Earwax Issues: When One Ear Sounds Louder Than the Other - Otolaryngology

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Ear problems


Hello, doctor.
Today, when I cleaned my left ear, I removed a large amount of earwax.
After that, the sounds in my left ear became significantly louder, but I did not experience any pain or discomfort.
When I cleaned my right ear, I did not remove anything, but the sound I hear in my left ear is noticeably much louder than in my right ear.
I can also hear my own voice more clearly in my left ear.
This difference between my ears makes me feel like my right ear is not clean and has a sensation of blockage.
I would like to ask if there is a problem with one of my ears.
Thank you for your response, doctor.

Niming, 20~29 year old female. Ask Date: 2018/05/17

Dr. Ji Zhaoyun reply Otolaryngology


Hello, the issues you mentioned could be due to: 1) Eustachian tube dysfunction: This is the most common cause and can occur not only during flying, climbing, or diving, but also when forcefully blowing your nose or bending over.
2) Sudden sensorineural hearing loss.
3) Otitis media: a) Acute otitis media: Often occurs alongside upper respiratory infections (like colds) and sinusitis, and in severe cases, may cause ear discharge.
b) Chronic otitis media with acute exacerbation: This usually occurs when there is a pre-existing perforation in the eardrum, which can become inflamed due to unclean water or improper ear cleaning.
All of the above conditions can be appropriately treated with medication after consulting a physician.
If you have already undergone pure tone audiometry (which requires headphones in a soundproof room where you respond to sounds by pressing a button, rather than just using a tuning fork), and it has been confirmed that you do not have sudden sensorineural hearing loss, then medication may suffice.
However, if you have not had pure tone audiometry, it is advisable to visit a hospital for an examination to rule out sudden hearing loss.
The golden treatment window for sudden sensorineural hearing loss is two weeks, and early treatment yields better outcomes.
Wishing you safety and health.
Sincerely, Dr.
Chi Chao-Yun, Head of the ENT Department, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2018/05/17

More Info


When it comes to earwax issues and the perception of sound differences between ears, there are several factors to consider. Based on your description, it appears that after removing a significant amount of earwax from your left ear, you noticed a marked increase in sound volume in that ear compared to the right. This situation can be attributed to a few potential causes.

Firstly, earwax, or cerumen, serves a protective function for the ear canal. It helps to trap dust, debris, and microorganisms, preventing them from reaching the eardrum. However, when earwax builds up excessively, it can lead to blockage, which may cause muffled hearing or a sensation of fullness in the affected ear. In your case, the removal of the earwax from the left ear likely restored normal hearing, making sounds seem louder and clearer compared to the right ear, which may still have some wax buildup or may not have been cleaned out as thoroughly.

The difference in sound perception between your ears could also be related to the way sound travels through the ear canal. When one ear is clearer, it can pick up sounds more effectively, leading to the sensation that it is "louder." Additionally, the brain processes sound from both ears, and if one ear is compromised (due to wax buildup or other issues), it can affect how sound is perceived overall. This phenomenon is known as auditory masking, where the clearer ear can dominate the perception of sound.

Another possibility is that the right ear may have some degree of wax buildup or other issues that you may not have noticed yet. Even if you did not extract any wax from the right ear, it is possible that there is still some present, which could be contributing to the sensation of blockage or reduced sound perception. It is also worth noting that earwax can sometimes shift or move deeper into the ear canal during cleaning, potentially leading to temporary sensations of fullness or blockage.

If you are experiencing a significant difference in sound perception between your ears, it is advisable to consult with an ear, nose, and throat (ENT) specialist. They can perform a thorough examination of both ears, including an otoscopic examination to check for any remaining earwax or other issues. Additionally, they may conduct a hearing test to assess your auditory function more comprehensively.

In terms of self-care, it is essential to avoid inserting objects into the ear canal, as this can push wax further in and potentially cause damage to the ear. If you suspect that earwax buildup is an issue, over-the-counter ear drops designed to soften wax can be helpful. However, if you experience any pain, discomfort, or persistent issues, seeking professional medical advice is crucial.

In summary, the difference in sound perception between your ears could be due to the removal of earwax from the left ear, leading to improved hearing, while the right ear may still have some wax or other issues affecting its function. Consulting with an ENT specialist will provide you with a clearer understanding of your situation and the best course of action to take.

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