Put the Q-Tip Down. Here’s How to Safely Clean Your Ears

When you notice wax in your ears or feel like your ears are clogged or full, it’s tempting to grab a Q-tip from your medicine cabinet and use it to try to remove whatever’s in your ear. However, this is not safe and can negatively impact the health of your ears — despite the satisfying feeling you may get when you remove that wax.

To help you better care for your ears, let’s discuss why Q-tips can be dangerous and what you should use instead to remove earwax.

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Why Q-tips can be dangerous for your ears

The cotton swab, also known as the Q-tip, is the most common device used for cleaning your ears. Its shortcomings illustrate the basic problems with using these types of instruments for earwax removal. 

Thanks to their long, narrow shape, Q-tips are more likely to push earwax into your ear than pulling it out. When you attempt to use one to clean your ear canal, you risk simply compacting the earwax and creating a blockage that makes it harder to hear.

Worse still, if you push a Q-tip too hard or too far into your ear canal, you may actually puncture your eardrum. The ear canal is only about an inch (2.5 centimeters) deep, so there’s not a lot of margin for error. One ear, nose and throat specialist CNET previously spoke with has even treated patients who seriously damaged their eardrums by answering the phone with a Q-tip sticking out of one of their ears. That’s a phone call that can truly ruin your day.

In general, it’s best to use cotton swabs — or even just a tissue or damp, clean rag — to clean the outer portion of your ear, outside the canal. 

How to safely clean your ears

As gross as we may think it is, earwax is actually essential to your ear health. According to Harvard Medical School, not only does it lubricate your ear canal and protect your eardrum, it also has antibacterial and antifungal properties. It naturally protects against harmful buildup, gathering dead skin cells and dirt as it gradually moves toward your outer ear on its own. 

In other words, earwax makes your ears naturally self-cleaning. In most cases, you don’t need to dig into your ear canals or do anything to clean them out — they’ll do the job on their own. 

Some people produce more earwax than others, and this can cause excessive buildup leading to discomfort or hearing trouble. Hearing aid wearers, in particular, can suffer from excessive earwax buildup caused by the extra vibrations in their ears. Whatever the cause, if earwax is getting to you, it’s important to see a doctor and assess the best course of treatment. 

If your doctor gives the thumbs-up, there are a few DIY ear-cleaning methods that can be done safely and effectively:

• Wipe with a damp washcloth: This is the safest and best method of all. You can’t really get inside your ear canal with your finger, and gently rubbing around the outside of it with a damp cloth is usually sufficient to clear out any earwax buildup.
• Rinse your ear canal: If you think you may have some earwax stubbornly lodged in your ear canal, you can often rinse it out, per Harvard Medical School. Soak a cotton ball in warm water, a saline solution, mineral oil or hydrogen peroxide, then hold it over your ear canal and tilt your opposite ear toward the floor. After you let it drip in and soak into the wax for a minute or so, tilt your head the other way and let the softened wax drip out.
• Try over-the-counter ear drops: These drops serve much the same function of “ear irrigation” as the above method but may also come with a dropper or bulb syringe. Doctors recommend avoiding the syringe if you have damaged your eardrum, as this can let water into the middle ear and put you at risk of serious infection.

How not to clean your ears

Although the above methods of earwax removal can be done safely, there are some popular tools and techniques you should avoid. These may be popular on social media, but that doesn’t mean they’re safe for your ears.

• Ear candling: Ear-candling kits, which have grown in popularity in recent years, claim to soften the wax and draw it out by lighting a flame on a long funnel that you place in your ear canal. According to Consumer Reports, this method is highly dubious among doctors. The Food and Drug Administration has long recommended against using ear candles because of the risk of burns and punctures.
• Ear-cleaning kits that can go deep into the ear: Some kits offer tiny spade-like or drill-shaped tools that promise to pull wax out of your ear canal. However, doctors urge caution with these types of instruments. Some of them can go dangerously deep into your canal, while others are sharp enough to cut your ear canal.
• Any sharp objects: As noted above, it’s best to avoid anything sharp, whether it’s a store-bought tool or a bobby pins. Cuts can cause bleeding and scabbing, which can obstruct your hearing and expose you to infection.

Who shouldn’t clean their ears at home?

Those with diabetes or who rely on blood thinners should be especially cautious about cleaning their ears. These conditions make it more difficult to stop bleeding, and that’s particularly problematic if you get tiny cuts inside your ear from cleaning it too roughly. 

Those aren’t the only people who should think twice before digging into their ears, though. In most cases, it’s best to leave ear-canal cleaning to the professionals. They have better tools and a better view and can help you remove earwax safely.