As discussed in the
Emergency Department prior to discharge, you have been diagnosed with an ear
wax (or cerumen) impaction.
Ear wax
impaction is when ear wax builds up enough to cause symptoms. Normally, ear wax helps to protect the
insides of the ears and prevents injury or infection. But having too much ear wax can cause symptoms
such as pain and trouble hearing. The
medical term for ear wax is "cerumen."
Young
children and older adults are more likely than others to have ear wax
impaction.
Several
different things can cause ear wax impaction:
-Diseases
that affect the ear – Some health problems can affect the shape of the inside
of the ear, and make it hard for wax to move out. For example, skin problems that cause skin
cells to shed a lot can lead to wax build-up in the ears.
-A narrow
ear canal – In some people, the ear canals are narrower than in others. These people might be more likely to have ear
wax impaction. A person's ear canal can
become narrower after an ear injury or after severe or multiple ear infections.
-Changes in
ear wax and lining due to aging – As people get older, their ear wax gets
harder and thicker. This makes it difficult
for the wax to move out of the ear as it should.
-Bad
ear-cleaning habits – Some people try to clean their ears using cotton swabs
(Q-Tips) or other tools. This can
actually push the wax deeper into the ear instead of getting it out. Over time, this can cause ear wax impaction.
-Making too
much ear wax – Some people make more ear wax than others. This can happen when water gets trapped in
the ear, or when the ear is injured. But
some people have a lot of ear wax for no obvious reason.
There are
several treatments to remove impacted ear wax.
Doctors and nurses offer these treatments only to people who have
bothersome symptoms. They do not
recommend treatments for removing ear wax in people who have no symptoms, even
if their ears are impacted.
In some
cases, doctors and nurses will remove ear wax in people whose ears are impacted
and who aren't able to let others know if they have symptoms or not. This can include young children, and people
who are confused or have trouble speaking, including some older adults.
There are
several different ways to remove ear wax:
-Ear drops
– Special ear drops can soften ear wax and help it to drain out. Ear drops are not usually safe for people
with an ear infection or damage to the eardrum.
-Rinsing –
In some cases, a doctor or nurse can remove impacted ear wax by squirting water
(or a special liquid) into the ear to rinse it out.
-Special
tools – A doctor or nurse might use a special tool to remove ear wax. There are different types of tools that can
do this safely. These include small
sticks, hooks, and spoons. There are
also tools that use suction to pull the wax out.
"Ear
candling" involves lighting one end of a hollow candle, and putting the
other end in the ear. Ear candling is
not recommended for ear wax removal. It
does not work well and can cause injuries or burns.
Return to
the Emergency Department for persistent loss of hearing, fever (≥38.0 °C or 100.4 °F), worsening pain, or any new or
concerning symptoms.
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