Ear Health: Common Questions About Earwax and Hearing Tests - Otolaryngology

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Hello, Jian Xun. Thank you for your questions regarding ear health, earwax, and hearing tests. It’s understandable to feel confused when faced with multiple tests and evaluations, especially when it comes to something as vital as hearing.

Firstly, let's discuss earwax (cerumen) and its role in ear health. Earwax is a natural substance produced by glands in the ear canal. It serves several important functions, including protecting the ear from dust, debris, and microorganisms, as well as lubricating the ear canal. However, excessive earwax buildup can lead to blockage, which may cause symptoms such as hearing loss, earache, or a sensation of fullness in the ear. In your case, if you suspect that earwax is contributing to your hearing issues, it is essential to have it evaluated by a healthcare professional.

Regarding the tests you underwent, it is common for doctors to perform multiple assessments to accurately diagnose ear-related problems. Hearing tests, such as audiometry, measure your ability to hear sounds at various frequencies and volumes. This helps determine if there is any hearing loss and, if so, whether it is conductive (related to the outer or middle ear) or sensorineural (related to the inner ear or auditory nerve).
The electromyography (EMG) test you mentioned is less common in routine ear evaluations but can be useful in assessing the function of the muscles around the ear, particularly if there are concerns about muscle spasms or other neuromuscular issues that might affect hearing.
The reason for conducting these tests is to gather comprehensive information about your ear health. A single test may not provide enough insight into the underlying issue, especially if symptoms are ambiguous or if there are multiple potential causes. For instance, if you have both earwax buildup and a possible issue with the auditory nerve or middle ear structures, different tests will help clarify the situation.

If your right ear is experiencing a sensation of "养" (which I interpret as a feeling of fullness or pressure), and your left ear has reduced hearing, it could indeed be related to earwax or other conditions affecting the ear. It’s also worth noting that allergies, sinus issues, or even changes in air pressure can impact ear health and contribute to sensations of fullness or hearing changes.

In terms of next steps, if your symptoms persist or worsen, it would be prudent to follow up with your healthcare provider. They may recommend further evaluation or treatment options, such as earwax removal, medication for allergies, or referral to an ear specialist (otolaryngologist) for more detailed assessment.

In summary, while it may seem overwhelming to undergo multiple tests, each one plays a crucial role in understanding your ear health. If you have ongoing concerns or questions about your results, don’t hesitate to discuss them with your doctor. They can provide clarity and help you navigate your treatment options effectively. Remember, maintaining ear health is essential, and addressing issues early can prevent further complications.