Earwax forms naturally inside your ears and acts as a defence barrier, protecting the ears from harmful substances and bacteria. It usually moves out of the ears gradually by the action of chewing and is harmless. However, sometimes it can build up and block the ears.
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There is a rule in medicine that nothing smaller than your elbow should be placed in the ear – it's self-cleaning and you can cause damage. So avoid anything to clean inside the ear, including water or cotton buds.
Excess earwax removal treatment is readily available at the pharmacy. Healthwords pharmacists' recommend first trying a milder treatment such as olive oil ear drops, or those containing arachis oil (derived from peanuts) which will help to soften the wax, encouraging it to come out gradually.
For harder or more stubborn wax, stronger treatments such as sodium bicarbonate ear drops, or Otex, can break down the wax more aggressively. If this fails after a trial of 2 weeks, the next step might be ear syringing or micro-suction.
If there is no improvement after a week or two of treatment, it is sometimes necessary to have the ears syringed and flushed out at the doctor's surgery. This can usually be done by your practice nurse and it is likely you will not need to see your doctor for it. Depending on your doctor's practice it may be done via suctioning the wax out or flushing it out with water. There are also private options available for treatment.
You are fit for work if you have earwax.
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