Earwax blockage
Cerumen obturans · Ušní maz (zátka)
What it is
Wax cleans itself out, but narrow canals, hearing aids and cotton buds pack it into a plug.
Symptoms & signs
- Muffled hearing
- fullness in the ear
- itching
- tinnitus
- dizziness or cough (vagus reflex)
🚩 Get help if…
- see a doctor soon Ear pain, discharge or fever
- see a doctor soon Sudden hearing loss in one ear
- see a doctor soon Dizziness or ringing that does not go away
- see a doctor soon Blocked ear not cleared after 5 days of ear drops
Where it strikes
Medical treatment
- Olive oil or sodium bicarbonate drops for 1–2 weeks
- ear irrigation or microsuction
- no irrigation with a perforated eardrum
Natural & lifestyle
- No cotton buds
- a few drops of olive oil weekly if prone to plugs
- dry the ears after swimming
Emerging & experimental
- Home otoscopes with cleaning tools (safety unproven)
- wax-dissolving enzyme drops
Alternative, off-label & anecdotal
Approaches used outside the guidelines, with what their supporters report and what testing has found so far.
- Ear candling — tested: no suction, no wax removed, and it burns ears and eardrums not confirmed in trials
- Hydrogen peroxide drops — Cochrane found drops help, but none clearly beats water or oil mixed evidence
ICD codes
- ICD-10 H61.2
- ICD-11 AA42 Impacted cerumen