Friday Health With Nyasha: Earwax Blockage( Mafunzi)

 

 With Nyasha Kawanzura 

Earwax blockage occurs when earwax (cerumen) accumulates in your ear or becomes too hard to wash away naturally.

Earwax is a helpful and natural part of your body's defenses. 

It cleans, lubricates and protects your ear canal by trapping dirt and slowing the growth of bacteria.

If earwax blockage becomes a problem, you or your doctor can take simple steps to remove the wax safely.

*Signs and symptoms of earwax blockage may include*

Ear ache

Feeling of fullness in the affected ear.

Ringing or noises in the ear (tinnitus).

Decreased hearing in the affected ear.

Dizziness

Cough

*Causes*

The wax in your ears is secreted by glands in the skin that lines the outer half of your ear canals. 

The wax and tiny hairs in these passages trap dust and other foreign particles that could damage deeper structures, such as your eardrum.

In most people, a small amount of earwax regularly makes its way to the opening of the ear, where it's washed away or falls out as new wax is secreted to replace it. If you secrete an excessive amount of wax or if earwax isn't cleared effectively, it may build up and block your ear canal.

Earwax blockages commonly occur when people try to clean their ears on their own by placing cotton swabs or other items in their ears. This often just pushes wax deeper into the ear, rather than removing it.

 *Treatment* 

Your doctor can remove excess wax using a small, curved instrument called a curet or by using suction while inspecting the ear. Your doctor can also flush out the wax using a water pick or a rubber-bulb syringe filled with warm water.

If earwax buildup is a recurring problem, your doctor may recommend that you use a wax - removal medication.

 *When to see a doctor* 

If you're experiencing the signs and symptoms of earwax blockage, talk to your doctor.

Signs and symptoms could indicate another condition. You may think you can deal with earwax on your own, but there's no way to know if you have excessive earwax without having someone, usually your doctor, look in your ears. Having signs and symptoms, such as earache or decreased hearing, doesn't necessarily mean you have wax buildup. It's possible you have another medical condition involving your ears that may need attention.

*Lifestyle and home remedies*

Soften the wax. Use an eyedropper to apply a few drops of baby oil, mineral oil, glycerin or hydrogen peroxide in your ear canal.

Use warm water. After a day or two, when the wax is softened, use a rubber-bulb syringe to gently squirt warm water into your ear canal. Tilt your head and pull your outer ear up and back to straighten your ear canal. When finished irrigating, tip your head to the side to let the water drain out.

Dry your ear canal. When finished, gently dry your outer ear with a towel or hand-held dryer.

You may need to repeat this wax-softening and irrigation procedure a few times before the excess earwax falls out. However, the softening agents may only loosen the outer layer of the wax and cause it to lodge deeper in the ear canal or against the eardrum. If your symptoms don't improve after a few treatments, see your doctor.

Earwax removal kits available in stores also can be effective at removing wax buildup. Ask your doctor for advice on how to properly select and use alternative earwax removal methods.

Don't try to dig it out

Never attempt to dig out excessive or hardened earwax with available items, such as a paper clip, a cotton swab or a hairpin. You may push the wax farther into your ear and cause serious damage to the lining of your ear canal or eardrum.

*Nyasha Kawanzaruwa is a nurse at Gutu clinic, Masvingo Province.*