Symptoms of Earwax Build-up
The symptoms of earwax build-up can range from mild to quite disruptive, depending on how much wax is present and whether it’s causing a blockage. Many people don’t realise they have a wax problem until symptoms appear suddenly, often after a shower or swim when the wax swells and blocks the ear canal completely. Identifying the symptoms of earwax build-up early can prevent discomfort and complications.
One of the most common symptoms is a feeling of fullness or pressure in the ear. It may feel like your ear is “plugged” or that you’re hearing through a barrier. This can affect one or both ears and may fluctuate as you move your jaw or tilt your head.
Hearing loss is another key sign. The reduction is usually temporary and caused by the wax physically blocking sound from reaching the eardrum. People often describe it as muffled hearing, similar to having water in the ear.
Other symptoms include:
Ringing or buzzing in the ear (tinnitus)
Itchiness in the ear canal
Earache or discomfort
A sense of imbalance or mild dizziness
Coughing, due to nerve stimulation in the ear canal
In severe cases, especially when there is an associated infection, there may be fluid discharge from the ear. This could be clear, yellow, or even bloody, and is often accompanied by pain and fever. When this occurs, urgent medical attention is required.
Children with earwax build-up may have trouble hearing at school, seem inattentive, or frequently tug at their ears. They may become irritable or complain of pain without an obvious cause. Teachers and parents should be aware of these signs and seek medical advice if they persist.
Symptoms of Earwax Build-up
In South Africa, access to ear care services varies. In rural areas, many people live with symptoms for months, using cotton buds or home remedies that can make things worse. Even in urban settings, people often underestimate how much wax can affect hearing and balance.
The symptoms of earwax build-up can mimic those of other conditions like ear infections, so it’s important to get a proper diagnosis. A healthcare provider can use an otoscope to look inside the ear and determine if wax is the issue. From there, safe and effective removal methods can be recommended.
Recognising these symptoms early—and avoiding the urge to self-clean—helps prevent complications and keeps your ears healthy and clear.
[Next: Diagnosis of Earwax Build-up →]
