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Earwax Removal: How to Clean Out Your Ears at Home

by James Hubbard, MD, MPH

Q. What should a person do about earwax?  What’s that you say? Huh?? :)
Judy, Tennessee

A. Most people don’t need to clean out their ears. The wax is there for protection, and the little hairs in your ears will usually bring it out naturally.

However, some people produce a little too much wax or impede the natural process by packing it in with earplugs or earbuds. They may begin to have muffled hearing.

If earwax is giving you trouble, here are some suggestions on how to clean it out:

  1. DON’T use cotton swabs, such as Q-tips. They pack the wax in and may damage your ears.  Never use anything to clean your ears that’s smaller than a finger in a washcloth.
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  2. DON’T use ear candles for removal. Again, you can damage your ears. The debris you see after using them is waste from the procedure, not contents from your ear.
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  3. DO purchase an earwax-removal kit. Put a few drops of the solution in your ears before bedtime for several nights. The wax will become soft and may come out on its own during the night.
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  4. If it doesn’t, DO try irrigating your ears with the bulb syringe that comes with the kit (like the one pictured).
    • Use lukewarm water so you won’t get dizzy.
    • If you don’t have a bulb syringe you can try a shot syringe without the needle. If not that, try a steady squeeze of water through a pinhole in a plastic bag or bottle—or anything that will spray a steady stream (not too hard, of course) of water in your ear canal.
    • While irrigating, grab the back of your ear with your other hand. Pull backwards and slightly upwards. This straightens and opens the canal so the water can get to the back better.
    • You’re through if you see a glob of wax come out. Stop anyway if you don’t see one within about five minutes or if you have pain or dizziness. You can try again in a few hours. By that time the wax should be even softer.
    • After you finish put a couple of drops of alcohol in your ear. You can mix it with peroxide if you have it. The alcohol helps dry up excess water.
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  5. If the irrigation works, DO use the removal solution in your ears at night every week or so to keep the wax soft and coming out. You won’t need the syringe again, or will only need it rarely.

If you can’t get the wax out after a couple or three sessions, just stop until you can see a health-care provider. You don’t want to irritate the ear so much that it leads to an infection.

If you’ve had wax in your ear, how did you get yours out? What was the cause?

  • Aaron

    I think I have wax in my ear, and I feel like my hearing is muffled I have trouble dividing the background noises with conversations. I have been trying debrox for a few dats but its NOT foaming or crackling. Ive been leaving it in for 5 mins or so then flushing it out with a bulb and warm water. I cant find much information about debrox not making crackling noises. Could this wax be that tuff? Should I use some sort of oil to loosen it up? Or is there something stronger than debrox?

    • http://thesurvivaldoctor.com/ James Hubbard, MD, MPH

      Debrox doesn’t have to foam or crackle to work. One of two things is going on with you. Either the wax is packed in too tight or the muffled feeling is coming from fluid behind the ear drum http://www.thesurvivaldoctor.com/2013/01/28/ear-infections/
      If you want bubbling you could try a little peroxide mixed with alcohol, but it sounds to me like it’s time you let a doctor check your ear, find the exact problem, and help you fix it.

      • Aaron

        OK, I will try the rubbing alcohol (70%) with 3% peroxide mix for a few days first. I let peroxide sit in my right ear, after about 8-10 seconds I got about 2 seconds of crazy crackling, then it was warm. Still nothing with peroxide siting for at least a minute with the left ear other than I think I can taste it somehow. I havent seen anything come out of either ear other than the fluid I put in.

        • http://thesurvivaldoctor.com/ James Hubbard, MD, MPH

          If you’ve already tried the peroxide, I’d suggest it’s time you stopped any other home treatments and see a doctor.

          • Aaron

            Well, I went to a Dr., She said that I have the cleanest ears she have ever seen and though that I may have an inner ear infection from allergies.

          • http://thesurvivaldoctor.com/ James Hubbard, MD, MPH

            Glad you went. I suspected something like that might be the case.

  • http://thesurvivaldoctor.com/ James Hubbard, MD, MPH

    Unless your doctor told you otherwise, just make sure your ears are clean and dry on the outside of the canal (with a towel.) Don’t try to clean them out in the canal.

  • layla mohamed

    Hello I was wondering if you could awnser this question.
    Well I went to the doctors office because I currently have two ear infections and my jaw will not close she prescribed me steroids (for my jaw) and some ear drops called neomycin-polymyxin/hydrocortisone suspension. Now my question is on the bottle it says to make sure my ears are dry and clean before use. How would I clean them during my infection?

  • Tracy West

    I have tinnitus in my ears (constant ringing) and I know I have wax buildup because previous doctors have had a hard time seeing in my ears unless they’re cleaned out. Would cleaning my ears help lessen the tinnitus? It’s driving me nuts!

    • http://thesurvivaldoctor.com/ James Hubbard, MD, MPH

      Tracy, yes. Wax buildup itself can cause ringing in the ears or could certainly be making it worse. It may or may not help your case but it’s definitely worth a try.

  • http://www.facebook.com/kristi.lucas5 Kristi Drewa Lucas

    my husband uses hydrogen peroxide because his ears feel stopped up a lot, and he has major wax buildup happen quickly. He pours hydrogen peroxide in his ear and lets it sit for a few minutes with his head tilted. then he lets it drain out and uses a syringe bulb and squirts warm water into his ear, pretty firmly. It usually gets a lot of ‘gunk’ out of his ears. just wanted to let ya’ll know what might work if nothing else does!

    • http://thesurvivaldoctor.com/ James Hubbard, MD, MPH

      Thanks, Kristi.

  • Dave

    I have extremely small ear canals and sinus tubes. I am allergic to 600+ out of 1000 at a level of 2 or better on an allergy clinic test. My nasals passages are swollen shut 24/7. The small passage ways just complicate the problem. My right ear recently just feels totally closed off. I did remove some earwax but It feels the same. There is no pain, just a dead silence on that side. Should I mix some peroxide and alcohol to melt or clear whats there? My ear canals are so small, I have to take half the cotton off the q-tip to get it inside my ear. I am over 60, and have fought this for years, and usually my ears do shed the wax on their own, but this time I guess they didn’t on my right side.

    • http://thesurvivaldoctor.com/ James Hubbard, MD, MPH

      Dave, hopefully you read the part of the post where I suggested it’s never a good idea to use cotton tip (q-tip) swabs to clean the ears. You can certainly try the peroxide and alcohol or get a some over-the-counter ear wax remover solution. If that doesn’t work in a few days or before, if you start having pain or fever, see a doctor. He/she can look in the canal and see if it is wax buildup or fluid behind the ears (solutions don’t help that) or something else. I’ve seen many cases over the years where some of that cotton from the tip got stuck in the ear canal and it clogging it up. You’re probably not going to get that out without a doctor’s help.

  • Kathryn

    My doctor recommended using liquid doculase in the ear to prevent wax buildup. A few drops in each ear, lying five minutes on each side, then allow to drain normally. Unfortunately, I’m just one of those people who builds up excessive wax (sarcastic ‘yea’). He uses this method on his geriatric patients because it’s so gentle. Talk about removing blockages, eh?

    • http://thesurvivaldoctor.com/ James Hubbard, MD, MPH

      Thanks, Kathryn. Yes, it’s a great method.

    • Kathryn

      Correction…docusate, of course, not the brand name

      • http://thesurvivaldoctor.com/ James Hubbard, MD, MPH

        Thanks, again.

  • http://www.facebook.com/msdallas19 Autumn Camacho

    Sometimes I have a sharp pain inside my ear. Sometimes I have a deep itch and I often have a see through white crust in my ear, but outside of the canal. Why is this happening, should I be concerned and how to I resolve these issues?

  • http://www.facebook.com/msdallas19 Autumn Camacho

    I feel a sharp pain in my ears, they get itchy deep inside and I get a white crusty film. What could this be and how do I fix it?

  • Harvey

    Is Sodium Chloride 0.9% v/w Irrigation Solution can be used instead of water?