All the information about Tinnitus - Signs, Causes, Symptoms & Prevention Methods

Tinnitus is the medical terminology for ringing or buzzing sound in the ears. Apart from ringing, people who are suffering from this problem may also hear sounds like roaring, whistling or hissing though there are no external sources. Tinnitus can be frustrating as it interferes in the normal hearing process. The unwanted sounds heard disrupt the flow of the genuine sounds around a person. Neglecting this disorder can lead to anxiety, depression and stress.

Tinnitus can happen in people of all ages though it is most common in older adults. The problem can occur either in one or both the ears. Patients who experience persistent or frequent ringing in the ears must consult the ENT doctor for accurate identification of the cause and appropriate medical intervention. Vikram ENT Hospital, a reputed ENT Hospital in Coimbatore, offers promising treatment for tinnitus and all other ENT problems. It is equipped with state-of-art infrastructure and experienced ENT specialists who have created innumerable patient success stories with their prompt diagnosis and effective treatment procedures.

Causes

• Middle ear damage
• Inner ear damage
• Ageing
• Hearing loss
• Constant exposure to loud sounds
• Side-effects of medications like certain antibiotics and diuretics
• Meniere’s disease (improper balancing and hearing of inner ears)
• High blood pressure or cholesterol
• Earwax blockage
• Head or neck trauma
• Some joint disorders which lead to chronic pain in the jaws and the head
• Cardiovascular diseases and diabetes

Symptoms and Signs

Patients suffering from tinnitus experience signs of non-auditory internal sounds in the ears which may be high or low-pitched. These sounds are clearer at night or when there is quietness around. Some of the abnormal sounds heard are whistling, chirping, clicking, screeching, pulsing, whooshing or musical. Other related symptoms include-

• Pain in the ears
• Hearing loss
• Irritability
• Lack of concentration
• Sleep disturbances like sleep apnea
• Psychological depression

Diagnosis

Early diagnosis plays a crucial role in the timely management of tinnitus. ENT doctors usually do a physical examination first to check for any abnormalities. Hearing or audiometry tests may be conducted to evaluate the perception of various types of sounds. The middle and inner ears can be examined using an otoscope. Rhinoscopy may also be done to view the internal structures like nasal septum and sinuses. Sometimes, doctors recommend blood tests to rule out hormonal issues like thyroid which can cause this disorder.

Treatment

Removal of Blockage - If ear wax deposits are causing the tinnitus, the ENT doctor will remove it to reduce the symptoms.

Medications and Devices - Though medications may not cure tinnitus, they can help in providing some relief from unwanted sounds. Usually, anti-anxiety drugs and antidepressants are prescribed. Since some medicines like non-steroidal anti-inflammatory drugs can cause the ringing in the ears, doctors may advise stoppage of such medicines. Hearing aids may be used if the tinnitus is caused by age-related or noise-induced hearing loss.

Restraining Therapy - This form of treatment uses two approaches-

• Directive counselling in which intensive and individual patient awareness and education are given about the causes and effects of this problem on the ear and brain along with the coping mechanisms.
• Low-level sound generators are used to help the brain to re-learn the patterns that de-emphasize the prominence of tinnitus and desensitize the patients who are oversensitive to sound.

Additionally, Cognitive Behavioral Therapy (CBT) may be used as a psychological intervention to lower the stress and distraction associated with tinnitus.

Surgical Procedures - Underlying abnormal blood vessel conditions may be treated by surgery to resolve the tinnitus issue. In case permanent or severe hearing loss occurs due to tinnitus, cochlear implant treatment is given by insertion of an electronic device into the inner ear to restore hearing.

Prevention Methods

• Avoid constant exposure to loud sounds.
• Protect the ears from noise using earplugs and masks.
• Decrease anxiety and hypertension.
• Practice mindfulness and stress relieving activities like meditation and yoga.
• Avoid long-term usage and high dosage of certain medicines like aspirin.
• Quit smoking and reduce intake of caffeine products.
• Counteract age-related hearing loss by doing exercises that increase the blood circulation to the ears and relax the muscle tissue in the neck. Some such exercises to boost hearing are head rotation, neck flexion and extension and putting legs up the wall in a restoration inversion pose after lying down on the floor or cot.

Ear infection and obesity - What is the connection?

As children, we all would have experienced ear infections every now and then. Even though ear infections can be observed in many children, they are prevalent in adults too. By causing perforation of the eardrum, mastoiditis, meningitis, hearing loss, facial nerve paralysis, and possibly, and Meniere's disease, ear infections can be a painful rite of passage to pass through. And, now there is another addition to this list - Obesity, particularly in children.

New medical researchers confirm that prolonged or unattended ear infections can cause obesity by influencing the child’s food preferences negatively after damaging the taste nerves. This will further lead to obesity and its complications as the child ages. Stay with us as we help you find out more about the connection between the ear infections and obesity in children.

Ear infections and obesity - What is the connection?

Have you ever lost the sense of taste when you are sick? Losing the taste sense is quite common whenever the sensory organs get sick. When the health issue is addressed, the sense is restored.

Ear infections are suspected to influence and even damage the most important taste nerves beyond repair in some of the chronic conditions. It is believed so because the taste nerves pass through these ear canals to the brain. Showing the effect of tonsillectomies (which damages the taste nerve that passes through the throat), many researches have conceded that the chronic ear infections are behind the obesity in children.

What exactly the research says?

"Middle ear infection is a common childhood disease and obesity is a growing problem worldwide," says Linda Bartoshuk, PhD, of the University of Florida College of Dentistry. Concreting Dr Bartoshuk’s comments, many series of studies have addressed this while confirming the connection.

In another attempt, John Hayes, PhD, from Brown University, in collaboration with University of Connecticut, found solid associations between ear infections, taste nerves, food choices, and obesity. The study was conducted on preschoolers with a history of chronic ear infections. The other batch includes children who have no or minimal history of ear infections.

Children with a severe history of infection have preferred to eat sweet and high fat foods and fewer vegetables. Dr. Hayes confirms that the results suggest that the taste nerve damage influences the food choices.

What causes ear infections in children?

Be it acute or chronic, all types of ear infections in children need to be checked thoroughly by the qualified ENT specialist. An ear infection is a result of bacterial or viral infection that affects the middle ear. Medically known as otitis media (the complex sections of the ear located just behind the eardrum), can cause pain that ranges from mild to severe with the fluid buildup.

How to prevent ear infections in children?

Even though most of the ear infections are unpreventable, strengthening the immunity, adjusting the body to the outside temperature, and preventing exposure to the virus and bacteria can help you in beating ear infections. Let’s have a look into the ways you can prevent ear infections. 

• Breastfeed: Ear infections can be prevented with stronger antibodies. Breastfeeding for at least 6 to 12 months greatly enhances your baby’s immunity.
• Vaccination: Ensure your baby gets all the prescribed vaccinations without fail. Besides the healthy diet, vaccines give that extra edge for your baby to fight diseases and infections.
• Carefully bottle feed: If you are bottle feeding your baby, ensure you hold your baby in an upright position so that the fluid does not enter into the Eustachian tubes.
• Take care of the environment: Provide your baby a germ-free and healthy environment. Take all the necessary measures to prevent bugs and mosquitoes from the reach of your baby.
• Be prepared for the weather conditions: Changing weather conditions mean that the body needs the much-needed protection to prevent cold and other infections. Tuck in your baby with warm clothing’s and tidy sheets.

This applies to kids across all age groups. If you are observing any blocks in the hearing ability of your kids, reach out for the proper medical help from your local ENT specialists at the best ENT hospital in Coimbatore.

Smell and Taste Disorders - Causes, Symptoms and Treatment

The sense of smell and taste are closely linked. The taste buds in the tongue help in identifying the taste and the nerves of the nose sense the smell. Both these sensations are transmitted to the brain and processed there so that the flavours may be recognised and relished. Sometimes, there may be impairments in smelling and tasting as many people are born with such disorders. Loss of smell and taste is also common in ageing.

However, these disorders may be indicative of underlying diseases or health issues. Obesity, diabetes, hypertension, poor nutrition and neurological diseases like Parkinson’s disease, Alzheimer’s disease and multiple sclerosis are some such ailments. Though the problem may not be life-threatening always, it is important to identify the right cause associated with it. One of the popular ENT Hospitals in Coimbatore that precisely treats this condition is Vikram ENT Hospital. As a globally renowned specialist treatment centre, this hospital has a team of extremely skilled ENT doctors in Coimbatore to deliver high-quality treatment.

Causes of Smell and Taste Disorders

• Nasal congestion due to common cold, flu attacks, sinus infections and Hay Fever
• Presence of blockages like nasal polyps and deviated septum
• Hormonal changes
• Poor oral hygiene resulting in dental and mouth infections
• Exposure to certain harmful chemicals
• Side-effect of medications like antidepressants and anti-inflammatory drugs
• Smoking tobacco
• Radiation therapy treatment administered for head and neck cancer
• Cocaine abuse
• Tumours
• COVID
• Head injuries

Symptoms

The symptoms of smell and taste disorders may vary from person to person. While some people experience total loss of these senses, others may have reduced ability to smell, taste and relish various kinds of foods. In some exceptional cases, even pleasant odours and taste may become unpleasant and unappealing.

Types of Smell and Taste Disorders

• Anosmia-Loss of sense of smell
• Ageusia-Loss of sense of taste
• Hyposmia-Decreased ability to smell
• Hypogeusia-Reduced ability to taste and differentiate between sweet, sour, salty and bitter foods

Diagnosis

The ENT specialist does a complete physical examination and also examines the medical history about the symptoms. Further investigation may be done if required by doing tests like CT scan, MRI scan, brain x-ray and nasal endoscopy to check for the presence of abnormal blockages and growths.

Anosmia Treatment

Treatment depends on the underlying cause of the anosmia. If it is due to a cold or sinusitis, the problem is likely to clear on its own within a few days. However, if it persists, doctors may recommend prescription medications like steroid nasal sprays, decongestants, antihistamines, steroids and antibiotics for bacterial infections. Lifestyle changes like cessation of smoking and decreasing the exposure to nasal irritants and allergens can also be helpful. If a prescribed medication is causing the loss of smell, patients may discuss with their physicians to substitute it with other treatment options. Surgical intervention is essential to remove the obstruction if polyps or tumours are present. It is advisable to follow environmental safety recommendations and install proper chemical detectors at home for identifying dangerous gases like carbon-monoxide if a permanent loss of smell is experienced.

Hyposmia Treatment

The treatment of hyposmia is along the same lines as anosmia. Doing nasal rinses, smell restraining therapy and certain health supplements like Vitamin B12 may also be beneficial. Foods like fish, meat, eggs, cheese, milk, yogurt and chicken can also help in improving the sense of smell.

Ageusia Treatment

If ageusia is due to allergies and infections, doctors may prescribe relevant medicines to clear the condition and relieve the symptoms. In some cases changing certain medications or stopping them may be necessary. If ageusia is caused by ageing, it is likely to be permanent and cannot be reversed completely. In such cases, treatment involves teaching coping strategies like preparing foods with more spices and safe colours to make them delicious. Quitting the smoking habit can improve the taste significantly. Besides, maintaining good oral hygiene helps in regaining better taste. A customized treatment plan is needed if the problem is caused by head injury or mental ailments.

Hypogeusia Treatment

The treatment approach is similar to ageusia. Intranasal sprays and vaporisers are sometimes used in treating hypogeusia. Using aromatic herbs and ingredients of different textures can help in better managing this disorder. Vitamin D and zinc supplements are beneficial too.

Nasal Irrigation for Sinus Issue - Safe or Not?

Nasal irrigation or sinus flush is a simple and safe remedy for relief from sinusitis and other nasal allergies. People use simple neti pots, bulb syringes, and squeeze bottles to wash away the allergens and mucus while giving a relief from stuffy nose.

Nasal irrigation also helps to moisture the mucous membrane that tends to get dry and causes irritation due to sinus symptoms.

Generally, sinus flush is a safe method but there are a few things everyone should remember before flushing that salt or saline water into those nasal passages. The first rule, people should use it only after being prescribed by the ENT specialist.

Besides the guidelines provided by your ENT doctor, here are a few important aspects you should be aware of about nasal irrigation.

First Things First - The Preparation

After the consultation at the ENT hospital, your doctor might have prescribed you with the necessary equipment along with saline solution. It is highly recommended people to buy the saline solution as it is simple and avoids any contamination.

If you are preparing the isotonic solution on your own, use warm and sterile water and mix it with sodium chloride (unprocessed salt) as per the prescribed measures by your doctor. Non-sterile water might contain a parasitic amoeba that might cause a fatal infection by reaching out to the brain.

Step by Step Guide for Nasal Irrigation

Once the solution is prepared and the equipment is sterilised, follow these steps to proceed with the nasal irrigation process. Before that, keep in mind that nasal irrigation is useful only for short-term relief and people with sinus issues should seek medical help for long-term solutions.

Step 1: Stand in front of the sink and fill up the neti pot or bulb syringe (whichever you have been prescribed with)

Step 2: Slightly tilt your head towards the left if you are flushing the right nostril or right-wards if you are flushing the left nostril.

Step 3: Take a deep breathe and gently flush the solution inside the nostril. Do not try to breathe but if you have to, use your mouth (not nose).

Step 4: Once the irrigation is completed for both the nostrils, take a clean towel of tissue and gently wipe off the debris and water inside the nose.

Nasal irrigation can be done while you are lying down too. Lie down on your side and keep a pan below your nose. Use the neti pot to start the draining process.

Is Nasal Irrigation Impactful?

Even though this method is proven to be extremely effective, people with sinus are expected to be careful with their saline preparation and the frequency of nasal irrigation.

Check with your doctor as to how often you should irrigate. Generally, your doctor might suggest 1-3 irrigations per day. The threats of excessive irrigation are the damage of the sensitive membrane inside the nose and the infection caused by parasitic amoeba.

Safety Tips for Nasal Irrigation

• Wash your hands, clean the neti pot, bulb syringe, or the squeezer and dry them completely.
• Irrigation is not recommended even for excessive nasal congestion if you have recently undergone a sinus surgery.
• Ensure the water is not cold or not hot. Lukewarm solution is always recommended.
• Clean the equipment properly after each irrigation and dry them.

You Should Avoid Sinus Flush in the Following Contexts: 

• Performing it on infants and children.
• If you have any facial wounds that are yet to heal or skeletomuscular injuries.
• Frequent irrigation beyond the recommended count by your sinus specialist.

The Risks Involved in Sinus Irrigation

Apart from the risk of dangerous parasitic amoeba infection, there are other risks involved in sinus irrigation that is performed incorrectly. Be informed that these are risks and not necessarily to be associated with everyone who performs nasal irrigation.

• Heaviness of head, dizziness and headaches.
• Ear fullness and ringing sensation
• Sneezing and itchiness inside the nose
• Bleeding in a very few rare cases

Bleeding might also happen in people who have undergone nasal surgery recently and it can be perceived as a common effect. If the bleeding doesn’t stop, reach out to your ENT doctor for an examination. 

Takeaway:

Nasal irrigations are safe as long as they are performed under the strict guidelines of your doctor. If you feel any abnormalities such as headaches, seizures, or bleeding, book an appointment with the best ENT hospital in your locality, at the earliest.

Understanding Nasal allergies

Allergies are caused by substances called allergens and it is one of the common health problems. There are two types of allergic symptoms, one that is caused during particular season which is seasonal and the other that is caused all year long.

The most common allergens include,

• Air-borne agents (from ragweed, grass and trees)
• Furs and feathers from animals
• Dust mites
• Pests
• Certain foods
• Mold

Allergens are always not the same and not harmful for everyone but when a particular person has allergy the body thinks these allergens are harmful and create antibodies that creates the allergic reaction in the host body.

Nasal allergies – Causes, Signs and Treatment:

Causes:

When the body attacks the allergens with particular antibodies that are attached to mast cells this releases histamine and few other chemicals which thereby irritate the nasal tissue causing Nasal allergy symptoms in the particular individual. This may also lead to other health issues like asthma.

Signs:

Since the allergy affects the nasal tissue it causes physical changes like swelling of the tissue that leads to nose blockage or itchy nose. In some cases fluid discharges may occur from the nose or even down the back of the throat. This signs may occur in case of asthma and sinus problems where it is also related to the nasal allergy symptoms.

The most common symptoms include,

• Nasal congestion
• Watery discharge from the nose
• Postnasal drip or dripping at the back of the throat
• Sneezing and coughing or sore throat
• Inflammation in the nose
• Swelling of eyes, redness and watery eyes
• Itchiness of throat, eyes ,nose and even ears
• Ear congestion
• Head ache
• Sinus pain and swelling

Allergic Rhinitis/Hay fever/ Allergic sinusitis:

Allergic reactions to specific allergens are often termed as Allergic rhinitis or Hay fever. Seasonal allergic rhinitis is mostly caused by pollens and it thus occurs with the change of seasons. According to AAAAI, 10 to 30 percent of the worldwide population may also have allergic rhinitis or Hay fever.

The basic symptoms of allergic rhinitis includes the symptoms of common nasal allergies along with dark circles, eczema symptoms like dry and itchy skin that can blister and weep, hives and excessive fatigue. Fever is not a symptom of Hay fever. The constant headache and fatigue is a symptom of long term exposure to allergens. Allergic sinusitis is the inflammation of the cavities and membranes in and around nasal passages due to allergies.

Types of Allergic Rhinitis:

• Seasonal - That usually occurs during particular seasons like spring and fall season and mostly they are caused by outdoor allergens like tree pollens.
• Perennial - This can occur all year round and are mostly caused by indoor allergens like dust mites and pet dander.

Risk factors for allergic rhinitis:

Certain conditions that can worsen the effects of allergens includes,

• Cigarette smoke
• Air pollutants
• Humidity
• Cold temperatures
• Chemicals
• Hairspray
• Perfumes
• Fumes

Diagnosis of Allergic rhinitis (Hay fever):

If you have minor allergies, the skin doctors will do a physical exam (allergy testing) which includes skin prick test where your doctor will place several substances onto your skin to see how your body reacts to each one. If you have allergy to those particular substance red bumps will appear, that’s when your doctor will come up with treatment and prevention plans.

In certain cases a blood test is conducted, which is otherwise called Radioallergosorbent test (RAST). It measures the amount of immunoglobulin E antibodies to particular allergens in blood.

Treatment of Allergic rhinitis (Hay fever):

The treatment of Hay fever includes providing anti histamines, decongestants, eye drops and nasal sprays recommended by your doctor. In certain cases your doctor may suggest taking immunotherapy or allergy shots. Also SLIT, (Sublingual immunotherapy) this involves placing a tablet containing a mixture of several allergens under your tongue.

Other than the above mentioned certain home remedies like using specific filter based air conditioners or dehumidifiers at home for people who get affected by seasonal allergens. Also people who are affected by indoor allergens should clean the house properly and wash sheets and blankets with hot water above 54.4 Degree Celsius.

Foreign objects inside your child’s nose - Immediate steps you should take

Little children always carry big curiosity with them. This makes them explore things and the world around. Being as innocent as they are, they tend to taste the objects they shouldn’t and place the tiny things in their nose, mouth, and ears, which they shouldn’t.

Foreign objects in a child’s nose and ear – are nightmares of a parent and family members. Starting from pencils to pieces of rubber, foreign objects in the nose can be worrisome.

But there are a few objects such as pairing magnets, batteries of wrist watches and sometimes food that gets stuck in the nose can disrupt the breathing process. In a few severe instances, these objects can damage the nasal passage.

How to prevent children from placing foreign objects in their nose?

Parents should keep the tiny objects away from children and keep an eye on them always. But it is nearly impossible to keep a watch on children around the clock. Then what should you do? What are the safe steps to follow when you realize there is a foreign object inside your child’s nose? When to seek medical help?

They are a bunch of questions. We will answer all of them. Stay with us till the end and prevent such incidents.

How to find if there is a foreign object inside your child’s nose?

When a child inserts big objects such as pencils and pens, it is easy to remove them and mostly no medical intervention is required. But the problem occurs when the object is tiny and could not be found instantly. Here are a few symptoms of foreign objects in nose.

• Difficulty in breathing -

When the object is stuck inside the nostril, your child may rub the nostril and find it hard to breathe naturally. And, this occurs frequently.

• Crying for no apparent reason -

Crying for no reason is a communication method for Infants who could not vocalize their difficulties. If your child is crying for no particular reason, check their nose and ears.

• Nasal discharge -

In a few cases, nasal discharge could be observed but this occurs only when the placed objects cause certain degree damage to the nasal passage.

How do you react when you find the foreign object?

It is easy to panic when you find an object inside your child’s nose. But you shouldn’t panic. We know it is easier said than done but panicking and trying to remove the object on your own makes it even worse. Here is what you should do instead.

• Find tweezers and slowly insert inside the nose and try to pull the object out.
• Try to hold the object and pull it backwards.

How ENT specialists will treat foreign bodies in nose?

Once you reach the ENT hospital, the nose doctor conducts a physical examination to determine the object and use nasal spray or drops that have anesthetic properties. This will ease the pain if there is any.

ENT specialists will have equipment that help them easily reach the object, grasp or scoop it out. If it is not working, they will employ suction machines that suck the object as delicately as possible.

Followed by the removal, the specialist or your pediatrician might prescribe antibiotics that prevent any infection further.

Tips to protect your children from foreign objects

No matter how watchful an eye you have, it is not possible to keep your children under scan always. Here are a few tips that you can follow.

If your children are above 4 or 5 years old, explain to them why they shouldn’t keep objects inside their nose.

If your children are below 3, keep small objects away from them. Keep small objects, toys with tiny spares, magnetic jewelry, and other objects on the tables above 4 feet.

Take these preventive measures and reach out to your nearest ENT specialty clinic if you find a foreign object in your child’s nose.

Earwax Blockage - Everything You Should Know

Earwax, medically known as cerumen, is a waxy oil that is produced by earwax glands. This is to protect the inner parts of the ears, from the microorganisms, dust, and foreign objects. After the secretion, this oil gets hardened and finds its way out of the ears naturally.

What Causes Earwax Buildup?

Earwax buildup occurs when there is excessive secretion of cerumen than what’s necessary and also when the hardened oil fails to find its way out. Both the cases can lead to earwax buildup, ear block, and temporary hearing loss, eventually. Sometimes people who are cleaning might accidentally push the wax further deep causing the blockage.

Signs and Symptoms of Earwax Blockages

Buzzing or ringing sound in the ear is a common sign of earwax blockage. You might lose hearing ability temporarily based on the percentage of the block.

Becoming aware of the inner voice when you talk, a sense of fullness in the ear, and sometimes earache are the other signs of it.

Earwax Buildup in Children

Earaches are associated with infants and children more than the adults. In children, you can find earwax buildup by checking for the darker brown substance inside the ear walls. Using ear swabs, however sensitive they are, can damage ear canal linings, and eardrums in extreme cases.  Consulting an ENT specialist and seeking assistance is a sensible thing to do.

Earwax and the Infection -

Earwax blockage will become an infection only when the buildup stays inside the ear walls for too long. Ear infections can cause excruciating pain and such an ear infection in children can become a nightmare to live for both the child and to the parents.

This pain could not be subsidised, and a discharge from the ear also could be observed in the case of infections caused by earwax buildup. Other symptoms include fever, coughing, and giddiness.

Treatment for Earwax Blockage and Infection -

Followed by the initial diagnosis at the ENT hospital, the ear specialist uses an otoscope that helps them to see the inner ear.

Certain oils or hydrogen peroxide to soften the earwax block. Then the ear doctor may use irrigation, a technique where water is sent like a stream, inside the ear to clean the block. Curette, a curved instrument, is also used to clean earwax blockage.

Earwax removal is a simple process. Once the block is cleared, it is important to follow the after-care instructions by your doctor. Ear irrigation kits are also available as the over-the-counter kits. You can practice as instructed by your ENT specialist.

Softening and irrigation techniques should work. However, sometimes the softeners could only melt the outer layer of the wax and force removing might cause damage. If your condition is not improving, consult your doctor.

How to Avoid Earwax Blockages

Generally self-care and hygiene are the remedies for earwax blockages. But it is essential to see your ENT specialist periodically to maintain ear hygiene. It becomes imperative if your ear glands produce more cerumen.

It is common to see people using ear swabs to remove the earwax buildup. Using a soft and sensitive ear swab once or twice a week might help you keep your ears clean but in order to remove a blockage, you should reach out to an ENT clinic.

If you feel there is a block inside your ear and you could not hear properly, do not try to insert any swab, paper rolls or any other item. They will only cause more damage.

Even though earache, ear discharge, and the sense of fullness are the symptoms of earwax blockage, there are other conditions that show the similar symptoms.

The Takeaways -

Earwax buildup is a common issue in people who secrete more cerumen. This can happen in both children and adults. If you know how to use the irrigation method, try it periodically based on your doctor’s recommendation. In children, consult your ENT doctor to get the wax removed.

Earwax is useful for your ears. It keeps them clean, and protects in many ways. Once the work is done, the wax gets washed away by the body. And, all this happens naturally. Follow your doctor’s recommendation to keep your ears clean.