Why Does My Ear Feel Blocked But There's No Wax?

If your ear feels blocked, muffled or "full", it's easy to assume ear wax is the cause. In many cases it is. However, sometimes people book an ear assessment expecting a large wax blockage, only to find there is very little wax present.

So what else could be causing that blocked sensation?

Could There Still Be Some Wax?

Yes.

A completely blocked ear isn't the only way wax can cause symptoms. Sometimes a small amount of wax sitting in the wrong position can create a feeling of fullness, pressure or muffled hearing.

This is one reason why it's difficult to know exactly what's happening without looking inside the ear.

Eustachian Tube Dysfunction

One of the most common causes of a blocked ear without significant wax is Eustachian tube dysfunction.

The Eustachian tube connects the middle ear to the back of the nose and helps equalise pressure.

When it isn't working as it should, you may notice:

• A blocked or full sensation

• Popping or crackling sounds

• Mild hearing changes

• Pressure in one or both ears

This can happen during a cold, allergy flare-up, sinus congestion or even after flying.

Fluid Behind The Eardrum

Sometimes fluid can remain behind the eardrum after an infection or period of congestion.

This fluid can create a feeling of blockage even when the ear canal itself is completely clear.

Many people describe it as feeling like they are underwater or as though their hearing has become slightly muffled.

Jaw Tension And TMJ Problems

The jaw joint sits very close to the ear.

If you grind your teeth, clench your jaw or have problems with your temporomandibular joint (TMJ), it can sometimes create symptoms that feel like they are coming from the ear.

You may notice:

• Ear pressure

• Crackling when chewing

• Discomfort around the jaw

• Clicking or popping sensations

When Should You Get It Checked?

A blocked feeling that lasts for several days isn't usually an emergency, but it's worth seeking advice if you experience:

• Sudden hearing loss

• Ear pain

• Discharge from the ear

• Persistent dizziness

• Symptoms that aren't improving

How An Ear Assessment Can Help

An ear assessment allows the ear canal and eardrum to be examined so that obvious causes such as wax build-up can be ruled in or out.

If wax removal isn't required, you can often be given guidance on what may be causing the symptoms and whether a GP, audiologist or other healthcare professional would be the most appropriate next step.

Tempera Health provides ear assessments and ear wax removal appointments across Basingstoke, Overton and surrounding Hampshire villages.