What is Impacted Ear Wax
Earwax is produced by the ear canal and protects the ear canal by keeping it clean and healthy. The earwax moves from the inner part of your ear canal to the entrance of the canal. Jaw movement helps the earwax move through the canal. Our ears are self-cleaning but occasionally a build-up of ear wax can lead to a blockage of the ear canals.
Most people do not need to speak to a doctor, but symptoms can interrupt work, school and daily activities. If you’re unsure how to manage your symptoms or need treatment, our UK-registered GPs at Dr.Online UK can help.
What Causes Impacted Earwax
Wax is normally self-clearing but, if there is disruption to the normal movement of wax, it can build up in the ear canal.
This build-up of wax can occur for many reasons:
- cotton buds or other objects inserted into the ear canal which can push the wax deeper inside the canal
- previous surgery
- excessive hair in the ear canal
- skin conditions such as eczema
- rarely growths (such as polyps or tumours) in the ear canal
What Are the Common Symptoms of Impacted Ear Wax
- A feeling of ear fullness
- Reduced or muffled hearing
- Ear pain / itch
- Tinnitus (ringing in the ear)
- Vertigo
- Smelly discharge from the ear
If left untreated impacted ear wax and associated reduced hearing can lead to stress, social isolation, and depression.
How is Impacted Ear Wax diagnosed
Diagnosis is usually based on symptoms and ear examination.
During an online GP consultation, we can:
- Assess symptoms and risk factors
- Review general appearance
- Provide treatment advice or prescriptions if needed
NB. You may need in-person assessment if the diagnosis is unclear and a physical examination is required.
When to Seek Urgent Medical Help
Go to A&E or seek urgent help if you have:
- Severe pain or swelling of the ear or the mastoid bone (located behind the ear)
- Fever, dizziness, or discharge/bleeding from the ear
- Symptoms that rapidly worsen
Treatment and Management Options
Self-Care and Home Management
- Ear drops to soften wax and aid removal. Options include sodium bicarbonate 5% ear drops, olive or almond oil drops
Ear drops should not be used if you have a perforated ear drum, active skin conditions (such as eczema), or an infection of the ear canal. - Paracetamol or ibuprofen for pain
Treatment from a GP
A GP can help with:
- Confirming the diagnosis
- Advice on when symptoms may indicate complications
- Recommendation for further treatment such as ear irrigation or ear microsuction to remove stubborn wax.
When Referral is Needed
You may need further assessment by ENT if symptoms persist or symptoms worsen despite initial care.
How Dr.Online UK Can Help
We offer:
- Same-day online GP appointments
- Expert assessment and guidance
- Private prescriptions (when appropriate)
- Fit notes or referral letters
- Clear advice on whether you need in-person care
