Ear Wax and Hearing Loss: What You Need to Know

Ear wax is normal—and useful—but excessive buildup can temporarily reduce hearing and interfere with devices like earbuds and hearing aids. In this conversation, our clinicians explain what ear wax is, how it forms, and the safest ways to remove it without risking injury. Content is drawn from Episode 30 of the Hearing Wellness Journey Podcast.

What Causes Ear Wax?

Ear wax (cerumen) is a mix of oils, skin, and debris produced by glands in the ear canal. Genetics, canal shape, and habits (earbuds, hearing protection, or hearing aids) can all influence buildup. Skin migrates outward from the eardrum like a conveyor belt; devices that block the canal can slow this process, letting wax collect. Some people naturally make drier or stickier wax—both can be normal.

Ear Wax Removal

At home, softeners (e.g., carbamide peroxide drops) can loosen hard wax, but softened wax still needs to come out. For rock-hard plugs, in-office softening and careful removal may be necessary. Avoid Q-tips—they can bruise the canal or push wax deeper. And skip ear candling: it’s not proven to remove wax and poses a burn/fire risk. When in doubt, consult a licensed audiologist to choose a safe plan for your ears.

How to Manage, Remove, and Prevent Buildup

• Use a clinician-recommended softener for several days before a scheduled cleaning if you tend to form hard plugs.

• If advised by your provider and you have no eardrum perforation or tubes, gentle warm-water rinsing in the shower can help maintenance.

• Limit canal “poking and prodding.” Follow the rule: nothing smaller than your elbow in your ear.

• If you wear hearing aids/earbuds, set a routine check—wax guards and periodic cleanings can prevent “sudden blockage” days.

When to See an Audiologist

Schedule an exam if you notice sudden fullness, decreased hearing, feedback from hearing aids, pain, drainage, a foul odor, or if you suspect infection (foamy, wet debris). Audiologists can safely evaluate and remove wax and will refer to primary care or ENT when infection or another condition is suspected. No medical claims are made here; individualized care matters.

Key Takeaways & Tips

• Ear wax protects the ear; problems arise when there’s too much.

• Softening isn’t the same as removal—plan for extraction.

• Avoid ear candling and Q-tips in the canal.

• Set a proactive cleaning cadence (often every 3–6 months for “wax producers”).

Meet the Experts

• Dr. Dawn Heiman – Audiologist and host, pioneering best-practice treatments in Illinois and across the United States.

• Dr. Emily Johnson – Audiologist specializing in advanced diagnostic testing and hearing care.

• Lindsey Doherty – Patient care coordinator, guiding patients through treatment and support.

Take the Next Step

If ear wax is affecting your hearing or quality of life, begin with a complimentary consultation to explore whether our practice is the right fit for you.

For more episodes and resources, visit the Hearing Wellness Journey Podcast website 👉 Visit: hearingwellnessjourney.com/podcast