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Earwax Removal for Children: What You Need to Know

Earwax, also known as cerumen, is a natural substance produced by the ears to protect the ear canal and eardrum. It is typically removed naturally through the action of jaw movement and the shedding of skin in the ear canal. However, in some cases, earwax can build up and cause problems such as earaches, hearing loss, and more importantly hinder examination of the ear and ear canal. In these cases, earwax removal may be necessary.

When it comes to earwax removal for children, it is important to know that the process can be slightly different than for adults. This is because the ear canal is smaller in children, making it more difficult to safely remove the earwax. In addition, children tend to be less cooperative than adults.

If you are considering earwax removal for your child, it is important to first consult with a pediatrician or an ear, nose, and throat (ENT) specialist. They will be able to determine if the earwax buildup is causing problems and, if so, recommend the best course of action.

One of the most common and safest methods for earwax removal is first using earwax drops. These can be over-the-counter or prescription and work by softening the earwax so it can be more easily removed. It's important to follow the instructions carefully and use the drops for the recommended amount of time. Afterwards, you flush the ear with warm water using a bulb syringe.

Another option if the child is cooperative, is using one of the available over-the-counter irrigation kits that uses a multi-stream irrigation tip. This special tip will insure that the ear canal or eardrum will not be injured.

While it may be tempting to remove earwax at home, it's important to remember that some methods can be dangerous, particularly for children. For example, using cotton swabs, ear curettes, ear picks, spiral removal tools can easily injure the ear canal or eardrum and are not recommended by the American Academy of Otolaryngology. 

Overall, earwax removal is a common procedure, especially for children. While it is generally safe and effective when done correctly, it is important to consult with a pediatrician or ENT specialist before trying any earwax removal procedure. They will be able to recommend the best course of action and ensure that the process is done safely.

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