Earwax, Tinnitus, and When to See an ENT Specialist - Otolaryngology

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It sounds like you're experiencing some persistent issues with earwax buildup and tinnitus, which can be quite uncomfortable. Let's break down your concerns and discuss the appropriate steps to take.


Understanding Earwax and Tinnitus
Earwax, or cerumen, 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, sometimes earwax can accumulate excessively, leading to blockages that may cause discomfort, hearing loss, or even tinnitus, which is the perception of noise or ringing in the ears.

Tinnitus can be caused by various factors, including earwax buildup, exposure to loud noises, ear infections, or underlying health conditions. The "ㄗ" sound you describe could be a form of tinnitus, which can be distressing and may require further evaluation.


Treatment and Management
You mentioned that your doctor prescribed ear drops to help dissolve the earwax, and you used them for a week. It's not uncommon for earwax to be stubborn, and sometimes it may take longer than expected to completely clear it out. If you feel that the ear drops have not resolved the issue, or if your symptoms have returned after a brief improvement, it may indicate that there is still some blockage present.

Here are some steps you can consider:
1. Continue Using the Ear Drops: If your doctor advised you to use the drops for a specific duration, it may be beneficial to continue using them as directed. Ensure you are following the instructions carefully, including the frequency and dosage.

2. Avoid Ear Cleaning Tools: While it may be tempting to use cotton swabs or other tools to remove earwax, this can often push the wax further into the ear canal and cause more blockage. It's best to avoid inserting anything into your ear.

3. Monitor Your Symptoms: Keep track of any changes in your symptoms, including the severity of the tinnitus and any discomfort you may feel. If the tinnitus persists or worsens, or if you experience additional symptoms such as pain, hearing loss, or dizziness, it would be wise to seek further medical advice.

4. Follow Up with an ENT Specialist: Given that your symptoms have persisted for two weeks and you are experiencing tinnitus, it would be advisable to see an Ear, Nose, and Throat (ENT) specialist. They can perform a thorough examination of your ears, potentially remove any remaining earwax, and assess the cause of your tinnitus. An ENT specialist has the tools and expertise to safely remove earwax and evaluate any underlying issues that may be contributing to your symptoms.


When to Seek Medical Attention
You should consider returning to your doctor or seeing an ENT specialist if:
- The tinnitus does not improve or worsens.

- You experience pain, discomfort, or a feeling of fullness in the ear.

- You notice any changes in your hearing.

- You have any other concerning symptoms, such as dizziness or balance issues.

In conclusion, while earwax can often be managed at home with drops, persistent symptoms like yours warrant a follow-up with a healthcare professional. They can provide a more comprehensive evaluation and treatment plan tailored to your needs. Remember, it's always better to err on the side of caution when it comes to your health, especially with symptoms that affect your quality of life.