Ear wax self help guide

Earwax normally just falls out on its own. When it’s blocking your ears, a pharmacist can help.

Symptoms of earwax build-up

Symptoms of earwax build-up include:

• hearing loss
• earache or a feeling that your ears are blocked
• ringing or buzzing in your ears (tinnitus)
• vertigo (feeling dizzy and sick)

How you can treat earwax build-up yourself

Important

Do not use your fingers or any objects like cotton buds to remove earwax. This will push it in and make it worse.

Earwax usually falls out on its own. If it does not and blocks your ear, put 2 to 3 drops of medical grade olive or almond oil in your ear 3 to 4 times a day. Do this for 3 to 5 days.

It is recommended you use a dropper while lying your head on one side for a few minutes to let the oil work its way through your ear canal(s).

You may find it easier to do this first thing in the morning and then just before you go to sleep.

Over about 2 weeks, lumps of earwax should fall out of your ear, especially at night when you’re lying down.

There’s no evidence that ear candles or ear vacuums get rid of earwax.

A pharmacist can help with earwax build-up

Speak to a pharmacist about earwax build-up. They can give advice and suggest treatments.

They might recommend medicines to dissolve the earwax. The earwax should fall out on its own or dissolve after about a week.

Do not use drops if you have a hole in your eardrum (a perforated eardrum).

Ear syringing and treatment options

Ear irrigation (syringing) is no longer recommended due to the significant risk of ear drum perforation, ear infection, tinnitus and associated complications. We no longer offer this service.

You should follow the steps detailed above to clear excess ear wax. If this is not successful, there are private providers who can perform alternative methods of wax removal. Their details are easily found by searching online. We do not endorse or recommend these as most cases will be treatable with the measure described above.

When to seek help from a health professional?

If you are experiencing the following symptoms:

• pain
• discharge or bleeding from the ear
• sudden deafness
• dizziness
• foreign bodes (you may be advised to attend A&E)
• after using eardrops for the recommended time your symptoms still persist.

Causes of earwax build-up

A build-up of earwax can happen if:

• you have narrow or damaged ear canals
• you have lots of hair in your ear canals
• you have a skin condition affecting your scalp or around your ear
• you have inflammation of your ear canal (otitis externa or “swimmer’s ear”)

Preventing earwax build-up

You cannot prevent earwax. It’s there to protect your ears from dirt and germs.

But you can keep using eardrops for a few days to soften the wax. This will help it fall out on its own and should prevent blocked ears.