Cerumen (earwax) protects the canal but may accumulate to cause fullness, itch, cough reflex, or conductive hearing loss. Irrigation can be effective when the tympanic membrane is intact and there is no history suggesting perforation, prior otologic surgery, or acute infection. Patient-oriented guidance on ear wax is summarized by resources such as HealthLink BC and paediatric handouts from Caring for Kids (Canadian Paediatric Society). Office technique emphasizes gentle warm water, visualization when equipment allows, and stop rules for pain, vertigo, or bleeding.
Hard impactions may require cerumen softeners for several days first or referral to ENT for microscopy/suction.
What This Service Includes
Canal inspection
Otoscopy for TM integrity, infection, foreign body—not all ears are safe to irrigate.
Comfort & safety
Warm fluid, ear basin, slow pressure; pause if dizzy.
Aftercare
Keep ear dry briefly if advised; return if pain, drainage, or hearing unchanged.
What to Expect
Soften (if planned)
Hydrogen peroxide/oil drops for nights before irrigation when recommended.
Irrigate
Direct stream toward canal roof; reassess between passes.
Re-examine
Confirm wax cleared or escalate modality.
Frequently Asked Questions
Swabs often push wax deeper and risk canal trauma—we recommend drop therapy or clinic removal instead.
Rarely—if you develop fever, severe pain, or purulent drainage, we reassess for otitis externa.
Usually if wax was the cause; persistent loss may need formal audiometry.
Tell us—some histories require ENT-led care rather than office irrigation.