How Often Should You Clean Your Ears? Tips from ENT Experts - Otolaryngology

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Frequency of Ear Cleaning


Hello! I usually clean my ears with cotton swabs after showering, but I've heard that it's not advisable to clean the ears too often.
How often should I clean my ears? Is it okay to use cotton swabs every day? Also, I've noticed a thumping sound in my right ear when I clench my teeth, but there is no pain or difficulty when opening my mouth.
Should I get this checked, or should I wait a few more days? It's been three days already.
Thank you!

Livia, 20~29 year old female. Ask Date: 2016/01/14

Dr. Zheng Jueyi reply Otolaryngology


Hello: Generally, there is no specific frequency for cleaning the external auditory canal, and it is usually not necessary to use cotton swabs for cleaning every day.
If there is a clicking sound when biting, it may indicate a problem with the temporomandibular joint or the external auditory canal.
If there is no improvement after a week of observation, it is advisable to seek medical evaluation.
Wishing you safety and good health.
Sincerely, Dr.
Jue-Yi Cheng, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/01/14

More Info


When it comes to ear hygiene, it's essential to understand that the ears have a natural self-cleaning mechanism. Therefore, frequent cleaning is generally unnecessary and can sometimes lead to more issues than it solves. According to ENT specialists, the best practice is to clean your ears only when needed, rather than on a regular schedule.
Using cotton swabs to clean your ears is not recommended. While it may seem like a convenient tool, cotton swabs can push earwax deeper into the ear canal, potentially leading to blockages or even damage to the eardrum. Instead, if you feel the need to clean your ears, it's better to use a damp cloth to wipe the outer ear. If you experience excessive earwax buildup or discomfort, it's advisable to consult a healthcare professional who can safely remove the wax.

As for how often you should clean your ears, the general consensus is that if you are not experiencing any discomfort, hearing loss, or other symptoms, you do not need to clean your ears regularly. For most people, cleaning once every few weeks or even less frequently is sufficient. If you find that earwax builds up quickly, it may be worth discussing with an ENT specialist to determine if there are underlying issues contributing to the excessive wax production.

Regarding your specific situation with the "thumping" sound in your right ear when you bite down, this could be related to several factors. It might be a form of Eustachian tube dysfunction, where the tube that connects the middle ear to the back of the nose does not open properly, leading to pressure changes that can create sounds. Alternatively, it could be related to jaw issues, such as temporomandibular joint (TMJ) dysfunction, which can cause sounds in the ear when the jaw moves.

Given that this sensation has persisted for three days, it would be wise to monitor it closely. If the sound continues or if you develop any additional symptoms such as pain, hearing changes, or dizziness, it would be prudent to seek an evaluation from an ENT specialist. They can perform a thorough examination and determine if any treatment is necessary.

In summary, avoid frequent cleaning of your ears, especially with cotton swabs. Clean only when necessary, and if you have concerns about earwax buildup or any unusual sounds or sensations in your ears, consult a healthcare professional for personalized advice and treatment options. Keeping your ears dry and avoiding inserting objects into the ear canal are also key practices for maintaining ear health.

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