When should earwax be removed?
Earwax is produced by the ear as part of its natural process of cleaning and protection, and, in the majority of cases, it does not need to be removed. Removal of earwax may not necessarily relieve the symptoms (for example hearing loss may be a sensorineural loss and not due to impacted wax.
Consider earwax removal if:
- Earwax contributes to hearing loss or other symptoms
The eardrum is covered by wax and needs to be viewed to establish a diagnosis. - An impression needs to be taken of the ear canal (for hearing aids)
Should I use ear drops to soften the wax before I come?
Please use ear drops 3–4 times daily for 3–5 days before your appointment.
You can get the drop from your chemist, these include sodium bicarbonate 5% ear drops, and olive or almond oil drops. Instilling ear drops may cause transient hearing loss, discomfort, dizziness, and irritation of the skin.
Do not use ear drops if you have a perforated tympanic membrane, active dermatitis, or active infection of the ear canal.
What is Microsuctioning?
This is the gold standard method of ear wax removal. Other methods like ear syringing or irrigation use water, however, micro suction uses gentle suction to remove ear wax. It is a safe, gentle and effective method of ear wax removal. In most cases provides instant relief and immediately restores full hearing. Our clinicians are trained in all methods of ear wax removal, micro-suction, ear irrigation (also known as ear syringing) and instrumentation. Sometimes due to the consistency of the wax, we may need to use ear irrigation or instrumentation. In rare cases, a follow-up visit may be required to remove particularly stubborn ear wax. It can be noisy at times, and if you are worried during the procedure, we will stop immediately.
What are the risks and possible complications of earwax removal procedures?
Failure of wax removal
- Otitis externa (outer ear infection)
- Perforation of the tympanic membrane (hole in ear drum)
- Damage to the external auditory meatus —
- Pain
- Vertigo
- Otitis media (inner ear infection) due to water entering the middle ear from a previous perforation
- Exacerbation of pre-existing tinnitus
- Serious injury to the middle and inner ear (rare)
- Bleeding (usually self-limiting)
- Nausea, vomiting, and vertigo resulting from temperature variations in the irrigating fluid
Please see a doctor if you develop fever, ear pain, significant itching of the ear, discharge from the ear (otorrhoea), or swelling of the external auditory meatus, as these may indicate infection.
How often should I have micro suction?
This is different in each person, some people are more prone to a build-up of wax and need more regular visits. Many people like to have their ears cleaned regularly, sometimes every 3, 6, 9 or 12 months.
Should I try to clean my ear canals myself?
NO. Do not remove earwax or clean their ears by inserting small objects, such as cotton buds, into the ear canal. This can damage the ear canal and eardrum. It causes the wax to become impacted by pushing it further into the canal. It may lead to a perforation of the tympanic membrane (hole in the eardrum). Ear candles have no benefit in the management of earwax removal and may result in serious injury.
Common Q&A about Ear wax
Ear wax, or cerumen, is a natural substance produced by glands in the ear canal. It helps protect the ear by trapping dust, dirt, and other particles, preventing them from reaching the eardrum. It also has antibacterial properties and helps lubricate the skin inside the ear.
In most cases, ear wax removal is not necessary, as the ears are self-cleaning. Ear wax naturally migrates out of the ear canal over time. However, if there is excessive buildup causing symptoms like hearing loss, pain, or blockage, removal may be needed.
Common symptoms of ear wax buildup include hearing loss, earache, a feeling of fullness in the ear, dizziness, ringing in the ears (tinnitus), and sometimes itching or a bad odour.
It is not recommended to use cotton swabs to clean the inside of your ears, as they can push wax further into the ear canal, causing blockage or even damage to the eardrum. Cotton swabs are best used for cleaning the outer ear.
Safe methods to remove ear wax at home include using over-the-counter ear drops or a saline solution to soften the wax. Irrigation with warm water may also help. However, it’s best to consult a doctor if you have recurring issues or impacted wax.
If you suspect a blockage, you can try softening the wax with ear drops or warm mineral oil. If symptoms persist, it is best to consult a healthcare professional who may remove the wax using special tools or irrigation techniques.
Yes, excessive ear wax buildup can cause temporary hearing loss by blocking sound waves from reaching the eardrum. Once the wax is removed, hearing usually returns to normal.
No, ear candles are not a safe method for ear wax removal. They can cause burns, ear canal injuries, and even increase the risk of ear infections. Most healthcare providers do not recommend their use.
Ear wax production varies between individuals due to factors like genetics, age, and environment. Some people naturally produce more wax, and factors like wearing hearing aids or earplugs, or having narrow ear canals, can contribute to wax buildup.
You should see a doctor if you experience symptoms like significant hearing loss, ear pain, a blocked sensation, dizziness, or discharge from the ear. It’s also important to consult a doctor if home remedies don’t work or if you suspect impacted ear wax.