Earwax Impaction: Causes, Signs and Management

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The Hearing Room has consulted and treated hundreds of cases of ear wax impaction affecting individuals of all ages in Singapore. Ear wax impaction, also known as cerumen impaction, is a common condition that can cause discomfort, hearing loss, and even infections if left untreated.

What is Ear Wax Impaction?

Ear wax impaction occurs when ear wax (cerumen) accumulates in the ear canal and blocks the normal flow of sound. Ear wax is a natural substance produced by the glands in the ear canal, helping to protect the ear from dust, bacteria, and other foreign particles. Singaporeans also tend to have dry ear wax.

In most people, ear wax will naturally migrate and be pushed out of the ear canal. However, certain groups — such as children or the elderly — may not be as efficient. In such cases, ear wax can build up and harden, leading to impaction and blockage of the ear canal.

Causes of Ear Wax Impaction

Several factors contribute to ear wax impaction in Singaporeans:

1. Overproduction of Ear Wax

Some individuals naturally produce more ear wax than others, increasing the risk of wax impaction.

2. Narrow Ear Canal

People with narrower ear canals, especially children, are more prone to ear wax impaction due to the reduced space for ear wax to migrate out.

3. Extensive Use of Cotton Buds, Earplugs, Earbuds and Hearing Aids

Frequent use of earplugs, earbuds or hearing aids can push ear wax back into the ear canal instead of allowing it to be naturally expelled, resulting in impaction.

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4. Age

Older adults are more susceptible to ear wax impaction due to decreased ear wax migration and increased ear wax hardness. They may also have collapsing ear canals that make their canals more narrow.

5. Skin Conditions

Certain skin conditions, such as eczema or psoriasis, can increase ear wax production and lead to impaction.

Symptoms of Ear Wax Impaction

Ear wax impaction can cause a range of symptoms, including:

  • Blocked sensation — Sensation of plugged ears or ear fullness
  • Discomfort — Physical discomfort due to impacted ear wax pressing on the ear canal
  • Hearing loss (Conductive) — Sounds become more muffled and softer
  • Tinnitus — Ringing in the ears
  • Infection — Ear itchiness and/or infection can arise from stubborn ear wax
  • Dizziness — Dizziness or vertigo can arise due to increased pressure to the inner ear

Management of Ear Wax Impaction

We strongly recommend that you do not try to remove ear wax at home using curettes or cotton buds as you might injure yourself. Fortunately, ear wax impaction is easily treatable in Singapore.

1. Professional Ear Wax Removal

Consult an audiologist at The Hearing Room Singapore for professional ear wax removal using specialised irrigation equipment developed by an otologist and recognised as one of the best for removing earwax safely.

2. Ear Drops

Over-the-counter ear drops such as olive oil or special formulas can help soften ear wax, making it easier to remove or dislodge naturally.

3. Prevention

To prevent ear wax impaction, avoid using cotton buds, earplugs, or earbuds excessively, and consider regular ear check-ups.

Conclusion

Ear wax impaction is a common condition that can cause discomfort and hearing loss. By understanding the causes, symptoms, and management options, individuals in Singapore can take steps to prevent and treat ear wax impaction. The Hearing Room has over 300 five-star reviews — you can be assured of professional, safe, and painless ear wax removal.

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Located on the third floor of The Adelphi, two minutes from City Hall MRT, with basement parking and lift access. Designed to feel like a quiet consultation room, not a retail showroom. Extensive evidence has shown that unaided hearing impairment can accelerate the onset of cognitive decline and dementia in the elderly. A timely assessment can make a meaningful difference — both for your quality of life and for your long-term cognitive health.

Located on the third floor of The Adelphi, two minutes from City Hall MRT, with basement parking and lift access. Designed to feel like a quiet consultation room, not a retail showroom. Extensive evidence has shown that unaided hearing impairment can accelerate the onset of cognitive decline and dementia in the elderly. A timely assessment can make a meaningful difference — both for your quality of life and for your long-term cognitive health.

Located on the third floor of The Adelphi, two minutes from City Hall MRT, with basement parking and lift access. Designed to feel like a quiet consultation room, not a retail showroom. Extensive evidence has shown that unaided hearing impairment can accelerate the onset of cognitive decline and dementia in the elderly. A timely assessment can make a meaningful difference — both for your quality of life and for your long-term cognitive health.

Located on the third floor of The Adelphi, two minutes from City Hall MRT, with basement parking and lift access. Designed to feel like a quiet consultation room, not a retail showroom. Extensive evidence has shown that unaided hearing impairment can accelerate the onset of cognitive decline and dementia in the elderly. A timely assessment can make a meaningful difference — both for your quality of life and for your long-term cognitive health.

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