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Think You Might Have Earwax Buildup? Here's What You Need to Know

This post has been verified by a clinical specialist.

Verified by Rahul Puri on 16 June 2025

PRIVATE SERVICES · 1 minute read
Rahul Puri
Written by Rahul PuriSuperintendent Pharmacist, MPharm, PgDip, PgCert IP

Medically reviewed 31 July 2025

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Blocked hearing or ringing needs an assessment rather than an automatic diagnosis of earwax. Explain when the change began and whether it affects one or both ears.

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Note when symptoms started and how hearing has changed.
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Puri Pharmacy Ear Health

How Does Earwax Buildup Occur?

The ear canal glands secrete cerumen (earwax), a wax-like natural substance, as a protective barrier. Earwax plays a very important role in maintaining ear health. It helps by cleaning the ear and protecting the inner ear organs from external elements, such as dust and dirt. 

Despite many benefits, it can become problematic if earwax accumulates in the ear canal. This eventually leads to earwax blockage, also called cerumen impaction. A blockage in the ear can lead to many ear health-related problems.

  • dizziness
  • difficulty in hearing
  • earache
  • itchiness
  • painful ear infection
  • tinnitus (ringing in the ears)
  • Cough
  • Feeling of fullness in the ears
Puri Pharmacy Ear Health Services

What are the Causes of Earwax Buildup?

The ear canal glands lead to the formation of earwax. The earwax and tiny ear hair help trap the dust and dirt that enter the ear canal. It helps by preventing the entry of external elements into the deeper part of an ear, especially the eardrum. 

Every day, a small amount of earwax makes its way to the ear opening. From here, the wax either falls off or gets washed away as new earwax replaces it. Earwax can accumulate and obstruct your ear canal if your ears produce too much of it or if it isn’t sufficiently removed.

People often attempt to remove the deeply impacted earwax using cotton earbuds or other objects. This can be harmful and push the earwax deep into the ear canal. A few different reasons for earwax buildup are:

  • Individuals with narrow and irregularly shaped ear canals often face problems with natural earwax removal.
  • Excessive hair growth in the ear canal can trap a lot of earwax.
  • Older adults often produce harder and drier earwax, which is more likely to cause blockage.
  • Frequent usage of earplugs and hearing aids can prevent the natural removal of earwax.
earwax

Methods of Safe Earwax Removal

Choosing a suitable method

An examination and your ear history guide whether removal is appropriate. Ask about the method, preparation and alternatives. Prior surgery, eardrum problems or possible infection need individual assessment rather than a universal recommendation.

Microsuction uses a small suction probe under direct vision. It can help remove obstructing wax, but discomfort, dizziness, canal irritation or hearing-related problems can occur. See UCLH’s explanation of benefits and risks.

Illustration of a pharmacist speaking with a patient
An assessment should establish the next step before removal is agreed.
Rahul Puri, pharmacist

Ask Rahul

Rahul Puri | Pharmacist

Ear health: symptoms, assessment and appropriate care

What if I am unsure whether this is wax?

Describe the symptoms and their timing without needing to arrive with a diagnosis. Ask what the examination shows and which next step is appropriate. A useful assessment may lead to advice or referral rather than removal.

Pharmacy Services Puri Pharmacy

When Should You Seek Assistance from Experts for Earwax Removal?

For non-urgent ear concerns, see the Puri Pharmacy ear-health service. Confirm the assessment, costs and follow-up arrangements. Urgent warning symptoms follow the medical-care route above.

Arrange a routine ear-health assessment

For non-urgent concerns, review the service and appointment options. Assessment comes before deciding whether wax removal is suitable.

View ear-health appointments

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