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  • Writer's pictureAndrew Gardner

Earwax Impaction and Blockage: Understanding the Causes, Symptoms, and Solutions

Earwax, also known as cerumen, is a natural substance produced by the body to protect and lubricate the ears. However, sometimes this waxy substance can lead to problems when it becomes impacted and causes blockages. In this blog, we'll delve into the causes, symptoms, and potential solutions for earwax impaction and blockage.

Understanding Earwax Impaction and Blockage:

Earwax impaction occurs when the natural process of earwax migration from the ear canal to the outer ear is disrupted, leading to a buildup of earwax. This accumulation can eventually cause blockages, resulting in discomfort, hearing problems, and even pain if left untreated.

Causes of Earwax Impaction:

Several factors contribute to the development of earwax impaction and blockage:

1. Excessive Earwax Production: Some individuals naturally produce more earwax than others, making them more prone to impaction.

2. Inadequate Earwax Removal: Attempts to clean the ears using cotton swabs or other objects can push earwax deeper into the ear canal, leading to impaction.

3. Ear Canal Shape: Certain ear canal shapes or narrow passages can make it easier for earwax to become trapped and cause blockages.

4. Aging: As people age, their earwax can become drier and harder, making it more likely to become impacted.

Symptoms of Earwax Impaction:

Earwax impaction and blockage can lead to a range of symptoms, including:

1. Hearing Loss: A blocked ear canal can result in decreased hearing or a sensation of muffled sounds.

2. Earache: Impacted earwax can cause discomfort, pain, or a feeling of fullness in the ear.

3. Tinnitus: Some individuals may experience ringing or buzzing sounds in the affected ear.

4. Vertigo or Dizziness: In rare cases, earwax blockage can disrupt the balance mechanism, leading to feelings of dizziness or vertigo.

Solutions and Treatment:

If you suspect earwax impaction, it's essential to seek proper medical advice. Here are some solutions and treatment options:

1. Medical Examination: A doctor or an ear, nose, and throat (ENT) specialist can perform an examination using an otoscope to determine the extent of the impaction.

2. Ear Irrigation: In cases of mild impaction, ear irrigation involves using water or a saline solution to gently flush out the earwax. This procedure should only be performed by a medical professional to prevent injury.

3. Ear Drops: Over-the-counter ear drops or prescription drops can help soften the earwax, making it easier to remove.

4. Manual Removal: A doctor or ENT specialist may use specialized instruments to manually remove the impacted earwax.

5. Microsuction: This procedure involves using a small vacuum-like device to safely remove the impacted earwax under direct visualization.


To minimize the risk of earwax impaction and blockage, consider the following preventive measures:

1. Avoid Inserting Objects: Refrain from using cotton swabs or other objects to clean the ear canal, as they can push the earwax deeper.

2. Regular Cleaning: Gently clean the outer ear with a washcloth to remove excess earwax.

3. Earplugs: If you're prone to excessive earwax production, consider using earplugs during activities that expose your ears to water (swimming, showering) to prevent water from pushing earwax further in.


Earwax impaction and blockage can lead to discomfort, hearing problems, and other complications. Seeking professional medical assistance is crucial if you suspect earwax impaction. A qualified healthcare provider can recommend appropriate solutions and treatment options to ensure your ears remain healthy and your hearing remains clear. Remember, a cautious approach to ear care and timely intervention can prevent potential issues related to earwax impaction and ensure your auditory well-being.

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