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Why is my hearing reduced after using a cotton swab?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

My ear feels blocked after I used a cotton swab to clean it, and my hearing is reduced. I took some medications, including Cetirizine and Amoksiklav, but the blockage is still present.

Please help.

Thank you for your guidance.

Answered by Dr. Bindia

Education:

MS

Professional Bio:

Dr. Bindia is a skilled Otolaryngologist (ENT Specialist) dedicated to diagnosing and treating a wide range of ear, nose, and throat conditions. With strong expertise in both medical and surgical care, she provides comprehensive treatment tailored to each patient’s needs. Known for her compassionate approach and clear communication, Dr. Bindia ensures that patients feel comfortable and well-informed throughout their care. She is committed to delivering personalized, advanced treatments that improve health, function, and overall quality of life.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

I read your query and can understand your concern.

This is most likely due to earwax that was pushed deeper into the ear canal by the cotton bud, resulting in sudden conductive hearing loss on that side. However, injury to the ear canal or eardrum is also possible and should be ruled out.

Oral antihistamines such as Cetirizine and antibiotics like Amoksiklav do not treat wax impaction and are generally unnecessary unless there is a confirmed ear infection (otitis externa or media). Continuing these medications without a clear diagnosis is unlikely to help; examination of the ear is more important at this stage.

Cotton buds often push wax further into the ear rather than removing it, leading to blockage and reduced hearing. Common symptoms of wax impaction include a feeling of fullness, decreased hearing, and sometimes mild pain, ringing in the ear, or dizziness. Cotton buds can also cause abrasions to the ear canal or, in some cases, perforation of the eardrum, especially if there was sudden sharp pain, bleeding, or a popping sound at the time.

Please stop using cotton buds, ear picks, pins, or any other attempts to clean the ear yourself, as these can worsen the blockage or cause injury. Since the hearing loss occurred suddenly after using the cotton bud and has not improved with medication, the safest next step is to see a doctor or ENT specialist for an otoscopic examination as soon as possible, ideally within 24 to 48 hours. The doctor can safely remove impacted wax or identify any injury to the ear.

Do not place hydrogen peroxide, strong ear drops, or water into the ear unless a healthcare professional has confirmed that the eardrum is intact, as flushing an ear with a perforated eardrum can cause complications. Avoid ear candling, high-pressure water devices, or repeated attempts at self-cleaning.

Seek urgent medical attention if you experience severe or worsening pain, bleeding or discharge from the ear, significant dizziness or vomiting, facial weakness, a severe headache, or a high fever.

I hope the information helps.

Kindly revert so I can assist you further.

Thank you.

Answered by Dr. Bindia
Medically reviewed by iCliniq medical review team
Published At March 6, 2026
Reviewed At March 9, 2026

Education:

MS

Professional Bio:

Dr. Bindia is a skilled Otolaryngologist (ENT Specialist) dedicated to diagnosing and treating a wide range of ear, nose, and throat conditions. With strong expertise in both medical and surgical care, she provides comprehensive treatment tailored to each patient’s needs. Known for her compassionate approach and clear communication, Dr. Bindia ensures that patients feel comfortable and well-informed throughout their care. She is committed to delivering personalized, advanced treatments that improve health, function, and overall quality of life.

This doctor is not available for online consultations on the platform anymore.

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Education:

MS

Professional Bio:

Dr. Bindia is a skilled Otolaryngologist (ENT Specialist) dedicated to diagnosing and treating a wide range of ear, nose, and throat conditions. With strong expertise in both medical and surgical care, she provides comprehensive treatment tailored to each patient’s needs. Known for her compassionate approach and clear communication, Dr. Bindia ensures that patients feel comfortable and well-informed throughout their care. She is committed to delivering personalized, advanced treatments that improve health, function, and overall quality of life.

This doctor is not available for online consultations on the platform anymore.

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