Managing Ear Wax: Tips for Safe Treatment and Relief - Otolaryngology

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Medication Consultation


Two days ago, I noticed a sound in my ear when I moved, so I went to see a doctor.
The doctor said there were small pieces of earwax stuck to my eardrum, and prescribed some drops to prevent the wax from adhering.
After using the drops for the first day, my ear felt fine, but since the doctor advised to continue for three days, I kept using them.
However, after using the drops on the second day, it seems like the solution isn't draining out, and my ear feels stuffy.
I'm not sure what to do.

Huang, 20~29 year old female. Ask Date: 2022/03/22

Dr. Zheng Jueyi reply Otolaryngology


Hello, if you are unable to let the medication flow out after lying on your side or continue to feel a sense of blockage, it is recommended to return for a follow-up appointment for examination.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2022/03/22

More Info


Managing ear wax can be a common concern, especially when it leads to discomfort or affects hearing. It’s great that you consulted a doctor who provided you with medication to help dissolve the ear wax. However, it’s important to follow the treatment plan carefully and be aware of how to manage any potential side effects or complications.

Firstly, ear wax, or cerumen, serves a protective function in the ear canal. It helps to trap dust, debris, and microorganisms, preventing them from reaching the eardrum. However, sometimes ear wax can accumulate excessively, leading to blockages that may cause symptoms such as muffled hearing, a feeling of fullness in the ear, or even discomfort. In your case, it seems that the ear wax was causing a sensation of blockage, which prompted your visit to the doctor.

The medication prescribed to you is likely a cerumenolytic agent, which is designed to soften and break down the ear wax, making it easier to remove. It’s important to use this medication as directed. If you notice that the medication seems to be pooling in your ear and not draining out, it could be due to a few reasons:
1. Positioning: After applying the drops, try to keep your head tilted to the side for a few minutes to allow the solution to penetrate the wax. Then, you can tilt your head the other way to let any excess fluid drain out.

2. Ear Canal Shape: Everyone’s ear canal is shaped differently, and some people may find that their ear canals retain more fluid than others. If the fluid is not draining, it may be worth gently tilting your head or even using a bulb syringe with warm water (if recommended by your doctor) to help flush out the wax.

3. Follow-Up: If the sensation of fullness persists or worsens, it’s crucial to follow up with your healthcare provider. They may need to examine your ear again to ensure that the wax is dissolving properly and that there are no other underlying issues.

4. Avoiding Cotton Swabs: It’s important to avoid using cotton swabs or other objects to try to remove ear wax yourself, as this can push the wax further into the ear canal and potentially cause injury to the ear drum.

5. Hydration: Staying well-hydrated can also help your body manage ear wax production. Sometimes, dry ear canals can lead to harder wax that is more difficult to remove.

6. Ear Hygiene: Regular ear hygiene is important, but it’s best to leave the ear wax alone unless it’s causing problems. If you frequently have issues with ear wax buildup, discuss with your doctor about safe methods for regular cleaning.

In summary, while ear wax is a natural and protective substance, managing it safely is key to preventing discomfort and maintaining ear health. If you continue to experience a feeling of fullness or if the medication does not seem to be effective after the prescribed duration, don’t hesitate to reach out to your healthcare provider for further evaluation and treatment options. They may recommend professional cleaning or alternative treatments to ensure your ears remain healthy and free from blockages.

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