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Earwax buildup or plugged ears

Also called: Earwax buildup, cerumen impaction, plugged ears

Earwax that builds up and blocks the ear canal, making the ear feel full or muffled. Earwax is normal and usually clears on its own.

TypeBlocked ear canal
Common causeCotton swabs pushing wax in
TreatmentSoftening drops or rinsing

Overview

Earwax protects the ear and moves out on its own. Swabs, earbuds, and hearing aids can push it deeper.

A blockage can cause muffled hearing, fullness, ringing, or itching.

Symptoms

Common signs:

  • Ear feels plugged, full, or muffled
  • Trouble hearing

Less common

  • Ringing
  • Itching

When to get medical care

Call 911Sudden hearing loss with dizziness, or weakness on one side of the face.
Get care todayEar pain with fever, drainage, or bleeding.
See a doctor soonHearing doesn't improve after a few days of drops.

Causes

Wax pushed in by swabs, narrow canals, hearing aids, or earbuds.

Does it spread or run in families?

  • It isn't contagious. You can't catch it from someone else.

Who is more likely to get it

  • Hearing aids
  • Older age

Possible complications

Diagnosis

A healthcare professional looks in the ear.

Questions you may be asked

  • Swab use
  • Ear pain or drainage

The exam

An otoscope exam.

Treatment

Softening drops work for most blockages.

Self-care

  • Use ear drops: mineral oil, baby oil, or over-the-counter drops for a few days
  • Rinse gently: with a bulb syringe and warm water, if you have no eardrum hole
  • Don't use cotton swabs or ear candles

Medicines

Medicines that may help:

MedicineHelps withGood to know
Wax-softening drops
Softening waxDon't use with ear tubes or a hole in the eardrum.

OwieClear doesn't give doses: follow the label or your healthcare professional. Medicine names here are examples, not a full list.

A clinician can remove stubborn wax.

Prevention

To prevent it:

  • Skip cotton swabs in the canal

Which doctor treats this

  • Start with your primary care provider (family doctor or internist).
  • They may send you to an ENT doctor (ear, nose, and throat doctor).

Back to school, work, or sports

  • Most people keep up normal school and work. Rest when you need to.

Pregnancy and breastfeeding

  • If you're pregnant or planning to be, tell your prenatal provider about this condition.
  • Don't start or stop any medicine on your own. Some are safe in pregnancy and some need to be changed.
  • Ask before taking any pain reliever. The FDA advises avoiding ibuprofen and naproxen after 20 weeks unless your doctor says to.
  • Breastfeeding: Most medicines are fine, but ask. The NIH LactMed database lists what's known about each one.

Outlook

Easily treated.

Myths and facts

Myth: Cotton swabs clean the ears.

Fact: Swabs push wax deeper. Ears usually clean themselves.

Getting ready for your visit

Bring a list of your symptoms and medicines.

Questions to ask

  • Is my eardrum OK?

Research studies

Research studies test new ways to find and treat health problems. Some are looking for volunteers. Talk with your doctor before joining one.

Search ClinicalTrials.gov for studies on Earwax buildup or plugged ears

Sources

Last updated 2026-11-12.