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Two Head Wax
Ear Wax and ear Impaction
Ear Wax
When your ear produces excessive earwax (cerumen), it may block the external ear canal; this is what doctors refer to as a "cerumen impaction". Wax is produced by glands in the external ear canal to protect the canal leading from the eardrum to the outside. The amount of wax varies vary from person to person. Some people produce so little cerumen that it never accumulates, while others produce enough to block the canal every few months. If there is an impaction patients may suffer from decreased hearing, ear pain, stuffy feeling of ears, ringing in ears, or dizziness. The most common cause is overproduction of wax by glands in the external ear canal.
Certain people have an increased production of earwax buildup due to family history of overproduction of earwax. Other reasons can be due to several components-- Exposure to dust or debris that is able to build up and block your ear canal. Excessive water in the ear canal can absorb into the earwax like a sponge and produce swelling of the wax. When severe enough this "sponge" of wax ends up blocking the canal.
In order to prevent earwax build up you should avoid areas where the air is dusty and filled with debris. As mentioned earlier, exposure to debris can stimulate the overproduction of earwax. If you work in any environment with excessive dust or air debris, consider wearing earplugs. Ear plugs will decrease the amount of debris taken into the ear canal. One can attempt to prevent cerumen impaction by using monthly eardrops of glycerin which will soften the wax; this may reduce future buildup and blockage. Earwax can be removed, but stubborn cases require patience and time.
Leaving a buildup of earwax without proper treatment may cause a few complications. You may develop an ear infection along with the ear blockage. If continues to further ignore the wax build up for too long it may cause eardrum damage or perforation.
You may try to buy over-the-counter wax-softening drops as a first line treatment. Lie down with the affected ear toward the ceiling, pull the top of the ear gently up, outward, and back toward the back of the head. This opens the ear canal and gives more access for the softening drops. Use the eardrops as directed on package. Leave drops in ear for 20 minutes; continue to lie down, if possible, with the affected ear skyward. Sit up, leaning toward the affected side and use a soft rubber bulb syringe to irrigate the ear canal gently with plain warm water or warm water with 50% hydrogen peroxide. Repeat irrigation until the ear feels clear. If the ear does not clear, call your doctor so the wax can be removed properly and damage does not occur. DO NOT try to remove wax with a stick or cotton swab-- you may damage the eardrum and introduce bacteria causing an infection in the ear canal.
Caution: If you have a perforated eardrum, fever, bleeding, pain, or neck stiffness see your doctor, nearest urgent care center, or go to the nearest Emergency Room as soon as possible. For minor pain you may use non-prescription drugs such as Tylenol, Ibuprofen, or Advil. When in doubt see your MD.
John Drew Laurusonis, M.D.
About the Author
Dr. Laurusonis was conferred his Doctor of Medicine degree in 1983 and has been actively taking care of patients since completing his Internal Medicine residency in 1987 in the Garden State of New Jersey. Dr. Laurusonis has been licensed in four states but ultimately chose to permanently relocate to Georgia with his family and begin a private practice. Through his extensive experience in Internal Medicine, as well as in Emergency Rooms throughout the United States, Dr. Laurusonis saw how traditional Emergency Rooms were often overwhelmed by patients suffering medical conditions that were urgent but may not need the traditional "Level I Trauma Center". Patients often waited six to twelve hours to be seen by a physician, were riddled with thousands of dollars in medical bills, and were generally unhappy with the system.
Dr. Laurusonis decided to open an Urgent Care Center instead of a 9-5 doctor's office. Through the last fifteen years he has received accolades from the community and his patients. He has expanded his practice to include many cosmetic therapies that have previously been treated with painful and extensive plastic surgery. He has been invited to the White House numerous times, has been named Physician of the Year, as seen in the Wall Street Journal, and has served as Honorary Co-Chairman on the Congressional Physicians Advisory Board
Dr. Laurusonis and his practice, Doctors Medical Center, is open 7 days a week from 7:30 am to 9:30 pm offering such services as lab, x-ray, EKGs, aesthetics (Botox, dermabrasion, sclerotheraby and veins etc.), cold/flu, sore throats, fractures, sprains, lacerations, GYN, Pediatrics, Anxiety/Insomnia/Depression Treatment, skin tag/mole removal, veins, allergies, asthma, physicals--just to name a few. Dr. Laurusonis welcomes you to either make an appointment or just walk-in to see him. Dr. Laurusonis will take the time to speak with you about your concerns--no problem is too big or too small. If you need additional services we have specialist referrals available or we can refer you to the neighborhood hospital emergency room. Give Doctors Medical Center a call--Dr. Laurusonis will be happy to speak with you.
John Drew Laurusonis, MD
Doctors Medical Center
3455 Peachtree Industrial Blvd
Suite 110
Duluth, GA 30096
770-232-1101
www.doctorsmedicalctr.com
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