Safe Ways to Remove Earwax in Toddlers: A Guide for Parents

How to remove earwax?

Hello Dr.
Wang: My daughter is currently two years and three months old.
Recently, I discovered that she has a large amount of earwax (dry earwax) in both of her ears.
Could you please advise me on how to help my daughter remove the earwax? Or is it okay to leave it alone?

Xiao Fen, 30~39 year old female. Ask Date: 2007/02/13

Dr. Wang Jiayi reply Pediatrics

Hello Xiaofen,
I apologize for the delay in my response due to the holiday break.
If your daughter's earwax is not causing her any discomfort, it does not need to be removed.
If the earwax is large and noticeable, you can carefully remove it with an ear scoop or tweezers while she is sleeping, ensuring that you do not injure the ear canal or eardrum.
If necessary, you may seek assistance from an otolaryngologist.

Best regards from the Pediatrics Department of Hualien Hospital.
Wishing you a Happy New Year!

Reply Date: 2007/02/13

More Info

When it comes to earwax removal in toddlers, it's essential to approach the situation with caution and care. Earwax, or cerumen, serves a protective function in the ear canal by trapping dust, debris, and microorganisms, preventing them from reaching the eardrum. In most cases, the ear is self-cleaning, and earwax will naturally migrate out of the ear canal. However, if you notice a significant buildup, especially if it appears to be causing discomfort or affecting your child's hearing, it may be necessary to take action.

Here are some safe methods for earwax removal in toddlers:
1. Avoid Cotton Swabs: It is crucial to avoid using cotton swabs (Q-tips) in your child's ears. While it may seem like a quick solution, cotton swabs can push the wax further into the ear canal, potentially leading to impaction or even injury to the ear canal or eardrum.

2. Use a Damp Cloth: For cleaning the outer ear, you can use a damp washcloth to gently wipe the visible parts of the ear, including the outer ear and the area around the ear canal. This can help remove any excess wax that has migrated outward.

3. Ear Drops: If you suspect that there is a significant buildup of earwax, you can use over-the-counter ear drops designed for earwax removal. These drops typically contain ingredients like hydrogen peroxide or carbamide peroxide, which help soften the wax. Follow the instructions on the package carefully.

4. Warm Water Rinse: After using ear drops, you can gently rinse the ear with warm water during bath time. Tilt your child's head to the side to allow the water to flow into the ear canal, then let it drain out. This can help flush out softened wax.

5. Consult a Healthcare Professional: If you are unsure about how to proceed or if your child is experiencing discomfort, it is best to consult a pediatrician or an ear, nose, and throat (ENT) specialist. They can safely remove earwax using specialized instruments and ensure that there are no underlying issues.

6. Signs of Complications: Be vigilant for any signs that may indicate a problem, such as persistent ear pain, difficulty hearing, or discharge from the ear. If you notice any of these symptoms, seek medical attention promptly.

Regarding your concern about leaving the earwax alone, if your child is not showing any signs of discomfort, pain, or hearing issues, it is generally safe to leave it alone. The ear is designed to manage earwax naturally, and many children will not require any intervention. However, regular check-ups with your pediatrician can help monitor ear health.

In conclusion, while earwax is a normal and protective substance, excessive buildup in toddlers can sometimes require intervention. Always prioritize safety by avoiding cotton swabs and considering gentle methods for removal. If in doubt, consulting a healthcare professional is the best course of action to ensure your child's ear health is maintained.

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