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how to unclog ears

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Written by Andrew Le, MD.
Last updated August 16, 2024

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Introduction

Have you ever experienced an annoying, muffled sensation in your ears, as if you're underwater? You're not alone. Clogged ears are a common problem that can affect anyone, from frequent flyers to swimmers and even those with a simple cold. In this comprehensive guide, we'll explore how to unclog ears, understand hearing loss, look into the causes of ear clogging, discuss treatments for ear blockages, and learn how to prevent future ear issues.

How to Unclog Ears

Clogged ears can be caused by different factors, including earwax buildup, changes in air pressure, or fluid buildup from infections. Fortunately, there are several methods you can try at home to find relief.

Home Remedies

  • Yawning and swallowing: These simple actions can help open up your Eustachian tubes, which connect your middle ear to the back of your throat. The Eustachian tubes help regulate air pressure in your ears. When you yawn or swallow, these tubes open briefly, allowing air to flow in and out, which can help equalize pressure and unclog your ears. 21,14
  • Valsalva maneuver: This technique involves gently blowing out while pinching your nostrils closed and keeping your mouth shut. The slight pressure created can help open your Eustachian tubes and relieve ear congestion. Be gentle while doing this to avoid damaging your eardrums. 28,29
  • Chewing gum: The chewing motion can activate the muscles that open the Eustachian tubes, potentially relieving pressure and unclogging your ears. 30,31 This method is particularly useful during air travel or when experiencing altitude changes.
  • Over-the-counter ear drops: Certain ear drops can help soften earwax, making it easier for it to come out naturally. To use these drops:
  • Tilt your head to the side with the affected ear facing up.
  • Place a few drops in your ear canal.
  • Stay in this position for about 5 minutes.
  • Tilt your head in the opposite direction to let the drops and any loosened wax drain out. 20,21
  • Steam inhalation: Inhaling steam from a bowl of hot water (with a towel over your head) can help loosen mucus and relieve congestion that may be causing ear blockages. 42

While these home remedies are often effective, it's important to know when to seek medical attention. If you experience severe pain, fever, sudden hearing loss, or symptoms that last for more than a few days, it's time to consult a healthcare professional.

Causes of Ear Clogging

Understanding the causes of ear clogging can help you prevent and manage this common issue more effectively. Some of the main causes are:

Eustachian Tube Dysfunction

The Eustachian tube is a small passageway that connects your middle ear to the back of your throat. Its main job is to regulate air pressure in your middle ear, making sure it's equal to the pressure in your environment. When this tube doesn't function properly, it can cause a feeling of fullness or pressure in your ears. 13,14

Eustachian tube dysfunction can be caused by:

  • Colds or allergies that cause congestion
  • Sinus infections
  • Changes in altitude (like during air travel)
  • Structural abnormalities in the tube itself

Earwax Buildup

Earwax, or cerumen, is a natural substance produced by your body to protect and clean your ear canal. However, sometimes your body may produce too much wax, or the wax may not clear out properly. This excess wax can block your ear canal, causing a feeling of fullness and potentially affecting your hearing. 15,16

Sinus Infections and Allergies

When you have a sinus infection or allergies, you may get inflammation and higher mucus production. This can affect your Eustachian tubes. The extra mucus can also block the tubes, preventing proper drainage and air flow. 13,14

Changes in Air Pressure

Rapid changes in air pressure, such as during air travel or scuba diving, can cause your ears to feel clogged. This happens because the air pressure in your middle ear doesn't have time to equalize with the outside pressure. 13,14

Fluid in the Middle Ear

Sometimes, fluid can build up in your middle ear, a condition known as otitis media with effusion. This can happen after an ear infection or because of Eustachian tube dysfunction. The fluid buildup can cause a feeling of fullness in the ear and may affect your hearing. 2,1

Structural Issues

In some cases, structural problems in the ear or surrounding areas can contribute to ear clogging. For example:

  • A deviated nasal septum (the wall between your nostrils) can affect your Eustachian tube function. 17,18
  • Enlarged adenoids (tissue at the back of the throat) can block the Eustachian tubes, especially in children. 19

Understanding these causes can help you figure out what’s causing your ear clogging and take the right steps to address it.

Preventing Future Ear Issues

Prevention is always better than cure, especially when it comes to ear health. Here are some strategies to help you avoid future ear issues:

Proper Ear Hygiene

Maintaining good ear hygiene can help you prevent ear problems:

  • Avoid over-cleaning: Your ears are self-cleaning organs. In most cases, you only need to clean the outer part of your ear with a soft cloth. Avoid inserting anything into your ear canal, including cotton swabs, as this can push wax deeper or even damage your eardrum. 23,52
  • Keep ears dry: After swimming or bathing, tilt your head to each side to let water drain out. You can also use a towel to gently dry your outer ear. 48,49
  • Use earplugs: When swimming or exposed to dirty water, consider using earplugs to prevent water from entering your ears. 50,51

Managing Pressure Changes

To prevent ear issues during air travel or scuba diving:

  • Equalize pressure: Yawn, swallow, or perform the Valsalva maneuver during takeoff and landing.
  • Stay awake: Try to stay awake during descent when flying so you can actively equalize pressure.
  • Use filtered earplugs: Consider using earplugs designed for air travel, which can help regulate pressure changes. 46,47

Preventing Ear Infections

Ear infections, especially in children, can lead to ear blockages. Here are some prevention strategies:

  • Vaccinations: Keep up with vaccinations, particularly the pneumococcal conjugate vaccine (PCV) and flu vaccine. 53,54
  • Avoid secondhand smoke: Exposure to smoke can increase the risk of ear infections.
  • Practice good hand hygiene: This can help reduce the spread of germs that cause infections.
  • Manage allergies: Promptly treating allergies and colds can help prevent fluid buildup that often leads to ear infections. 44,55

Treating Ear Blockages

If home remedies don't provide relief, or if symptoms persist, seek medical attention. Healthcare providers can offer various treatments, including:

  • Professional earwax removal: Providers can safely remove excess earwax using specialized tools and techniques. 22,41
  • Ear irrigation: This procedure uses a special device to flush out your ear canal with warm water. It's particularly effective for removing stubborn earwax buildup. 22,41
  • Prescription ear drops: These may include antibiotics for infections or steroids to reduce inflammation. 37
  • Decongestants or antihistamines: These medications can help relieve congestion and allergy symptoms that may contribute to ear blockages. 38
  • Myringotomy: This surgical procedure involves making a small incision in the eardrum to drain fluid from the middle ear. 35,36
  • Tympanostomy tube insertion: In some cases, especially for chronic ear infections or persistent fluid, small tubes may be inserted into the eardrum to help with drainage and equalize pressure. 32,33

Conclusion

Clogged ears can be a frustrating and uncomfortable experience, but with the right knowledge and tools, you can manage and prevent this common issue. Understanding the causes of ear clogging and exploring various treatment options and preventive measures can help you take care of your ears.

While many cases of clogged ears can be resolved with home remedies, you should seek medical attention if you have persistent or severe symptoms.

By incorporating good ear hygiene practices, protecting your ears from pressure changes, and staying vigilant about potential ear issues, you can help ensure that your ears remain healthy for years to come.

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Dr. Le obtained his MD from Harvard Medical School and his BA from Harvard College. Before Buoy, his research focused on glioblastoma, a deadly form of brain cancer. Outside of work, Dr. Le enjoys cooking and struggling to run up-and-down the floor in an adult basketball league.

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