Why You Really Shouldn’t Use a Q-Tip to Clean Your Ears

New guidelines for physicians and patients outline the do’s and don’ts of ear care. Listen up for what you need to know.

1:00 PM

Author | Haley Otman

Q tips are bad for your ears

You've likely heard it before: Don't stick anything in your ear smaller than your elbow. Dig around with a cotton swab, and you'll put yourself at risk for earwax impaction, and other potentially more serious conditions.

MORE FROM MICHIGAN: Sign up for our weekly newsletter

To help drive this message home, the American Academy of Otolaryngology-Head and Neck Surgery published a new set of guidelines in the January 2017 issue of Otolaryngology - Head and Neck Surgery.

The message? You guessed it: Back away from the cotton swabs. The report focuses on ear hygiene, reminding patients that the inside of the ear cleans itself and that overcleaning can be harmful, and explaining to providers how best to spot ear trouble.

David Stutz, M.D., clinical assistant professor at Michigan Medicine, was part of the guidelines committee in 2008 and again for the new guidelines. He represents the American Geriatrics Society, one of many professional groups to endorse the guidelines including groups such as American Academy of Family Physicians and the American Academy of Pediatrics.

"We did a complete review and reassessment of the literature since then and an update," Stutz says.

He addresses some of the noteworthy aspects of the new guidelines below.

People don't realize the wax they see on a Q-tip would have come out anyway because the ear cleans itself.
David Stutz, M.D.

What is new in the updated guidelines?

Stutz: The biggest addition for the public might be the warning about ear candling, which has become somewhat popular as an alternative medicine. The people who use it believe they can stick the unlit end of the special candle into the ear to draw the cerumen, or wax, out of the ear. Not only does it have no basis in science, but it simply doesn't work.

There is also expanded information for clinicians about identifying and treating patients with cerumen impaction.

Why do the experts keep warning against cleaning out your own ears, even with Q-tips?

Stutz: The guidelines do not advise using Q-tips, pencils, keys or anything smaller than your elbow, as the oft-used saying goes, in your ear. The main danger of putting things inside your ear is you can't see what you're doing, and could potentially cause significant harm.

SEE ALSO: 99% of Chronic Sinusitis Diagnoses by Nonspecialists Are Wrong

You can not only irritate, scratch and cut the ear canal, but you can also damage the eardrum, and render your efforts unsuccessful by pushing whatever wax has built up even deeper down the ear. People don't realize the wax they see on a Q-tip would have come out anyway because the ear cleans itself.

But earwax buildup can be a real problem. What should people do if they feel uncomfortable?

Stutz: Although earwax will usually come out on its own, it can certainly build up in some people for a variety of reasons. Some people simply have drier and thicker earwax that can accumulate.

There are a few problems that can arise: hearing issues, irritation and a blocked view for the provider trying to help.

As the cerumen builds up, it can gradually affect the hearing. What usually happens is a person will experience a sudden loss of hearing when they get water behind it, or the wax can coalesce and finally block off the ear canal. Fortunately, we can remedy this pretty easily in the clinic.

The issue again is about not being able to see what you're doing if you try to stick something in your ear to fix it yourself. It's important to seek medical attention if your ear is hurting, you're having trouble hearing, or experiencing other symptoms such as dizziness or ringing.

More Articles About: Preventative health and wellness Ear, Nose & Throat
Health Lab word mark overlaying blue cells
Health Lab

Explore a variety of healthcare news & stories by visiting the Health Lab home page for more articles.

Media Contact Public Relations

Department of Communication at Michigan Medicine

[email protected]


Stay Informed

Want top health & research news weekly? Sign up for Health Lab’s newsletters today!

Featured News & Stories Ear watercolor showing a sound wave
Health Lab
Should you get an over-the-counter hearing aid or see a hearing specialist?
Audiology expert provides insights on the new FDA regulation.
ear listening with orange background and black silhouette
Health Lab
How to prevent hearing damage
An audiologist’s advice on how best to avoid preventable hearing loss.
Horn near ear
Health Lab
5 Ways to Reduce Hearing Damage
Noise-induced hearing loss is 100% preventable. A Michigan Medicine audiologist gives tips on how to reduce the risk of noise-induced hearing loss.
person in quarantine
Health Lab
14 Things to Do If Someone You Live With Has COVID-19
What to do if you have coronavirus, or if you live with someone who has confirmed or suspected COVID-19. Tips for preventing infection while providing COVID care at home.
Drawing of parent trying to get child's attention who is listening to music on headphones
Health Lab
Are headphones and earbuds exposing your children to noise health risks?
2 in 3 parents in national poll say their child ages 5-12 use personal audio devices; pediatrician offers 4 tips to reduce noise exposure risks
blue image person reaching
Health Lab
Reenergizing hospital staff through interactive recharge rooms 
The Flourish recharge room, an innovative gift given to Michigan Medicine, provides staff with a transformative and healing experience.