How to remove stubborn ear wax at home with natural remedies

Hannah Roberts

May 22, 2020, 05:00 IST

How to remove stubborn ear wax at home with natural remedies

Q-Tips are not the best way to remove stubborn ear wax.Voyagerix/Shutterstock

You may be able to remove stubborn ear wax at home with ear drops, or with natural remedies like oils and baking soda.
You should never attempt to pick out ear wax with certain objects, including Q-Tips, which can push wax farther in your ear.
Sometimes, impacted ear wax will need to be treated by a doctor, and you should always check with a medical professional before trying these home remedies.
This article was medically reviewed by Omid Mehdizadeh, MD, otolaryngologist and laryngologist at the Pacific Neuroscience Institute's Pacific Eye, Ear & Skull Base Center at Providence Saint John's Health Center in Santa Monica, CA.

Ear wax is a fatty substance produced in your ear canal. The wax — medically known as cerumen — cleans your ears, protects them from infection, and lubricates the ear canal to stop it from becoming too dry.

Normally, ear wax will dry up and fall out of your ear over time. However, some people produce more than necessary, and the excess can accumulate in the ear canal and cause buildup or blockage. This is known as impacted ear wax.

Impacted ear wax

Impacted ear wax is a common condition. It affects an estimated:

6% of the general population
10% of children
More than 30% of the elderly and cognitively impaired

Impacted ear wax is especially common among the elderly because wax tends to become harder and less mobile, so it's less likely to work its way out. Hearing aids or earplugs can also prevent extrusion and cause blockage.

Although it's possible to have impacted ear wax and experience no symptoms, it may cause the following:

A feeling of fullness in the ear
Earache
Difficulty hearing or hearing loss
Ringing in the ear, known as tinnitus
A feeling of itchiness in the ear
Discharge from the ear
Odor coming from the ear
Dizziness

If you struggle to hear or repeatedly feel ear pain, you should check in with a doctor, says Jerry Lin, MD, PhD, an ear, nose, and throat specialist at the University of Louisville, who can recommend the best course of treatment for you.

Sometimes, you will have to visit the doctor, who can perform clinical irrigation or manually remove ear wax with a special instrument.

Other times, you can use ear drops to remove ear wax at home. Here's how.

Natural remedies to effectively remove ear wax at home

Ear drops are liquid solutions — known scientifically as cerumenolytic agents — which help thin, soften, break up, or dissolve ear wax, so it can leave the ear.

Drops are available over the counter, and common name brand ear drops include Debrox, Hylands, and Similasan. Typically, up to five drops are used at a time, one to two times daily, for three to seven days.

Here's how to use them at home:

Check the label first to see how many drops are required.
Wash your hands with soap and water. Make sure you rinse the soap off and completely dry your hands to avoid getting soap and water into your ear.
Carefully remove the dropper from the bottle. Be sure the plastic part of the dropper does not touch anything.
Lie on your side or back with the impacted ear facing upward.
Put the correct number of drops into your ear, according to the instructions.
Gently pull the earlobe up and down to allow the drops to run into the ear.
Remain lying down with the infected ear upward, according to how long the instructions say, which is usually two to five minutes.

Lin says that ear drops work immediately after use, though they may require a few tries to remove especially stubborn ear wax.

While there is limited published evidence on the effectiveness of drops, one study suggests that using them for five days is more likely to completely clear the excessive wax than no treatment at all.

Use oil or baking soda

There are other ways you can remove ear wax at home with natural substances, though they will likely take longer to work than ear drops.

Oils, such as baby oil, mineral oil, coconut oil, olive oil, or glycerin — a natural compound derived from vegetable oils or animal fats — can be used to soften and remove ear wax.

Here's how to do it:

Apply the oil. Tilt your head to the side and — using an eyedropper, or dropper bottle — apply a few drops of your oil of choice into the ear canal.
Drain it out using warm water. After a day or two, when the wax is softened, use a rubber-bulb syringe to gently squirt warm water into your ear canal. Tilt your head and pull your outer ear up and back to straighten your ear canal. When finished irrigating, tip your head to the side to let the water drain out.
Dry your ear canal. Use either a towel or hair-dryer on low or no heat to gently dry your ear canal. This is optional, according to Lin.
Repeat, if necessary. You can try this method multiple times every few days until the excess ear wax is removed.

Alternatively, you may also be able to remove ear wax with a baking soda solution:

Create the baking soda solution. Dissolve half a teaspoon of baking soda in two ounces of warm water. If you have a dropper bottle, pour the solution into it.
Apply to your ears. Tilt your head to the side, and using an eyedropper or dropper bottle, drop five to ten drops of the solution into your ear.
Drain it out using warm water. After about an hour or so, when the wax is softened, use a rubber-bulb syringe to gently squirt warm water into your ear canal. Tilt your head and pull your outer ear up and back to straighten your ear canal. When finished irrigating, tip your head to the side to let the water drain out.
Dry your ear canal. Use either a towel or hair-dryer on low or no heat to gently dry your ear canal. This is optional, according to Lin.
Repeat, if necessary. You can try this method once a day until the ear wax clears up, but for no longer than two weeks. It can clear up within a couple of days.

It's important to note that these natural softening agents can sometimes have adverse effects, because they may only loosen the outer layer of the wax, which can then lodge deeper into the ear canal.

If your impacted ear wax symptoms don't improve after using these methods for a week or two, check in with your healthcare provider.

In addition, you should not attempt home remedies like ear candling, which drip hot wax into your ear and are marketed — incorrectly — as miracle cures. The United States Food and Drug Administration (FDA) strongly recommends against ear candling, as it is both ineffective and dangerous.

Don't pick it out

Trying to manually remove the wax yourself with your finger or other objects can make the blockage worse.

"Picking out wax that is visible just at the entrance into the ear canal is OK," says Lin. "Anything deeper should either be allowed to work its way out on its own or be removed by a physician."

In fact, some blockages can occur when you try to clean your ears with cotton swabs and accidentally push the wax deeper. While Q-Tips are commonly used, they should be avoided.

"Q-Tips are a bad idea," Lin says. "They take up much of the canal diameter. Therefore, using them packs the wax deeper into the ear canal. In the worst case scenario, the wax could be packed against the eardrum and possibly even create an eardrum perforation."

Anyone who has a suspected or known eardrum perforation or hole should avoid placing any liquid into the ear, and seek medical attention for proper treatment.

Read the original article on Insider