can push wax deeper and contribute to impaction.
  3. Narrow or Abnormal Ear Canal: Certain anatomical features, such as a narrow or twisted ear canal, can make it easier for wax to become impacted.
  4. Ear Canal Obstructions: Objects inserted into the ear, such as hearing aids or earplugs, can push wax deeper and lead to impaction.

Symptoms:

  1. Earache: Pain or discomfort in the ear, often accompanied by a feeling of fullness.
  2. Hearing Loss: Impacted wax can block sound waves from reaching the eardrum, resulting in temporary hearing loss.
  3. Tinnitus: Ringing or buzzing noises in the ear may occur due to the pressure from the impacted wax.
  4. Itching: Some individuals experience itching in the ear canal as a result of the impaction.
  5. Dizziness: In rare cases, severe impaction may cause dizziness or a sensation of imbalance.

Treatments:

  1. Ear Irrigation: This involves using a syringe to flush warm water into the ear canal to soften and dislodge the wax. It’s typically performed by a healthcare professional.
  2. Ear Drops: Over-the-counter ear drops containing mineral oil, hydrogen peroxide, or glycerin can help soften earwax, making it easier to remove.
  3. Manual Removal: A healthcare provider may use specialized tools such as a curette or suction device to physically remove the impacted wax.
  4. Microsuction: This procedure involves using a suction device under magnification to gently remove the earwax.
  5. Home Remedies: While not recommended for everyone, some people find relief from impacted earwax using methods such as warm oil drops or ear irrigation kits. However, caution should be exercised to avoid causing further damage to the ear.

It’s essential to seek medical advice if you suspect you have impacted earwax, as attempting to remove it yourself can lead to injury or further complications. Your healthcare provider can recommend the most appropriate treatment based on the severity of the impaction and your individual circumstances.