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Earwax removal for hearing aid users

For hearing aid users, excessive earwax buildup can pose significant problems. Earwax, known medically as cerumen, is produced naturally in the ear canal to trap dirt and debris. However, too much earwax accumulation can cause blocked sound, ringing, distortions, discomfort and even damage to hearing aids. That’s why effective and regular earwax removal is so critical for those who rely on hearing aids.

Fortunately, there are several safe and effective methods to clear out excess earwax. Irrigation with water, manual removal by an audiologist, and the use of at-home ear drops can all provide relief when performed properly. This article will explore the different earwax removal techniques available, with tips for safe use. We’ll also cover when it’s advisable to seek professional help from your audiologist versus an ENT doctor.

Proper ongoing management of earwax is key to ensuring your hearing aids work their best. We’ll go over preventive strategies you can employ daily to avoid excessive buildup. With some care and maintenance, your hearing aids can operate free of earwax issues. Our goal is to provide a comprehensive, reader-friendly guide to earwax control for optimal hearing aid function and hearing health.

The Risks of Excessive Earwax Buildup

Allowing too much earwax to accumulate can negatively impact hearing aid performance and ear health in various ways. Here are some of the common issues that may arise:

Blocked Sound Pathway – Excessive earwax can completely obstruct the ear canal, physically blocking sound from reaching the eardrum. This results in muffled hearing and reduced sound amplification from hearing aids.

Feedback or Distortion – Built-up earwax can cause whistling feedback or distorted sound from hearing aids. This feedback occurs when sound leaks out of the ear canal around the hearing aid.

Discomfort and Pain – Hardened earwax pressed up against the eardrum can cause pain and discomfort. Excess wax can also push hearing aids deeper into the ear canal, rubbing and irritating the skin.

Hearing Aid Damage – Built-up earwax can clog the microphone and speaker ports of hearing aids. The wax can also erode the components over time, shortening the lifespan of the devices.

Infections – Earwax buildup coupled with moisture and bacteria can increased the risk of painful outer ear infections. This may require antibiotic treatment.

These potential issues demonstrate why it is critical for hearing aid users to employ earwax removal techniques regularly. Allowing wax blockages to persist can lead to frustrating hearing problems as well as ear health complications. Consulting an audiologist at the first signs of excess buildup is advised.

Types of Earwax Removal Methods

There are several safe and effective options for removing excess earwax. The most common methods include:


Ear irrigation involves using a gentle stream of warm water to flush out earwax. This can be done using specialized irrigation kits or bulb syringes. The water softens and dislodges the wax so it can drain out.Steps for safe irrigation:

  • Fill syringe/irrigator with warm distilled water or saline solution
  • Tilt head to side and gently direct water into ear canal
  • Allow water to drain out along with loosened earwax
  • Recommended irrigation kits: Doctor Easy, NeilMed, etc.

Manual Removal

Audiologists can use specialized tools to manually remove stubborn earwax. This may involve microsuction, ear curettes, or even gentle lavage. The process requires expertise to avoid ear injury.

  • Microsuction uses a small suction tip to safely vacuum out wax
  • Curettes are tiny instruments that scoop out earwax
  • Lavage uses irrigation combined with manual techniques

Ear Drops

Over-the-counter earwax removal drops can soften wax to make it easier to remove. Look for ingredients like carbamide peroxide or glycerin. Common brand names: Debrox, Murine Ear Wax Removal, etc. Use 3-4 drops in each ear up to 3 times daily.

No single method will work for all cases. An audiologist can recommend the best earwax removal options based on your specific needs and ear canal health. Some trial and error may be required to find what provides lasting relief.

Seeking Professional Help

While some minor earwax blockages can be managed at home, it is important to seek professional help in certain situations:

  • Excessive buildup that persists despite home treatments
  • Complete ear canal blockage or impaction
  • Pain or discomfort from the earwax
  • Hearing changes like sudden loss or muffling
  • History of ear injury, surgery or ear drum perforation
  • Dizziness, ringing in the ear or other symptoms

In these cases, promptly consult an audiologist or ENT (ear, nose and throat) doctor. They can safely and effectively remove troublesome earwax using specialized tools and methods.

What to Expect During Professional Removal

The practitioner will first examine your ear using an otoscope. This helps determine the location and severity of the blockage. They will then select the best removal method.

For irrigation, warm water will be flushed into the ear canal to wash out the wax. This may feel slightly strange but should not be painful.

Manual removal may involve microsuction suctioning or using a cerumen removal tool. More impacted wax may need to be removed in stages over multiple visits.

After wax removal, the audiologist will recheck the ear and likely recommend over-the-counter ear drops to use at home for a few days. This helps prevent recurrence.

Seeking professional earwax removal provides lasting relief and protects the long-term health of your ears. Be sure to follow all post-procedure guidance from your audiologist or ENT specialist.

Earwax Prevention Tips

While periodic earwax removal is expected, there are ways to prevent excessive buildup:

  • Clean hearing aids daily – Use a soft, dry cloth to gently wipe down hearing aids. This removes wax before it can clog the devices.
  • Replace wax guards regularly – Wax guards trap earwax before it blocks sound tubes. Change them as often as recommended.
  • Practice good ear hygiene – Gently wipe outer ears with a warm cloth to remove excess wax. Never insert cotton swabs or other objects into the ear canal.
  • Use humidifiers – Keeping air moist using humidifiers can help prevent dry wax that sticks to ear canal walls.
  • Apply ear drops sparingly – Earwax softening drops can help maintain ear hygiene if used correctly. But overuse can exacerbate buildup.
  • Protect ears from moisture – Use earplugs and shower caps when bathing or swimming since moisture worsens wax issues. Keep ears dry.
  • Avoid ear irritation – Skip ear candling or poking ears with bobby pins, as this can cause blockages.
  • Get professional cleanings – See your audiologist regularly to have your ears checked and get professional cleanings done.

The key is diligent, gentle care of both your ear canals and hearing aids. Preventive strategies like these can minimize earwax problems and reduce the need for removals. But even with good hygiene, periodic wax blockages may occur.

The Importance of Ongoing Earwax Management

While periodic wax blockages are to be expected, the key is managing earwax proactively over the long-term. This ongoing maintenance is critical for several reasons:

Ensures Optimal Hearing Aid Function – Regular cleaning prevents wax from clogging hearing aid components. Prompt removal keeps sound pathways open. Ongoing management means aids provide maximum benefit.

Prevents Ear Damage – Letting severe wax impaction persist can push against the eardrum, causing pain or infection. Proper management prevents this damage.

Prolongs Hearing Aid Life – Wax can erode microphones, receivers and other delicate parts. Regular maintenance prevents buildup that degrades devices.

Provides Audiologist Guidance – Seeing an audiologist routinely means getting expert input on optimal techniques for your ears and hearing needs.

Saves Time and Money – Being proactive reduces need for emergency removal procedures and hearing aid repairs down the line.

Protects Hearing – Catching buildup early keeps ear canals clear to avoid muffled hearing and complications.

While vigilant self-care day-to-day is important, regularly consulting audiologists is key for individualized ear and hearing aid care. Ongoing wax management ensures you get the most out of hearing aids while also protecting your ear health. Make ear and hearing aid maintenance an essential part of your routine.

Case Studies

Getting first-hand accounts can help illustrate when professional earwax removal is advisable. Here are two examples:

Example 1:

John noticed his hearing aids were no longer providing enough amplification. Music sounded muffled and people’s voices were difficult to understand. He had also recently started feeling itchy discomfort in his left ear canal.

Upon inspection, I found a significant earwax blockage in the left canal pressing against his eardrum so I recommended ear wax removal to safely flush out the built-up wax.

After having the procedure done, John’s hearing immediately improved. His ear discomfort also resolved once the wax obstruction was cleared.

Example 2:

Amy had a history of ear infections. She tried an at-home earwax removal kit but began experiencing severe dizziness afterward.

An ENT doctor’s exam showed she had perforated her eardrum during the at-home procedure. The eardrum injury allowed fluid buildup in her middle ear space.

The doctor treated the perforation medically to allow proper healing. Amy was advised to always consult a professional for earwax removal in the future due to her ear’s sensitivity.

These real-life examples demonstrate the importance of seeking expert guidance for earwax removal, especially when complications are present. Trying do-it-yourself remedies without input from hearing professionals can unfortunately backfire and worsen issues.

Summary and Key Takeaways

Regular earwax removal is essential for hearing aid users to ensure optimal device function and ear health. Key points to remember include:

  • Allowing excessive earwax buildup can block sound, cause distortion and feedback, and even damage hearing aids.
  • Safe removal methods include irrigation, manual removal by audiologists, and softening drops.
  • Seek professional help promptly if experiencing symptoms like muffling, pain, or dizziness.
  • Audiologists and ENTs can provide complete wax removal using specialized tools.
  • Prevent buildup by cleaning hearing aids daily, practicing good ear hygiene, and getting regular ear checks.
  • Ongoing management ensures hearing aids work their best while preventing ear issues.
  • Real-world cases demonstrate the importance of expert guidance for complicated wax blockages.

While periodic wax accumulation is normal, following the recommendations in this guide can help maximize hearing aid function while avoiding common problems. Consult your hearing care professionals if any symptoms concern you or persist despite home treatment. With some diligent care, you can keep earwax from interfering with good hearing.

About the Author

Ben Horlock Audiologist

Ben Horlock Audiologist

Ben Horlock RHAD MHSAA, is an accomplished audiologist deeply committed to delivering remarkable audiological services.

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