Should You Clean Your Ears? Expert Advice on Ear Hygiene - Otolaryngology

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Please consult a doctor regarding ear cleaning issues?


Hello, doctor.
Sometimes my ears feel itchy, and when I take selfies with my phone, I can see earwax.
I have a habit of using cotton swabs to remove it.
However, the other day my brother saw me cleaning my ears and told me not to do it because it might push the wax further inside.
He said that normal ears have a natural way of expelling wax.
I would like to ask the doctor if it is really unnecessary to specifically remove it.
I'm concerned that it might get pushed deeper into my ear.
Although my brother says I have too much imagination, I still feel worried because he previously mentioned that the medical probabilities don't hold much significance for individuals, only whether one gets sick or not.
Thank you, doctor, for your explanation.

Yuan, 20~29 year old female. Ask Date: 2020/06/24

Dr. Zheng Jueyi reply Otolaryngology


Hello: A normal ear produces earwax only in the outer third and has the ability to self-clean.
It is generally not recommended to use cotton swabs to clean the ears, especially if the earwax is oily, as this can indeed push the wax further inside.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2020/06/24

More Info


When it comes to ear hygiene, many people have questions about the necessity and safety of cleaning their ears. The short answer is that, generally, you do not need to clean your ears frequently, and in many cases, it can be harmful to do so. The ear has a natural self-cleaning mechanism that helps to keep it free from debris and wax buildup.

Earwax, or cerumen, is produced by glands in the ear canal and serves several important functions. It helps to trap dust, debris, and microorganisms, preventing them from reaching the eardrum. Additionally, earwax has antibacterial properties that protect the ear from infections. The ear is designed to naturally expel excess wax; it typically migrates out of the ear canal on its own, aided by jaw movements such as chewing and talking.

Using cotton swabs or other objects to clean your ears can actually push wax deeper into the ear canal, potentially leading to impaction. This can cause discomfort, hearing loss, and even infections. The concern that you might push earwax further into your ear is valid; many healthcare professionals advise against the use of cotton swabs for ear cleaning. Instead, if you notice a buildup of wax or experience symptoms such as itching, discomfort, or hearing loss, it is best to consult a healthcare provider.

If you feel that your ears need cleaning, it is advisable to use safer methods. For instance, you can use a few drops of mineral oil, baby oil, or hydrogen peroxide to soften the wax. This can help facilitate the natural expulsion of earwax. Alternatively, saline solution or over-the-counter ear drops designed for wax removal can be effective. If you are experiencing persistent issues, a visit to an ear, nose, and throat (ENT) specialist is recommended. They can safely remove earwax using specialized tools and techniques.

Regarding your concerns about itching and the presence of earwax, it is important to note that itching can be caused by various factors, including dry skin, allergies, or even infections. If you notice persistent itching or discomfort, it may be worth consulting a healthcare professional to rule out any underlying conditions.

In summary, while it is normal to have some earwax, excessive cleaning can lead to more harm than good. The ear is self-sufficient in maintaining its hygiene, and unless you are experiencing symptoms, it is best to leave it alone. If you do feel the need to address earwax buildup, consider using safe methods or seeking professional help rather than attempting to clean your ears with cotton swabs or other objects. Always prioritize your ear health by being cautious and informed about the best practices for ear hygiene.

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