Hearing a “squishy” sound in the ear is a common internal sensation, often described as crackling, bubbling, or fluid-like. While frequently benign, this sound can range from a minor annoyance to a more noticeable phenomenon. Understanding its potential origins can help determine if it requires attention.
Common Reasons for Squishy Ear Sounds
A frequent cause of squishy ear sounds is excessive or impacted earwax, also known as cerumen. This natural waxy oil protects the ear canal, but a buildup can trap air or fluid. This leads to squishing noises, especially with jaw movement or head position changes. When cerumen accumulates and obstructs the ear canal, it can also result in sounds like crackling or popping.
Fluid accumulation in the middle ear is another common reason for these sounds. The Eustachian tube, a narrow passageway connecting the middle ear to the throat, normally equalizes pressure and drains fluid. However, conditions like colds, allergies, or sinus infections can cause this tube to become swollen or blocked, trapping fluid behind the eardrum. This trapped fluid produces bubbling, crackling, or squishing sounds as air passes through or the fluid shifts. This fluid buildup is sometimes called middle ear effusion or “glue ear,” and can occur even without an active infection.
Occasionally, small foreign objects can enter the ear canal and create squishy sounds. These might include tiny insects, remnants from cotton swabs, or other debris that moves within the ear canal or interacts with moisture. As these objects shift or become lodged, they can produce unusual noises.
Irritation or inflammation within the ear canal can also contribute to squishy sensations. Conditions like otitis externa, a mild outer ear infection, can lead to swelling and a feeling of dampness. This inflammation can alter the ear canal’s environment, causing squishy sounds or a sense of internal moisture.
Self-Care for Squishy Ear Sensations
For mild squishy ear sensations, especially those related to earwax, gentle external ear cleaning can help. Wiping the outer ear with a soft cloth removes superficial wax. Avoid inserting cotton swabs or any other objects into the ear canal, as this can push earwax deeper and potentially cause further blockage or damage.
Over-the-counter ear drops with hydrogen peroxide or mineral oil can soften earwax, allowing it to naturally exit. When using drops, tilt the affected ear upward for several minutes to allow penetration, then tilt the head the other way for drainage. If ear cleaning drops are insufficient, a bulb syringe with warm water can gently flush the ear, but this method should be avoided if a perforated eardrum or prior eardrum surgery is present.
Techniques to open the Eustachian tubes can relieve pressure or fluid buildup. Simple exercises like yawning, swallowing, or chewing gum encourage the tubes to open and equalize middle ear pressure. The Valsalva maneuver, which involves holding the nose closed and gently blowing as if to pop the ears, is also effective in equalizing pressure.
Maintaining good hydration and managing allergy symptoms supports ear health by preventing fluid buildup. Staying adequately hydrated helps maintain mucus viscosity, while addressing allergies reduces inflammation that can affect the Eustachian tubes.
When to Seek Medical Attention
While many squishy ear sounds resolve on their own, certain accompanying symptoms or persistent issues warrant medical evaluation. Consult a healthcare professional if the squishy sound is accompanied by ear pain, a high temperature, or discharge from the ear. These could indicate an underlying infection or other condition requiring treatment.
Other concerning symptoms requiring medical attention include sudden or persistent hearing loss, dizziness or vertigo, and ringing in the ears (tinnitus). If the squishy sound does not resolve within a few days or if it worsens, professional medical advice should be sought.
Individuals with a history of recurrent ear infections, recent ear injury, or a known perforated eardrum should also consult a doctor. These pre-existing conditions increase the risk of complications and require careful assessment. If there is any uncertainty about the cause or severity of the ear sensation, seeking professional guidance ensures appropriate diagnosis and care.