Earwax blockage and buildup: Causes & treatment

Last update on Jul, 26, 2025

Earwax serves an essential function in protecting and cleaning our ears. However, excessive earwax can sometimes cause blockages, leading to pain, ringing in the ears (tinnitus) and even hearing loss. Knowing how to recognize and resolve earwax blockages can help you find relief quickly.

Where does earwax come from?

Earwax, or cerumen, is a waxy substance produced by the glands in your ear canal. The body naturally makes earwax to coat, protect and lubricate the lining of the ear canal. Earwax can also trap dust and bacteria, preventing small objects from entering and damaging the ear. Without earwax, our sensitive ear canals would be vulnerable to harmful germs, dust and objects that could cause infections or damage. 

What is earwax blockage?

Even though earwax is naturally occurring and crucial to the health of our ears, there’s a delicate balance between the right amount and too much. When too much earwax buildup is in the ear canal, you may experience earwax blockage, also known as cerumen impaction.

What causes earwax blockage?

Earwax is naturally designed to make its way to the opening of your ear and be washed away or fall out on its own. When this doesn’t happen as it should, you get earwax buildup. 

But what causes earwax buildup? Some people naturally produce more earwax than the body can efficiently get rid of, which can lead to buildup. In many cases, earwax buildup is due to external factors, such as wearing earplugs, earbuds or hearing aids that are placed inside the ear canal and can disrupt the movement of earwax.

Earwax blockage can also happen if you use Q-tips to get earwax out on your own. Instead of removing wax, you’re more likely to push it deeper into the ear canal, causing it to become impacted. 

How to tell if you have earwax buildup

How do you know if you have earwax buildup? While earwax is normally helpful, it can sometimes build up and cause blockages, leading to discomfort and other noticeable symptoms.

One of the most common signs of earwax buildup is a sensation of fullness or pressure in the ear. You might also notice a reduction in hearing, with sounds seeming muffled or distant. Other possible symptoms include ringing in the ears (tinnitus), itching, dizziness, or even mild ear pain. These symptoms can affect one or both ears and may develop gradually over time.

People who use hearing aids or earphones may find that wax buildup interferes with sound quality or causes whistling noises due to feedback. If your hearing aid suddenly seems less effective, earwax may be the cause .

It’s important to avoid inserting cotton swabs or other objects into your ears to remove wax. This can push the wax further in and worsen the blockage. If symptoms persist or become bothersome, it’s best to consult a healthcare professional. They can safely examine your ears and remove any excess wax using specialized  tools or techniques like microsuction.

Keeping up with regular ear care—especially if you wear hearing aids—can help prevent buildup and keep your ears healthy.

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What are side effects of earwax blockage?

Earwax blockage is one of the most common causes of conductive hearing loss—the term for hearing loss caused by issues that prevent sound from being delivered to and through the ear canal, ear drum or middle ear. Other earwax blockage side effects include:

Who is most likely to develop impacted earwax?

You may be more likely to develop impacted earwax if;

  • You have narrow ear canals
  • You have a lot of ear hair, dry or hard earwax
  • Your body naturally produces an excess of earwax

What else causes impacted earwax? Having foreign objects in the ear, such as hearing aids or headphones, can stimulate wax production and keep wax from naturally falling out on its own, potentially leading to impacted earwax. 

Do hearing aid wearers get blocked earwax more?

Hearing aid wearers are often at higher risk of developing impacted earwax because the devices prevent wax from falling out naturally.  If you wear hearing aids and experience issues such as feedback, poor fit or reduced effectiveness, earwax may be the culprit.

Excessive earwax not only affects your ears but can damage your devices. In fact, excessive earwax is one of the most common causes of hearing aid malfunction. If you notice a buildup of earwax in your hearing aids, you might need to clean your devices more often. Follow these steps to clean your hearing aids and keep them wax-free: 

  • Use a special brush from your hearing care professional to clear away wax on the earpiece and a pick or multi-tool to remove the particles inside.
  • Wipe down the outside of your devices with a soft, dry cloth.
  • Store your devices in a drying chamber overnight.
  • Regularly check and change your hearing aid wax filters.

If you want more information on what dissolves earwax from hearing aids or how to properly care for your hearing aids at home, talk to your hearing care professional at your local Miracle-Ear store.

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How much earwax is too much?

The amount of earwax your body produces is unique to you. There is no specific amount that is considered “too much,” but some people do produce more earwax than the body needs to coat and protect the ear canal.

If the amount of earwax you produce causes frequent impaction or you start to notice symptoms of impacted earwax, see your healthcare provider to discuss removal techniques. 

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How to remove earwax blockage

Removing earwax blockage can offer relief, but if done incorrectly, it may do more harm than good. There are medical and natural methods to remove earwax blockage, but it’s important to consult with your doctor or hearing care professional before attempting any removal process

Learning how to remove earwax naturally can save you a trip to your doctor’s office. To remove earwax, try softening or irrigation techniques designed to encourage natural drainage of impacted earwax. Here’s how to remove earwax blockages fast at home:

  1. Flush the affected ear out by filling a syringe with saline or sterile water (never tap water) at body temperature
  2. slowly bathe the ear canal in the solution
  3. tilt your head onto a towel to allow the solution and wax to drain

If the wax is hard, you may need a softening agent. You can start with a few drops of baby oil, mineral oil, glycerin or hydrogen peroxide to soften the wax. Or you may opt for over-the-counter earwax removal drops. These treatments can be effective, but always consult your doctor or hearing care provider before attempting any home remedies, especially if you wear hearing aids.

Warning: If you have diabetes, a weakened immune system, ear tubes or a hole in the ear drum, do not use irrigation kits. If water gets into the middle ear, it can cause a serious infection.

If home remedies aren’t working, or you’re experiencing ear pain, bleeding or drainage, you should visit a doctor. They will talk you through how to remove earwax blockages, and they may try a number of methods to remove them—including irrigation to dislodge and flush out the blockage or suction to pull out particularly stubborn blockages. Your provider may also use a small, curved tool called a curet to manually remove the impacted wax.  

Don’t try to dig earwax out yourself using home implements like a cotton swab, paperclip or hairpin. These methods are ineffective, as you typically push the earwax deeper into the ear canal, making the impaction worse. They can also be dangerous. You may push too far and damage your eardrum.

If you’re curious about how to remove earwax without Q-tips, you’re already on the right track because they really should not be used for the task. Instead, consult with your healthcare provider for safer at-home removal options. 

How can I prevent earwax buildup?

Learning how to prevent wax buildup in ears can save you from experiencing painful impaction.

To start, avoid cleaning your ears with foreign objects like cotton swabs. If you can, limit the use of earbuds or earplugs, as any foreign object can trigger increased earwax production. If you rely on hearing aids, be sure to keep your ears as clean and dry as possible and follow the advice of your hearing care provider on how to clean and care for your device.

It’s also important to have regular checkups with your doctor or hearing care provider to make sure earwax is not building up and causing hearing loss to worsen.  

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When should I see my healthcare provider?

While there’s no such thing as an earwax doctor, the following professionals can help you with earwax problems or direct you to a specialist who can:

  • Licensed practical nurse (LPN)
  • Registered nurse (RN)
  • Otolaryngologist (ENT)
  • Audiologist
  • Miracle-Ear hearing care professional (HCP)

See a medical professional right away if you experience any of the following symptoms:

  • Ear pain
  • Sudden hearing loss
  • Dizziness
  • Cough
  • Itchiness
  • Odor or drainage from the ear
  • Bleeding from the ear

Taking care of your ear health is important, but doing it in the right way is crucial. Don’t let problems go untreated, and keep up a regular schedule of annual hearing tests to stay on top of your hearing health for the long term.

FAQs on earwax buildup

If you’re experiencing symptoms of earwax buildup—like muffled hearing, pressure in the ear, or ringing—you're probably looking for a fast solution. While earwax often clears on its own, there are safe ways to speed up the process.

  • Use ear drops: Over-the-counter ear drops are designed to soften hardened wax, making it easier for your ear to naturally expel it. Look for drops containing ingredients like hydrogen peroxide, saline, or carbamide peroxide. Tilt your head and apply the drops as directed, usually for a few days.
  • Try warm water irrigation: After using softening drops for a day or two, you can gently flush your ear using a rubber bulb syringe and warm (not hot or cold) water. Tilt your head, pull your ear up and back, and squirt the water gently into the ear canal. Let the water drain naturally.
  • Avoid cotton swabs: While it may be tempting, avoid using cotton swabs or other objects to “dig out” wax—this can push the blockage deeper or damage your ear canal.

See a professional: If home treatments don’t work or you experience pain, hearing loss, or dizziness, it’s best to consult your primary care provider. Professionals can remove wax quickly and safely using tools like microsuction, curettes, or irrigation under direct visual guidance. For people who wear hearing aids, regular ear checks are especially important, as wax buildup can affect sound quality and comfort.

If you're looking for natural ways to remove excess earwax, there are several gentle and safe methods to try at home.

  • Warm water rinse: A simple warm water rinse can help loosen earwax. While in the shower, gently let warm (not hot) water flow into the ear, then tilt your head to let it drain out. Avoid using force and never insert anything into the ear canal.
  • Natural oils: Olive oil, almond oil, or coconut oil can soften hardened earwax. Warm the oil slightly (just above room temperature), use a clean dropper, and place 2–3 drops into the affected ear. Keep your head tilted for a few minutes, then wipe away any excess. Repeat once or twice daily for a few days.
  • Steam inhalation: Inhaling steam can help loosen earwax by softening it through warmth and moisture. Boil water, pour it into a bowl, place a towel over your head, and inhale deeply for 10–15 minutes. This can also soothe sinus congestion that may be affecting you ears.
  • When to see a professional: If natural methods don’t provide relief or you experience pain, dizziness, or hearing loss, consult a healthcare professional . Avoid using ear candles or inserting objects into your ears, as these can cause more harm than good.

Yes, earwax buildup can cause vertigo  or  dizziness in some cases. When too much wax accumulates in the ear canal, it can press against the eardrum or affect the inner ear structures that help control balance. This pressure or disruption may lead to sensations of dizziness, unsteadiness, or even spinning—known as vertigo. Other related symptoms might include:

  • A feeling of fullness or pressure in the ear
  • Muffled hearing or temporary hearing loss
  • Ringing in the ears (tinnitus)
  • Discomfort or itchiness in the ear

Vertigo caused by earwax is usually mild and resolves once the blockage is removed. However, it’s important not to try removing the wax with cotton swabs or other objects, as this can push it deeper or damage the ear canal.

If you’re experiencing persistent dizziness or vertigo, it's best to see a healthcare professional. They can examine your ears, safely remove any wax buildup, and rule out other potential causes—such as inner ear infections, vestibular disorders, or neurological conditions.

In summary, while not the most common cause, earwax buildup can contribute to dizziness or balance issues, especially if the blockage affects the ear's natural pressure or sound conduction. Professional evaluation ensures safe treatment and peace of mind.

While not common, earwax buildup can cause discomfort—and in some cases, even headaches. Some people find that a significant wax blockage leads to a dull, aching sensation that spreads from the ear to the surrounding areas of the head.

This type of headache often occurs due to pressure. When earwax presses against the eardrum or causes a blockage, it can irritate nearby nerves and tissues, leading to tension or discomfort in the temples, jaw, or side of the head. Some people also report feeling a sense of pressure or heaviness that can contribute to head pain.

In addition to headaches, excessive earwax may cause other symptoms such as muffled hearing, a feeling of fullness in the ear, tinnitus (ringing or buzzing), dizziness, or itchiness.

If you suspect earwax is the cause of your discomfort, it’s important not to use cotton swabs or insert anything into your ears, as this can push the wax deeper and potentially worsen the problem. Instead, you can try over-the-counter ear drops designed to soften the wax. If symptoms persist, it’s best to see a healthcare professional. They can safely remove the buildup and relieve the pressure.

While earwax isn’t a common cause of headaches, it can contribute to head pain when the buildup becomes excessive—especially in people who are more sensitive to changes in ear pressure.

Yes, earwax buildup can cause tinnitus and ear ringing.

When too much earwax accumulates in the ear canal, it can block sound from reaching the eardrum properly. This blockage can create pressure and irritation in the ear, which may lead to tinnitus—a condition often described as hearing ringing, buzzing, or humming sounds when no external noise is present.

The ringing caused by earwax buildup is typically temporary and can go away once the wax is safely removed. It occurs  because the wax interferes with normal hearing and stimulates the auditory nerves, confusing the brain's perception of sound. Some people also report a sense of fullness in the ear or muffled hearing along with the tinnitus.

In more severe cases, impacted earwax may press against the eardrum or irritate the sensitive skin of the ear canal, making the tinnitus more noticeable. This is particularly common among people who wear hearing aids or use earplugs regularly, as these can push wax further into the ear.

To relieve ringing caused by wax buildup, it’s important to consult a healthcare professional who can remove the wax safely

In short, tinnitus caused by earwax buildup is usually reversible with proper care. If the ringing continues after wax removal, it may be worth exploring other causes with a hearing care professional. 

In some cases, earwax, or cerumen, can cause pain.

Pain from earwax buildup typically occurs when the wax becomes impacted or hardens deep in the ear canal. This can lead to a sensation of pressure or fullness, and the trapped wax may irritate the delicate skin inside the ear. For some, the pain is a dull ache, while others may experience sharper or more radiating pain that extends to the jaw or side of the face. This discomfort is often worse when the wax presses against the eardrum or when there's an attempt to remove it improperly.

In addition to pain, earwax buildup may also cause muffled hearing, tinnitus (ringing or buzzing in the ear), itchiness, or dizziness. These symptoms are more common in people who frequently use hearing aids, earplugs, or earbuds, as these devices can push wax further into the canal.

If you’re experiencing ear pain and suspect that earwax is the cause, it’s best not to attempt removal at home. Instead, consult a healthcare professional. They can assess the blockage and remove the wax safely, relieving the pressure and discomfort without risking damage to the ear.

Fortunately, in many cases, you can safely remove earwax at home using simple methods.

One of the most effective ways is to use ear drops. Over-the-counter drops made from saline, hydrogen peroxide, or carbamide peroxide can help soften hardened wax, making it easier for your ear to naturally expel it. Just tilt your head, apply the recommended number of drops, and let them sit for a few minutes before draining.

Natural oils like olive oil or almond oil can also be used. Warm the oil slightly (never hot), place 2–3 drops into the affected ear, and keep your head tilted for several minutes. Repeat once or twice daily for a few days to loosen the wax.

Another gentle method is warm water irrigation. After softening the wax for a few days, use a bulb syringe with warm (not hot) water to gently flush the ear canal. Let the water drain out and dry your ear thoroughly afterward.

Important: Avoid using cotton swabs, hairpins, or other objects inside your ears, as these can push wax deeper or damage the ear canal.

If symptoms persist or worsen, consult a hearing care professional for safe and professional removal.

Over-the-counter ear drops are a common first-line treatment to soften and remove excess wax, but choosing the right product is essential for both safety and effectiveness.

When selecting ear drops, look for ingredients specifically designed to soften earwax. Common active agents include hydrogen peroxide, carbamide peroxide, sodium bicarbonate, and olive oil. Peroxide-based drops work by releasing oxygen to break down hardened wax, while oil-based options lubricate and loosen the wax gently.

If you have sensitive skin, a history of ear infections, or a perforated eardrum, consult a hearing care professional before using any ear drops. Oil-based formulations, like olive oil or almond oil, tend to be gentler and may be more suitable for sensitive ears.

Ease of use is another factor to consider. Some ear drops come with applicators or pre-measured droppers to help avoid overuse. Always follow the instructions on the packaging and avoid inserting cotton buds or other objects into the ear canal after applying drops.

If symptoms such as pain, discharge, or hearing loss persist after using drops for several days, seek medical advice. In some cases, professional ear cleaning may be necessary.

Ultimately, the best ear drops are those that suit your individual needs and health status. When in doubt, speak to a hearing care professional  to ensure you’re making a safe and effective choice.

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