Ear, Nose and Throat


Blocked ears (wax) self-care guidelines for patients


Earwax is a normal build-up of dead cells, hair, foreign material such as dust, and natural wax which forms a protective coating on the skin in the ear canal. The quantity of earwax produced varies greatly from person to person. A doctor or nurse can look into the ear canal and confirm a plug of earwax has formed. A plug of earwax is not a serious problem, more a nuisance. You only need to remove earwax if it is causing symptoms such as dulled hearing or when fitting a hearing aid.

How to Remove Earwax:

Note: If you think you have ear wax, do not try to clean the ear canal with cotton wool buds. This can make things worse, as you will push some earwax deeper inside. It may also cause an ear infection.

Ear Drops:

Ear drops alone will clear a plug of earwax in most cases. Put 2 or 3 drops of ordinary olive oil down the ear 2 or 3 times a day for 2-3 weeks. This softens the wax so that it then runs out of its own accord without harming the ear. You can continue for any length of time, but 3 weeks is usually enough. We also recommend Earol (olive oil spray), some people find this easier to use than plan olive oil as the tapered actuator delivers a single unit dose reducing over application and spillage/mess, Earol can be purchased over the counter from pharmacies. Surprisingly, you will not necessarily see wax come out. It often seems to come out unnoticed.

If you are prone to repeated wax build-up you can continue to use olive oil drops twice a week to prevent recurrence. If olive oil does not work you can buy sodium bicarbonate drops from pharmacies.

How to use ear drops:

  • Warm the drops to room temperature before using them.
  • Pour a few drops into the affected ear.
  • Lie with the affected ear uppermost when putting in drops.
  • Stay like this for 10 minutes to allow the drops to soak into the earwax.

Bulb Syringing:

Use olive oil drops twice a day for at least 14 days prior to bulb syringing. Or alternatively use sodium bicarbonate ear drops purchased from your pharmacy (please read the manufacturers leaflet).

Instructions for Bulb Syringing:

  • Wash your hands.
  • Use a bowl of cooled boiled water that is warm to the touch, not too hot or too cold.
  • Prepare the syringe by squirting water in and out of it a few times.
  • Gently pull your outer ear “up and out” to help straighten out the canal, which will allow better access for the water.
  • Tilt your head so the ear to be treated is upmost.
  • Place the tip of the syringe into the opening of the ear. Do NOT push the syringe further into the ear and gently squirt one or more bulb syringes of water into your ear. (This might be best done in the shower so that the excess water will run into the bathtub and not on your floor).
  • Allow the water to remain in your ear for at least 60 seconds. Gently tilt your head in the opposite direction and wiggle your outer ear.

Otitis Media and Otitis Externae (Ear Infections)

Otitis Media

Ear infection is very common in children, although it can occur in people of any age. The infection usually clears within a few days.


Otitis Externae

Otitis externa is an inflammation of the ear canal and usually clears within a week or so. When otitis externa is short-lasting, it is described as ‘acute otitis externa’. However, sometimes it persists for three months or more and is then described as ‘chronic otitis externa’.


Benign Paroxysmal Positional Vertigo (BPPV)

Benign Paroxysmal Positional Vertigo (BPPV) is the most common inner ear problem and cause of vertigo (a false sense of spinning).




Tinnitus is the name for hearing noises that are not caused by an outside source. It’s not usually a sign of any serious conditions and generally improves over time. There are treatments that can help.