Managing Ear Discharge: Safe Practices and Home Remedies

Ear problems

If a doctor finds that there is dried pus in the ear, is it advisable to use a cotton swab dipped in mineral oil? Also, can a menthol ointment be applied? What should be done after the pus has dried in the ear? My friend goes to a hair salon where the owner helps clients clean their ears.
If there is hard earwax, she uses a cotton swab dipped in mineral oil, claiming it softens the earwax so it can be removed more easily.
Doctor, do you think it's safe to use mineral oil in our ears, or are there other methods?

Xiao Bu, 20~29 year old female. Ask Date: 2011/02/18

Dr. Xu Jiazhen reply Otolaryngology

Hydrogen peroxide can essentially be considered a type of disinfectant.
It is commonly used to soften hard earwax in the external auditory canal, but it is important to remove it immediately and rinse with clean water.
However, it is not recommended for patients with a perforated eardrum, as it is toxic to our cells.
If it enters the middle ear through a perforation, it can cause damage to nerves and other delicate structures.
Therefore, it is best to avoid using hydrogen peroxide in patients with otitis media.

Reply Date: 2011/02/18

More Info

Managing ear discharge and maintaining ear health is crucial for preventing infections and ensuring overall well-being. When it comes to ear discharge, particularly if it is thick or has a foul odor, it is essential to approach the situation with caution. Here are some safe practices and home remedies to consider:
1. Avoid Inserting Objects: It is generally not advisable to use cotton swabs or any other objects to clean the ear canal. Inserting cotton swabs can push earwax deeper into the ear canal, potentially causing blockages or even damaging the eardrum. Instead, the outer ear can be gently cleaned with a damp cloth.

2. Use of Olive Oil or Mineral Oil: If earwax is hard and dry, using a few drops of olive oil or mineral oil can help soften it. This can be done by placing a few drops in the ear, allowing it to sit for a few minutes, and then tilting the head to let it drain out. This method is generally safe and can help facilitate the natural expulsion of earwax.

3. Hydrogen Peroxide Solution: A diluted solution of hydrogen peroxide (usually a 3% solution mixed with equal parts water) can also be used to soften earwax. A few drops can be placed in the ear, and after a few minutes, the head can be tilted to allow it to drain out. However, this should be done cautiously, especially if there is any suspicion of a perforated eardrum.

4. Avoiding Irritants: It is important to avoid using products like menthol ointments (such as the one you mentioned, "曼秀雷敦") in the ear canal. These products are not designed for use in the ear and can cause irritation or allergic reactions.

5. Consulting a Healthcare Professional: If there is persistent ear discharge, especially if it is accompanied by pain, fever, or hearing loss, it is crucial to seek medical attention. An ear, nose, and throat (ENT) specialist can provide a thorough examination and appropriate treatment, which may include prescription ear drops or other interventions.

6. Hygiene Practices: Maintaining good ear hygiene is essential. Avoid exposing the ears to excessive moisture, and after swimming or bathing, gently dry the outer ear with a towel. If water gets trapped in the ear, tilting the head to the side or using gravity can help drain it out.

7. Regular Check-ups: For individuals who frequently experience earwax buildup or discharge, regular check-ups with a healthcare provider can help manage the situation effectively. They can perform professional cleaning and provide personalized advice based on individual ear health.

In summary, while softening earwax with oils can be beneficial, it is essential to avoid inserting cotton swabs or other objects into the ear canal. If there are concerns about ear discharge or ear health, consulting a healthcare professional is the best course of action. Taking proactive steps in ear care can help prevent complications and maintain optimal ear health.

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