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Earwax Removal

Earwax Cleaning services

What services are available and exactly what is microsuction earwax?

Earwax Removal Services, Microsuction, Irrigation & Syringing

Earwax removal as a service has grown exponentially in the last few years. More and more Independent hearing health professionals have trained and become qualified to remove earwax using several methods. Many felt that this was a valuable service to offer their customers and a natural extension of the services they provide. The advent of this service seems to have come at a perfect time as more and more people find it difficult to access the service in GP surgeries. But what exactly is the service offered and how does it work?

Before we launch at it, let's answer a few common questions:

What is ear wax?

Ear wax is a natural mix of secretions and dead skin found in the ear. It is not a bad thing; it helps to protect the ear against dust, dirt and bacteria. Ear wax (Cerumen to be official!) is made up of skin cells, dust and oily secretions from the sebaceous and ceruminous glands in the ear canal. The secretions lubricate the ear canal and prevent it from becoming too dry. Your ear wax is probably not the same as someone else's! The makeup of ear wax changes from person to person based on diet, age and race. 

What can cause earwax buildup?

Some people just suffer from regularly blocked ears. It can be simply that the over produce ear wax naturally. Causes of earwax buildup can be

  1. Overproduction of ear wax
  2. Narrow ear canals 
  3. Hairy ear canals (it's like a jungle in there!)
  4. Dry earwax, (not much moisture in the secretion as you get older)
  5. Swimmers ear, bony growths in the ear canal can block the progress of ear wax
  6. A tight or hard ear canal bend
  7. You keep putting damned cotton buds in your ear! (nothing smaller than your elbow in your ear)
  8. Wearing hearing aids (sometimes can cause ear wax build up)
  9. Wearing in-ear headphones (same as above)

Symptoms of ear wax build up

You are deaf, deaf I tell you!!!! Well, no actually, you might not be. But it is one symptom that can show up. Here are all the symptoms of hearing loss:

  1. Earache, as it builds up, it can press against the ear canal causing pain, yes ear wax can cause discomfort!
  2. Hearing loss, it can deliver to you the gift of hearing loss, especially if you have just gone swimming or had a shower
  3. Itchiness in the ear (can be caused by other things though like dry skin)
  4. Dizziness, a spinning sensation without the use of GIn (lovely Gin)
  5. Tinnitus, surprisingly enough it can give you a sense of buzzing or ringing in the affected ear

What can you do about ear wax build up?

If earwax isn't causing you problems, leave it alone. The ear (that amazing thing) is self-cleaning and once the process is not interrupted the wax should drop out. Sometimes though, probably because you have been fiddling with it, ear wax may build up in the canal. Generally, once the build-up starts, it will just continue unless it is washed out. Eventually, the ear wax plug will grow to fill the ear canal. 

This is when you start to have problems. Usually, the first indication of it for you is when water gets into the ear during swimming or showering. This often causes the ear wax to swell. This blocks the ear canal, and you know about it immediately. If the wax build-up has got to the stage where it is causing deafness, problems with hearing aids, or is uncomfortable, it needs to be removed.

There are several types of ear drops that you can use to loosen and soften ear wax. The solutions can include olive oil, almond oil, bicarbonate of soda and hydrogen peroxide. Here is the thing, they might not be suitable for you. If you have had a perforation of your eardrum in the past, ear drops aren't a good idea. 

Can you remove ear wax at home?

Yes no worries, while you are at it, get the black and decker out and cut off that leg that has been bothering you. It will be grand! Sorry, my humour gets away from me sometimes. In all honesty, you can; there are kits available to do it. There are also oils and sprays available to loosen built up or impacted ear wax. They can work, but you need to follow the instructions very carefully. Don't mess around with your ear canal. Both it and your eardrum are sensitive; if you damage your eardrum, there may be long-term consequences for your hearing. 

Can You Use Hydrogen Peroxide to Remove Earwax?

Yes, you can, but you need to be very careful with it. You need to use diluted hydrogen peroxide and follow the instructions. There are home remedies where you can use hydrogen peroxide mixed with water to clean ear wax, don't do it! The proper solution needs to be 3 to 4% hydrogen peroxide, why bother trying to measure it out when you can buy the drops over the counter.

You can read all about hydrogen peroxide and using it for earwax removal here

The Best Way To Use Ear Wax Removal Drops

Ear wax removal drops very rarely remove the ear wax. Most drops are oil based, and all they will do is soften the ear wax. If you are going for professional ear wax removal, well then softening the ear wax is a good idea. So how should they be used? You are better off trying to get an ear wax oil that has a spray top, spraying the oil into your ear a couple of times makes sure that the entire wax plug gets coated in oil. This ensures that it all gets a chance to soak up the oil and soften. 

Using Ear Drops

If you can't get a spray bottle, then you need to make sure that the drops come into contact with the wax plug. That means lying on your side and dropping a couple of drops into your ear. The oil needs to maintain contact with the wax plug, so you need to rest there for about ten to fifteen minutes. As I said, the spray type is a lot easier, and you can give your ears a couple of sprays throughout the day. 

Why you should have your ear cleaned professionally

Simply put, your ear canal is delicate as is your eardrum, if you make the mistake of putting anything in your ear, you run the risk of damaging either or both. Many people every year burst or perforate their eardrum by sticking all sort of implements in there, usually cotton buds. They are called cotton buds, not earbuds; they are designed for babies noses, not ears. Please don't put anything smaller than your elbow in your ear.

You should not try to use cotton buds to remove earwax from your ear canal, all it will do is push it towards the eardrum. It can cause you, even more, problems and make it more difficult to remove. Leave earwax removal to a qualified specialist who can see what he or she is doing.

I think you should always use earwax softening drops for four or five days before an appointment no matter what procedure it is. Icky gooey earwax is easier to remove which means easier for you as well. Try and get a spray type oil instead of the usual drops, it coats the wax and the canal without having to lie still for twenty minutes.  

Do Hopi Ear Candles Remove Ear Wax?

Just no, your chakras don't need re-aligning! Hopi ear candling seems to have become quite popular again, but not only do they not work, they are also dangerous. You can read more about Hopi ear candles and whether they work or not here. You can also read a full earwax removal question and answer article here

Earwax blockage symptoms

There are a few symptoms that you may feel if you are suffering from earwax blockage of your ear canal. 

  • a feeling of fullness in the ear
  • the sensation of hearing everything muffled
  • mild tinnitus

If any of these symptoms sound familiar, then you should have your ear canal or canals checked.

Looking For Ear Wax Removal in The UK or Ireland

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No Wax Ear Wax Removal Specialists

We have begun to put together listings for ear wax removal specialists across the United Kingdom. We have built a find a provider map for easy reference which you can see by clicking the button above. There are a few listed below. 

Ear Eax Removal Leicester

There is a No Wax Ear Wax Removal Specialist in Leicester

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Ear Eax Removal Essex

There is a No Wax Ear Wax Removal Specialist in Essex

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Ear Eax Removal Devon

There is a No Wax Ear Wax Removal Specialist in Devon

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Ear Eax Removal London

There is a No Wax Ear Wax Removal Specialist in Central London

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Ear Eax Removal West Hampstead, London

There is a No Wax Ear Wax Removal Specialist in Hampstead

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Ear Cleaning Services

The predominant forms of ear cleaning offered are irrigation and microsuction. Most Independent hearing health professionals would offer either one or both of these services. Ear syringing is not undertaken any longer, the process proved to have too many problems and caused too many complications. More often than not it also didn't remove the wax. Let's take a look at those services in a more detailed manner. 

Microsuction Earwax Removal

Microsuction ear wax removal is undertaken with a specialist medical grade vacuum pump that gently sucks the earwax out of the ear. The procedure is undertaken using a special microscope or microscope glasses called Loupes. This allows the professional clearly see exactly what they are doing. No liquids are used during the procedure, this procedure is seen as the gold standard in earwax removal and it is the safest form of earwax removal available.

Initially, they will ask you a series of questions related to ear health and any experiences you have had with earwax removal. They will then check your ear canals to ensure that there is, in fact, earwax present that needs to be removed. They will then move onto the removal process using a special attachment on the suction tube to suck out all of the wax. Once finished they will then again check your ears to ensure that they are clear. Most professionals will then provide a scan of your hearing to get a baseline of your hearing ability for their records. 

Why microsuction?

As I said, micro suction is the safest and most comfortable method of ear cleaning. There is no mess or fuss and no liquids are introduced to the ear canal during the procedure. The process is usually undertaken in a few minutes and it very rarely needs to be repeated a second time to get all of the wax, making it a same day service. The fact that the professional can clearly see what is happening in the ear canal during the procedure also makes it exceptionally safe.

Contra-indications to micro suction earwax removal

There really isn't any, occasionally the pumps used makes people uncomfortable because of the noise, but that is the only thing we have ever heard reported. There is no other real reason than that for not undergoing microsuction.  

Preparatory steps for microsuction

There really isn't any, although you could give your ears a spray of wax softener the night before your appointment. This will soften the wax around the ear canal and ready it for removal. 

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What happens during a microsuction ear wax removal appointment?

Microsuction wax removal appointments usually last about thirty minutes to one hour dependent on the wax build-up and whether it needs to be performed on one ear or two. The procedure is as follows:

  • Assessment of the wax build up and some ear health questions 
  • Removal of wax using the microsuction equipment  
  • Post-procedure assessment to ensure all wax is cleared and a healthy ear is observed
  • Short scan test of hearing to assess hearing health

The actual process is simple enough, using either a microscope or loupes (glasses with microscope lenses attached) the professional will look through a specula into your ear. They will then use a specialist microsuction tool to suck the wax out. It can be a little loud, especially when the canula sucks a bit of wax through it or if a bit of wax gets stuck on the tip of it (think about what a blocked hoover sounds like, the same sort of thing). All in all, though the procedure is comfortable and is normally over in a few minutes. 

Sometimes, because of the consistency of the wax or the age of it, the professional may not be able to remove it all in one session. They may ask you to use eardrops for a few days and come back. For me, I think using eardrops (preferably an ear spray, works better) for a few days before the procedure is a good idea. It softens the earwax and icky gooey earwax is a joy to remove. 

Microsuction Ear Wax Removal Across The UK and Ireland

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Irrigation Earwax Removal

ear cleaning by irrigation earwax removal methodThe second method of earwax removal often offered is the irrigation method of wax removal. This is my favourite way to remove earwax and it is a very safe method of earwax removal. It is performed with a spray type ear wash machine designed for the medical setting. Obviously, from the name, a liquid is introduced into your ear canal during the procedure. The process of the appointment is similar to the microsuction appointment. Initially, they will ask you some questions in relation to your medical history and any experiences you have had before with earwax removal.

 Once that is finished they will check your ear canals for the presence of wax before moving onto the removal process. The irrigation solution is carefully warmed to body temperature, this is important and you will see the professional carefully checking the temperature of the liquid. This is done to prevent any dizziness as any other temperature than body temperature may cause temporary vertigo.

They will use the spray type ear washer to gently stream water into the ear. The procedure is pretty simple and comfortable, the professional will pull the external ear upwards and back gently, this straightens out the ear canal. They will place a container under the ear to be washed to collect the liquid. They will then aim the nozzle of the sprayer into the canal slightly upwards and backwards so that the water flows along the roof of the ear canal.

This ensures that the water stream is not aimed at the eardrum at any time. The solution enters the canal, helping to break down the wax and will flow out of the canal along its floor taking any debris with it. The solution flows into the container with the removed wax. The irrigation procedure may need to be repeated a couple of times, this really depends on the hardness and age of the wax in the canal. When the wax has been completely removed they professional will use a special mopping apparatus to dry out the ear canal. This ensures that the ear is dry and there is no opportunity for bacteria to grow in the canal.

Why irrigation?

Some people like irrigation, it is quite comfortable and it really cleans out the canal. The solution gets everywhere in the canal removing all traces of wax or dirt even off the eardrum. It also tends to be cheaper than microsuction earwax removal as a service.  

Contra-indications to irrigation earwax removal

There are a few contraindications to irrigation earwax removal, if you have an ear infection you should not have the procedure. If you have a perforation of your eardrum or have a history of perforations of your eardrum you should not have the procedure. If you have a history of dizziness you should ensure that you tell the professional. 

Preparatory steps for irrigation earwax removal

For irrigation to work the first time it is important that you soften the earwax, softening it before the procedure is undertaken will ensure that it is successful. You should use an oil for a few days before removal to soften and prepare the wax for the procedure. You should drop or spray your oil into your ear at night just before bed allowing it to work overnight. 

What happens during an irrigation ear wax removal appointment?

This appointment may last between forty minutes to an hour and a half, it depends on the wax hardness and whether the procedure needs to be performed on one ear or two. If you haven't softened the earwax enough the procedure will probably have to be repeated. 

  • Assessment of wax build-up and ear health questionnaire
  • Removal of wax via low-pressure irrigation 
  • Dry mop of the ear canal 
  • Post-procedure assessment to ensure all wax is cleared and a healthy ear is observed

Ear Syringing

Ear syringing is a well-known form of ear cleaning and is probably the first type that many think of when they have an ear wax problem. However, ear syringing has been pretty much dropped as a service for many years. The original form of ear cleaning, it was found to have too many associated issues and has been discontinued. The issues were identified in a study that was undertaken in Edinburgh and it found to be that the procedure didn't work, that there was a high chance of gaining an ear infection and that in some cases there was a chance of the process causing an eardrum perforation. It was decided on the evidence delivered by the study that the process was not safe enough, at this stage, most healthcare professionals moved to irrigation earwax removal. 

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