Cerumen removal (earwax cleaning)
Cerumen, also known as earwax, naturally forms in the external ear canal to protect the ear from dust, bacteria, and moisture. In most cases, the wax clears on its own without the need for intervention. However, in some people, buildup may occur, causing a feeling of fullness, noise in the ear, or reduced hearing. Older adults, children, and hearing aid users are more likely to experience this issue. If you are affected too, cerumen removal is a safe and effective service offered by Dr Prlja Medical in Belgrade. Our expert team uses modern methods to resolve the problem quickly and painlessly. If you want clear hearing and timely diagnosis, contact us today!

Should I be worried about the presence of cerumen in my ear?
In most cases, cerumen – or earwax – is not a cause for concern. It has a protective role and naturally forms in the ear to guard against dust, bacteria, and moisture. However, some people experience excessive buildup, which can cause discomfort. If you feel pressure in your ear, reduced hearing, noises, or even mild dizziness, excess cerumen blocking the ear canal may be the reason.
There’s no need to panic in such cases, but it is important to seek help from an ENT specialist. At the Dr Prlja Medical Clinic, cerumen is removed safely and quickly using modern methods: warm water irrigation, gentle vacuum aspiration, or special instruments. The treatment takes about ten minutes, causes no pain, and is adapted to each patient.
Regular ear cleaning to remove cerumen is especially recommended for:
- children
- people with narrow ear canals
- users of hearing aids and cochlear implants
If you suspect that cerumen is causing your symptoms, an ENT exam can quickly help you return to your daily activities without discomfort.
Symptoms you should not ignore
Built-up cerumen can cause a range of symptoms that affect daily life and overall comfort. While some signs may seem mild, it’s important to recognize them early.
Common symptoms of excess cerumen:
- Feeling of pressure or full blockage in the ear
- Muffled sounds and difficulty following conversations
- Ringing or buzzing in the ear (tinnitus)
- Blockage in one ear without fever or pain
- Worsening after showering
- Mild dizziness due to pressure changes in the ear
- Temporary hearing loss, often improved after cerumen removal
Possible complications from irregular or improper cleaning:
- Irritation of the ear canal skin
- Inflammation and outer ear infections (otitis externa)
- Damage to the eardrum from incorrect cleaning
- Increased symptoms in hearing aid users
If you notice any of these symptoms, do not wait for them to worsen. A timely ENT exam and professional cerumen removal can prevent complications and provide fast relief.
When to see a doctor
In most cases, cerumen clears out naturally without the need for treatment. But if the sensation of blockage, tinnitus, or hearing reduction lasts more than a few days, it’s best to consult a doctor.

What to expect during an exam at Dr Prlja Medical
An ear cleaning exam at Dr Prlja Medical starts with:
- A short consultation with the doctor to collect information about your symptoms and any previous treatments.
- Then comes otoscopy – a simple, painless exam that allows visual assessment of the outer ear canal and eardrum.
- This diagnostic method helps the doctor accurately estimate the amount of cerumen and choose the most appropriate removal technique.
Earwax removal in adults
The procedure is done in a controlled environment and adapted to each patient. Common methods include:
- Ear irrigation with warm water, used when the wax is soft
- Vacuum aspiration, suitable for more sensitive patients and children
- Removal with special tools, when the wax is hard or lodged deep inside
The procedure usually lasts 5–10 minutes, does not require anesthesia, and is performed by an ENT specialist following strict safety protocols.
Children can safely undergo earwax cleaning as well. At Dr Prlja Medical, young patients are treated with care using gentle, age-appropriate techniques. Removing the wax in time allows the doctor to clearly see the eardrum and detect any early signs of infection.
What to bring for cerumen removal
No special preparation is needed, but it helps to bring:
- A list of current medications (if any)
- Previous ENT exam results (if available)
- Symptom details: when they started, how long they’ve lasted, whether they’re getting worse
This approach enables an accurate diagnosis and timely treatment. If you’re noticing symptoms of blockage, call and book your appointment – the exam is quick, simple, and effective.

Benefits of an ENT diagnostic exam
Earwax removal often reveals conditions that require further attention. In many cases, cerumen removal uncovers changes that need medical evaluation. Through simple otoscopy, the doctor can detect signs of infection, physical damage, or other issues the patient may not have noticed.
During the exam, the following problems can also be identified:
- Acute or chronic ear infection
- Fungal infections (otomycosis), causing itching and discomfort
- Foreign bodies (e.g. insects, cotton, earbud pieces), common in children and elderly
- Eardrum damage or perforation, which may need further treatment
- Tinnitus (constant ringing or buzzing) – if it persists after wax removal, it may indicate a deeper hearing issue
- Cholesteatoma – although not caused by cerumen, its presence may hide symptoms and delay diagnosis
In some cases, excessive cerumen may also cause mild dizziness due to pressure changes that affect the balance system. This procedure can help reduce such vertigo symptoms as well.
Why choose Dr Prlja Medical in Belgrade
At Dr Prlja Medical Clinic in Belgrade, patients receive more than routine care – they receive expertise, attention, and a tailored approach in a safe environment. The treatment is performed with full dedication, without pain or stress. The team includes experienced doctors who use safe methods for fast and effective earwax removal.
Choosing a professional procedure saves time, avoids complications, and ensures an accurate diagnosis. Home attempts often worsen the condition, pushing the wax deeper or damaging the eardrum. A proper medical evaluation in controlled conditions is the best way to protect your ear health.
Earwax: Cleaning at home?
If you clean your ears with cotton swabs, you can often causes more harm than good. Instead of removing wax, people unintentionally push it deeper into the ear canal, leading to full blockage or eardrum injury. Over-the-counter softening drops can help in mild cases, but they are not a substitute for a medical exam if symptoms continue.
At-home earwax removal is not safe in most situations. A professional exam allows accurate assessment and selection of the safest removal method. If you have concerns or discomfort, seeing a doctor promptly is the best choice.
If earwax is bothering you, it’s time to see an ENT specialist
A blocked ear, reduced hearing, or uncomfortable pressure can greatly affect your focus, communication, and overall quality of life. If earwax is the cause, cerumen removal can resolve these symptoms quickly, without risk, and includes a professional evaluation to check for any underlying issues. After treatment, patients often notice immediate improvement – hearing returns, pressure disappears, and discomfort is gone. At Dr Prlja Medical in Belgrade, you receive more than just a service – you receive trust, precision, and personalized care. The exam is fast, the procedure is proven and safe, and scheduling requires no waiting. If you’re experiencing symptoms of earwax buildup or simply want to check your hearing, call us and book your earwax cleaning appointment. A convenient time slot, effective treatment, and expert care – it’s all waiting for you at our clinic.
Frequently asked questions
Can cerumen affect balance and walking?
Yes, in some cases, built-up cerumen can cause a sense of instability or mild dizziness by affecting ear pressure and stimulating the vestibular system. If you notice unsteady walking or dizziness, an ENT exam is recommended.
Can cerumen cause headaches or head pressure?
While not a common cause, severe ear blockage can create a pressure sensation that some patients interpret as a headache. In such cases, symptoms usually stop after cerumen removal.
Does cerumen affect hearing aid performance or hearing tests?
Yes. Excess cerumen can block the ear canal, resulting in falsely low hearing test results or interfering with hearing aid function. It’s best to clean the ears before any audiometric testing.
How often should I come for checkups if cerumen keeps returning?
For people prone to wax buildup (narrow canals, dry skin, hearing aid use), checkups every 6 to 12 months—or as needed—are recommended.
Is there a permanent solution for people with frequent cerumen problems?
There is no permanent solution, but regular checkups, a personalized care plan, and the use of doctor-recommended softening drops can help manage the condition.
Is cerumen removal done for children under one year old?
Yes, but only when necessary and if symptoms are present, such as frequent crying while touching the ear, loss of appetite, or suspected infection. At that age, treatment must be performed by an experienced ENT specialist using a gentle approach.