Common Ear and Throat Issues: Solutions for Parents and Adults - Otolaryngology

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Ear and throat issues?


Hello, Doctor: I have a few questions I would like to ask you.
<1> Why does my son's earwax feel hard and difficult to remove? When I try to clean it, he experiences pain.
What should I do? My son is just over two years old and almost three.
<2> I have been feeling like there is something stuck in my throat for almost a week.
Recently, when I try to cough it out, the mucus looks somewhat like phlegm and seems to have a bit of blood in it.
I saw a doctor who told me that the phlegm in my throat is due to a viral flu, but I don't feel like I have a cold; I just feel like there is something in my throat.
Is this a cold? Should I see a doctor again?

Xiao Ru, 20~29 year old female. Ask Date: 2005/05/25

Dr. Xu Jiazhen reply Otolaryngology


Hello: In response to your questions.
1.
Earwax typically naturally expels itself after long-term accumulation; if you insist on removing it, please seek help from a specialist.
2.
Your throat issue is quite common in outpatient settings and is usually related to lifestyle habits.
If it becomes unbearable, consider seeing a doctor!

Reply Date: 2005/05/25

More Info


When it comes to common ear and throat issues, both parents and adults can face a variety of challenges. Your questions touch on two prevalent concerns: earwax buildup in children and persistent throat discomfort. Let’s address each issue in detail.


Earwax Buildup in Children
Earwax, or cerumen, is a natural substance produced by the glands in the ear canal. It serves several purposes, including protecting the ear from dust, debris, and microorganisms. However, in some cases, earwax can become hard and difficult to remove, leading to discomfort or even pain, especially in young children like your son.

1. Why is the Earwax Hard?
- The consistency of earwax can vary from person to person. Factors such as humidity, skin type, and even diet can influence its texture. In children, the ear canal is narrower, which can make it more prone to blockages.

2. What to Do?
- Avoid Cotton Swabs: It’s crucial not to use cotton swabs or other objects to dig into the ear canal, as this can push the wax further in and potentially cause injury.

- Soften the Wax: You can use over-the-counter ear drops designed to soften earwax. These typically contain ingredients like hydrogen peroxide or mineral oil. A few drops in the ear can help loosen the wax.

- Warm Water Rinse: After softening the wax, you can gently rinse the ear with warm water during bath time. Ensure that you tilt the head to allow the water to flow out.

- Consult a Pediatrician: If the problem persists or if your son experiences pain, it’s best to consult a pediatrician or an ear, nose, and throat (ENT) specialist. They can safely remove the wax using specialized tools.


Persistent Throat Discomfort
Your second concern involves a sensation of having something stuck in your throat, accompanied by phlegm that appears to have a bit of blood. This can be quite alarming and warrants careful consideration.

1. Possible Causes:
- Postnasal Drip: This is a common cause of throat discomfort. Allergies or sinus infections can lead to mucus dripping down the back of the throat, causing irritation.

- Gastroesophageal Reflux Disease (GERD): Acid reflux can cause a sensation of a lump in the throat and may lead to throat irritation.

- Infection: While you mentioned not feeling like you have a cold, it’s possible to have a mild viral infection that doesn’t present with typical cold symptoms but still causes throat irritation.

2. What to Do?
- Hydration: Drink plenty of fluids to help thin the mucus and soothe the throat.

- Gargling Salt Water: Gargling with warm salt water can help reduce throat irritation and clear mucus.

- Avoid Irritants: Stay away from smoke, strong odors, and other irritants that can exacerbate throat discomfort.

- Follow Up with a Doctor: Since you’ve already seen a doctor who suggested it might be related to a viral infection, it’s essential to monitor your symptoms. If the discomfort persists, worsens, or if you notice more blood in your phlegm, seek medical attention promptly. A throat culture or further examination may be necessary to rule out any serious conditions.


Conclusion
Both earwax buildup and throat discomfort are common issues that can often be managed with simple home remedies and lifestyle adjustments. However, it’s crucial to consult healthcare professionals when symptoms persist or worsen. Regular check-ups can help ensure that any underlying issues are addressed promptly, especially in children, where early intervention can lead to better outcomes. Always prioritize safety and seek professional advice when in doubt.

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