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Earwax Buildup and Blockage If you notice the signs and symptoms of earwax blockage, talk to your doctor. Signs and symptoms, such as ear pain or decreased hearing, don't necessarily mean you have earwax. We say that earwax is involved when it has accumulated in the ear canal to the point that there are signs that something is wrong. Earwax buildup and blockages often occur when people use cotton swabs or hairpins to clean their ears. A moderate amount of earwax is healthy, so cleaning the ears is usually not necessary. Signs and symptoms of earwax buildup If you frequently suffer from ear infections or a disease's symptoms, you should see a doctor to determine if earwax buildup is the cause. Earwax buildup can be uncomfortable and cause sudden or partial hearing loss (usually temporary).