How to Relieve Ear Congestion and Safely Remove Earwax - Otolaryngology

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Ear fullness sensation?


I used to frequently clean my ears with cotton swabs, but I heard that I shouldn't use them, so I stopped.
However, in the past couple of days, I've felt a bit of pressure in my ears.
When I used an ear pick to clean my ears, I discovered a large amount of earwax that is tightly adhered to the ear canal and is located quite deep.
It also hurts when I try to remove it.
What should I do now?

Yan, 20~29 year old female. Ask Date: 2016/01/12

Dr. Zheng Jueyi reply Otolaryngology


Hello: If you are unable to clear it out on your own and are experiencing pain, it is recommended to visit an otolaryngology clinic for medical assistance.
Wishing you safety and health.
Sincerely, Dr.
Jue-Yi Cheng, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2016/01/12

More Info


Ear congestion and earwax buildup can be uncomfortable and concerning, especially when you experience symptoms like a feeling of fullness or pressure in the ears. It’s great that you’ve stopped using cotton swabs, as they can often push wax deeper into the ear canal and potentially cause damage. Here’s how you can relieve ear congestion and safely manage earwax removal.


Understanding Ear Congestion
Ear congestion can occur for various reasons, including allergies, sinus infections, colds, or even changes in altitude. When the Eustachian tubes, which connect the middle ear to the back of the throat, become blocked, it can lead to a feeling of fullness or pressure. Here are some methods to relieve ear congestion:
1. Yawning and Swallowing: These actions can help open the Eustachian tubes and equalize pressure in the ears. Chewing gum or sucking on candy can also stimulate swallowing.

2. Nasal Decongestants: If your ear congestion is related to nasal congestion, over-the-counter decongestants or saline nasal sprays can help clear your nasal passages and relieve pressure in the ears.

3. Warm Compress: Applying a warm compress to the affected ear can help soothe discomfort and promote drainage.

4. Steam Inhalation: Inhaling steam from a bowl of hot water or taking a hot shower can help loosen mucus and relieve congestion.

5. Avoiding Sudden Pressure Changes: If you’re flying or diving, try to equalize pressure by yawning or swallowing frequently.


Safely Removing Earwax
When it comes to earwax, it’s important to remember that some amount of earwax is normal and beneficial. It helps protect the ear canal from dust, debris, and microorganisms. However, if you feel that you have excessive wax buildup, here are safe methods to consider:
1. Ear Drops: Over-the-counter ear drops can help soften earwax, making it easier to remove. Look for products containing carbamide peroxide or hydrogen peroxide. Follow the instructions on the package for proper use.

2. Irrigation: After softening the wax, you can use a bulb syringe filled with warm water to gently flush out the ear. Tilt your head to the side and gently squirt the water into the ear canal. Allow the water to drain out, and repeat as necessary.

3. Visit a Healthcare Professional: If you’re experiencing pain or if the wax is deeply lodged and difficult to remove, it’s best to consult a healthcare professional. An ear, nose, and throat (ENT) specialist can safely remove earwax using specialized tools and techniques.

4. Avoid Cotton Swabs: As you’ve already noted, using cotton swabs can push wax further into the ear canal and may cause injury. It’s best to avoid them altogether.

5. Hydration: Staying well-hydrated can help keep earwax softer and easier to manage.


When to Seek Medical Attention
If you experience severe pain, hearing loss, or if the earwax is accompanied by discharge or bleeding, it’s important to seek medical attention promptly. These could be signs of an infection or other underlying issues that require professional evaluation.

In summary, relieving ear congestion can often be managed with simple home remedies, while earwax removal should be approached with caution. If you’re ever in doubt, consulting a healthcare professional is always a wise choice. They can provide personalized advice and treatment options based on your specific situation.

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