Ear wax are normal secretions to protect the ear canal, if the patient tries to clean them by cotton tip applicators, they will be more stuck and pushed deeply towards the ear drum, then they will cause hearing loss which is reversible by cleaning at the doctor.
Nothing should be allowed to go into the ear canal! (Cotton tips, keys, pen covers, fingers....)
As for smoking, it is not related to wax, but might cause hearing impairment on the long run by blocking the very small arterioles that supply blood to the hearing center.
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Annual Checkup
It is recommended that all individuals see a Family Doctor for a full medical examination annually. Adults should get their blood pressure checked (US Preventive Task Force), a flu vaccine (CDC) and more each year.
The American Dental Association recommends dental cleanings for adults at least twice annually. Some stains can only be removed by a professional cleaning.
It’s recommended by the American Academy of Ophthalmology that every adult between the ages of 18 and 80 does an eye examination at least once every two years.
It's recommended by the American Cancer Association that every adult between the age of 20 and 80 does an annual skin screening by a licensed dermatologist.
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