Some people may never have trouble with ear wax, while others are more prone to buildup. Being aware if you are at risk can help you figure out if you have a wax plug.  People who use hearing aids or ear plugs are more likely to have impacted wax.  Those who use cotton swabs or put other items in their ears are more likely to experience wax plugs.  Older people and those with developmental disabilities are more likely to have wax buildup.  Some people have ear canals that are shaped in such a way that it is difficult for the body to naturally remove wax. The best way to determine if you have a wax plug is to see a doctor, but you may want to try home treatments first. Before you begin any type of home treatment for a wax plug, it’s important to determine that you have a one. This can help ensure that you don’t use a treatment that could cause harm or that you don’t have another condition such as an ear infection. You can purchase a special light (an otoscope) to look into the ear that is made for people who are not doctors for $10-$30 online or at some drug stores. A family member or friend can help you determine if you may have ear wax by using this tool. It can be relatively easy to determine if you have impact wax by recognizing the symptoms. From feelings of fullness to discharge, there are several signs that you may have a wax plug that requires removal.  A feeling of fullness or sensation that the ear is plugged may accompany impacted cerumen. You may also feel like your ears are itchy.  Noises in the ear, called tinnitus, may be present with a wax plug.  You may experience partial hearing loss that gets worse with impacted wax.  You may have an earache or mild pain with cerumen plugs.  You may notice mild discharge that looks like wax from your ears with impacted cerumen.  You might notice a mild odor emanating from your ear.  If you have severe ear pain, a fever, or drainage that looks or smells like pus, you should see a doctor to make sure you don't have an ear infection. You can clean the outside of your ear canal with a cloth or paper tissue. This may help remove discharge or any wax that has worked its way outside of your inner ear.  Use a soft cloth to wipe around the outside of your ear and on your outer ear canal. If you like, you can wet the cloth slightly with warm water.  Wrap a paper tissue around your finger and gently wipe your outer ear and outer ear canal with the tissue. For those people with minimal to moderate amounts of ear wax, use an over the counter wax removal preparation. This can help clear any impacted wax.  Most over the counter drops are oil and peroxide solutions. The hydrogen peroxide will not dissolve your wax, but help it move through the ear canal. Make sure to follow the package instructions for using the products to help ensure you don’t cause further problems. If you have an eardrum perforation or suspect that you may, do not use an over the counter preparation. You can purchase over the counter ear wax removal drops at most pharmacies and some large retailers. In addition to over the counter wax treatments, you can also use simple household oils or glycerin drops to relieve wax plugs. These treatments soften ear wax, making it easier to clear out of your ear canal.  You can use baby or mineral oils as a treatment. Place a few drops of baby or mineral oil in each ear and let it sit for a few minutes before allow it to drain out. You may also try olive oil. However, one study found that water was more effective at removing ear wax than olive oil.  There are no studies about how often its helpful to use oil or glycerin drops, but no more than a few times a week should be fine. Irrigating, sometimes called “syringing,” is one of the most common methods of removing wax plugs from the ears. Try washing your ear by irrigation if you have large amounts or stubborn ear wax. You may want a friend or family member to help you with irrigation.  You’ll need a medical syringe to use this method, which you can buy at most pharmacies.  Fill the syringe with body temperature water. Using cooler or warmer water may cause dizziness or vertigo.  Hold your head upright and gently pull the outside of your ear upward to straighten your ear canal.  Inject a small stream of water into your ear canal by where the wax plug is located.  Tilt your head to drain the water.  You may need to perform an irrigation several times in order to clear away the impaction.  One study showed that injecting a small amount of water or oil into your ear before irrigation may help remove the wax more quickly. Never use a water jet device designed for teeth to irrigate your ears. You can purchase a suction device or vacuum to remove ear wax. Although studies show that this treatment is ineffective, you may find it works for you. You can get ear wax suction devices at many pharmacies or large retailers. Once you’ve removed your ear wax plug, it’s important to dry your ear thoroughly. This can help ensure that you don’t get an infection or experience other problems.  You can use a few drops of rubbing alcohol to dry out your ear.  A hair dryer set to low can also help dry out your ear. Understand that every person needs a certain amount of wax to help prevent ear infections. Avoid cleaning your ears too often or using instruments such as cotton swabs to help keep a healthy amount of wax in your ears.  Only clean your ears as often as you feel they require it. If you notice you need to clean your ears daily or excess discharge, see your doctor.  Using instruments such as cotton swabs or hair pins can force wax into your ear instead of removing it, and may cause infection or other problems.  Using instruments can also perforate your ear drum and lead to infection or hearing loss. ” Some Eastern or holistic medical practitioners may suggest “candling” to remove wax plugs. This treatment, which involves dripping candle wax into the ear, is generally considered ineffective and may be dangerous. If candling is done without the supervision of a professional, it can burn your ear canal, and cause hearing loss or infection. In the case that you're not able to remove the ear wax or it gets worse with home treatments, consult your doctor.
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