Do I Need Ear Wax Removal? Signs, Symptoms & Solutions

Earwax, or cerumen, is a naturally occurring substance that plays a vital role in maintaining ear health. It helps to trap dust, debris, and microorganisms, preventing them from reaching the delicate structures of the inner ear. Additionally, it has antibacterial properties and helps to keep the ear canal lubricated, reducing the risk of dryness and irritation.

Despite its protective benefits, earwax can sometimes accumulate to excessive levels, leading to blockages that cause discomfort and hearing difficulties. Some individuals are more prone to excessive earwax production due to genetic factors, while others may develop blockages due to lifestyle habits such as frequent use of earphones or hearing aids. The natural process by which earwax migrates out of the ear canal can also be hindered by age, certain skin conditions, or anatomical differences such as narrow ear canals.

In the UK, an estimated 2.3 million people each year experience earwax build-up severe enough to require professional intervention. For most, earwax naturally clears from the ear without causing issues. However, when accumulation becomes excessive, it can lead to a range of symptoms that may necessitate professional removal.

Common Signs That Indicate a Need for Removal

A common indicator of excessive earwax build-up is a decline in hearing clarity. Many individuals experience a gradual reduction in their ability to hear, often describing sounds as muffled or distant. This occurs when accumulated wax forms a physical barrier in the ear canal, preventing sound waves from reaching the eardrum effectively. In some cases, a sudden blockage can result in an abrupt and noticeable loss of hearing in one or both ears. Older adults and individuals with cognitive impairments are particularly susceptible to earwax impaction, with research estimating that between 19–65% of those over 65 and 28–35% of those with cognitive impairment experience significant build-up requiring intervention.

Another common symptom of excessive earwax is discomfort or a feeling of fullness in the ear. This sensation can range from mild irritation to significant pressure, depending on the severity of the blockage. Some individuals may also experience ear pain, particularly if the wax has hardened or become impacted. If left untreated, excessive earwax can sometimes lead to inflammation, increasing the risk of infection.

Tinnitus, a persistent ringing, buzzing, or humming sound in the ears, can also be associated with earwax blockages. When wax accumulates near the eardrum, it can cause irritation and disrupt normal auditory function, leading to the perception of these phantom sounds. While tinnitus can have many underlying causes, an earwax blockage is one of the most easily treatable contributors.

In more severe cases, individuals with excessive earwax may experience dizziness or balance disturbances. The inner ear plays a crucial role in maintaining equilibrium, and blockages can interfere with this function, leading to sensations of vertigo or unsteadiness. This is particularly concerning for older adults, as balance issues can increase the risk of falls and injuries.

Itchiness and discharge from the ear can also be indicative of an earwax problem. While mild itchiness may simply be due to dryness or minor irritation, persistent discomfort or the presence of an unusual discharge may suggest a more significant blockage or an underlying infection. If symptoms persist, it is advisable to seek professional assessment to determine the appropriate course of action.

Why Home Remedies Can Be Ineffective or Harmful

Many individuals attempt to manage earwax build-up at home, but improper techniques can often worsen the problem rather than resolve it. One of the most common mistakes is the use of cotton buds or other objects to try to remove the wax manually. Rather than extracting the wax, this method frequently pushes it further into the ear canal, increasing the risk of impaction and making professional removal more challenging.

Ear candling, a method that involves inserting a hollow candle into the ear and lighting it to create suction, is another widely known but ineffective practice. Research has shown that this technique does not effectively remove wax and can even cause burns, perforated eardrums, or introduce additional debris into the ear canal. The NHS strongly advises against its use due to the potential risks involved.

Over-the-counter ear drops can sometimes help to soften earwax, making it easier for the body to expel naturally. However, they are not always effective in cases where wax has become hardened or impacted. Additionally, individuals with a history of ear infections, perforated eardrums, or underlying ear conditions should exercise caution when using these products, as they may cause irritation or complications.

Given the risks associated with home treatments, professional earwax removal remains the safest and most reliable method for addressing significant build-up.

Professional Earwax Removal at Tranquil Hearing Care

Earwax removal is the most frequently performed ear, nose, and throat procedure in primary care, with approximately 4 million ears irrigated each year in the UK. At Tranquil Hearing Care, our experienced audiologist, Jude Borquaye, provides expert earwax removal services using microsuction. This method is designed to safely and comfortably clear earwax blockages, ensuring optimal ear health and hearing clarity.

Microsuction is widely regarded as the safest and most precise technique for earwax removal. This method involves the use of a specialised suction device that gently extracts wax from the ear canal under direct visual guidance. Unlike irrigation, microsuction does not involve the use of water, making it particularly suitable for individuals with sensitive ears, perforated eardrums, or a history of ear infections.

This procedure is quick, usually taking no more than 30 minutes, and is performed with a high level of care to ensure patient comfort. 

When to Seek Professional Help

If you are experiencing persistent hearing loss, discomfort, tinnitus, dizziness, or a sensation of fullness in the ears, it is advisable to seek professional evaluation. While some cases of mild earwax accumulation may resolve on their own, prolonged symptoms indicate the need for expert care. Delaying treatment can lead to worsening blockages, increased discomfort, and a higher risk of complications such as infections or eardrum damage.

At our Hoddesdon clinic, professional earwax removal is carried out with the highest clinical standards, ensuring safe and effective treatment tailored to each individual’s needs. If you suspect that earwax is affecting your hearing or overall ear health, booking a consultation can provide clarity and relief.

For more information or to schedule an appointment, contact us today.