Most people who have irrigation find it to be a fairly pleasant procedure. Ear syringing does make some noise but this is not excessive or uncomfortable. In the past clinicians used a large metal syringe however the new electronic irrigators, which have controlled pressures, are gentler and safer. The wax and water is collected in a cup-shaped receiver which the patient holds under their ear. It is also not advisable to carry out the procedure if the patient has any dizziness problems or very troublesome tinnitus.ĭuring this procedure, the person sits in a chair and the ear is rinsed with warm water from an electronic irrigator. This procedure cannot be carried out if the person has had any ear surgery, recent infections or a perforation of the ear drum. One of the most frequent ways to remove wax in general practice is by ear irrigation, or syringing as it is commonly known. What clinical methods are used to remove ear wax? In America, the Food and Drug administration have grave reservations about them and have produced some guidance on ear candles. There is, however, good evidence that the use of ear candles has damaged some people’s ears. There is no good evidence that it helps the majority of people with tinnitus. Practitioners of Hopi ear candling often claim that it is effective for removing ear wax but we remain concerned about this form of therapy. If you often get a build-up of ear wax, using a couple of drops of olive oil once a week may help prevent the build-up. Some people find it easiest to instil the ear drops when they are in bed, first thing in the morning and last thing at night. After this period, tissue may be used to soak up any excess from the outside of the ear.
When introducing drops into the ear, it is best to use a dropper and lay with your head on one side for a couple of minutes to allow the drops to move along the ear canal. Two or three drops, twice a day for one to two weeks is usually sufficient, and the wax will often then come out by itself. Rather than use such ear drops, many people find that olive oil is easily available, comfortable to use and does not need to be warmed before use. Sodium bicarbonate ear drops can also be effective but again some people find them very drying.
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Some proprietary drops may be harsh to use, particularly if the person has a sensitive skin or any skin condition such as eczema or psoriasis. These may soften the wax enough to aid the natural expulsion from the ear. Most people tend to use ear wax softening drops as the first option for wax removal. If you have any pain in your ears, or any discharge from them, do not attempt any treatment at home, but see your GP.
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Some people with tinnitus feel that their tinnitus is more troublesome when their ears are full of wax. If wax build up is causing deafness, problems with hearing aids, or is uncomfortable, it may need to be removed. When water gets into the ear during swimming or showering this may cause the wax to expand, giving a sensation of ‘blockage’ in the ear and increasing the perception of tinnitus. Cotton buds can also irritate the ear canal, stripping it of its natural oils and causing it to feel itchy.
Wax may also build up if it has been pushed down the canal by cotton buds, hearing aids, hair clips or other implements. Sometimes, however, wax may build up, particularly if it is very dry or if the person has a narrow or hairy ear canal. If wax is noticed on the outer ear, a wipe with a clean flannel may be all that is needed. The ear is self-cleaning and the wax should clear naturally, so it is unnecessary to try to remove the wax yourself. If wax is not causing any problems, it is best left alone. What should you do about ear wax build up? The composition of wax varies from individual to individual depending on diet, age and environment. These secretions lubricate the ear canal and prevent it becoming too dry. Wax, or cerumen as it is also known, is composed of epithelium (skin cells), dust and oily secretions from the sebaceous and ceruminous glands in the ear canal. It keeps the ear canal lubricated and protects the ear against dust, dirt and bacteria, which helps to prevent infection. Wax is an important and natural secretion found in the ear.
We are working on a fully revised version of this page and leaflet. However, always consult your GP in the first instance. Update: We are being regularly told that ear wax removal is no longer being offered on the NHS in primary care and in some audiology services. Text/SMS: 07537 416841 | Web chat: via chat icon Tinnitus Support Team: 08 Mon-Fri, 9am-5pm
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