Understanding Impacted Cerumen, Bilateral

Impacted cerumen is a common ear condition that occurs when earwax (cerumen) builds up in the ear canal, causing blockage. Bilateral impacted cerumen is a condition that affects both ears at the same time. It is more common in older adults, but it can occur in people of any age.

Symptoms of bilateral impacted cerumen include ear pain, difficulty hearing, ringing in the ears (tinnitus), and a feeling of fullness in the ears. It can also cause dizziness and vertigo in severe cases.

1. Causes: There are several causes of impacted cerumen, including excessive earwax production, narrow ear canals, and the use of hearing aids or earplugs. Bilateral impacted cerumen is often caused by a genetic predisposition to produce excessive earwax.
2. Risk Factors: Certain factors can increase the risk of developing bilateral impacted cerumen. These include age, the use of hearing aids or earplugs, and a history of ear infections.
3. Diagnosis: A doctor can diagnose bilateral impacted cerumen by examining the ear canal with an otoscope. They may also perform a hearing test to determine the extent of the hearing loss.
4. Prevention: To prevent bilateral impacted cerumen, avoid inserting objects into the ear canal, including cotton swabs. You can also use over-the-counter earwax removal drops to soften the earwax and make it easier to remove.
5. Treatment: Treatment for bilateral impacted cerumen typically involves removing the earwax buildup. This can be done by a doctor using specialized tools or by using earwax removal drops at home. In severe cases, a doctor may need to perform ear irrigation to remove the blockage.

Bilateral impacted cerumen can be uncomfortable and cause hearing difficulties, but it is easily treatable. If you are experiencing symptoms of bilateral impacted cerumen, make an appointment with your doctor to determine the best course of treatment.