Ear wax removal
Choose the right path for your individual needs
What is ear wax?
Ear wax is a natural bodily secretion which, if it builds up, can cause problems with hearing, ear ache, tinnitus and dizziness. In most cases it removes itself, but in others, it may have to be removed by a trained ENT health professional.
What causes ear wax build-up?
There are a number of causes for earwax buildup:
- Some people naturally create a lot of ear wax
- Producing hard or dry ear wax
- Narrow or hairy ear canals which link the opening of the ear to the ear drum
- Age, because ear wax becomes drier as we get older
- Bony growths in the ear canal
- Frequent use of cotton buds, ear plugs and wearing hearing aids
What are the symptoms of ear wax build-up?
There are a range of symptoms which might improve when the excess wax is removed. These include ear ache, hearing loss, tinnitus, itchiness, dizziness and/or ear infections.
How to know if you need ear wax removal
If you think you have a build-up of ear wax, do not try to remove it with your finger, cotton bud or anything else you could put in your ear – this can cause damage and push the wax further into your ear. As a general rule, never try to put anything into your ear which is smaller than your elbow!
Where ear wax is causing you minor symptoms, speak to your pharmacist about ear drops which soften the wax and help it to drop out naturally. Do not use drops if you have a perforated ear drum, and stop using them if they cause irritation.
Here is when to seek treatment:
- Visit your GP if your symptoms are troubling you or if ear drops have not worked after three to five days
- Your GP or practice nurse may recommend using the drops for longer, or they may use ear irrigation to clean out your ear canal
- If these steps do not work your GP may refer you to an ENT specialist for further treatment
Ear wax removal treatment options
If ear drops or ear irrigation do not work, other options include:
Microsuction ear wax removal
Ear microsuction, which is a quick and comparatively painless treatment involving a small device which sucks out the wax from your ear using gentle suction. This is usually a safe option even if you have a damaged ear drum.
An aural toilet uses a thin instrument with a hoop at one end to clean your ear and remove the wax.
How long does ear wax removal take?
Depending on the severity of the ear wax build up, a matter of minutes.
How long will I be in hospital?
Ear wax removal is carried out as a day case procedure, so there is no need to stay in hospital overnight.
What are the results of ear wax removal?
With the ear wax removed, any symptoms caused by the wax disappear quickly. If you are prone to ear wax build-up your doctor may recommend using ear drops to keep the wax soft and help it remove itself, but this advice will only be given if drops are right for you.
What are the risks and complications of ear wax removal?
A pre-treatment assessment should reveal any perforation or tears to the ear drum, which would rule out some treatments. If the assessment does not show up a perforation or tear and you know you have had one, you should let the nurse or doctor know – carrying out some treatments where there is a damaged ear drum can cause problems.
Some treatments may cause discomfort or symptom recurrence in people who have conditions of the inner ear such as Menières disease. Again, it is important to let the nurse or doctor know if you have such a condition before treatment begins.
A pre-operative assessment is our opportunity to ensure that the procedure for which you have been referred is right for you. We’ll explain your treatment to you and makes sure that you are well enough to go ahead with it. It is also your opportunity to meet the team who will care for you and to ask any questions.
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