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Hearing Health

The Short Guide to Ear Wax

Ear Wax: the whole thing in five minutes, for when you want the numbers and nothing else.

Dr Priya Raghunathan, DClinPsy Clinical psychologist 3 min read 1 views
The Short Guide to Ear Wax

Naturally produced wax that occasionally builds up enough to block the canal.

Key takeaways

  • Normal: wax is protective and usually clears itself
  • First-line: olive oil or sodium bicarbonate drops for several days
  • Most useful single change: Use drops for several days before considering removal.
  • Commonest mistake: Cotton buds or any object in the ear canal.
  • See a doctor if any of the signs under "When to speak to a doctor" below apply to you.

The numbers, in one place

Published figures for Ear Wax
MeasureFigure
Normalwax is protective and usually clears itself
First-lineolive oil or sodium bicarbonate drops for several days
Removalirrigation or microsuction, where drops fail
Cotton budspush wax deeper and risk perforation

In one paragraph

It is the commonest reversible cause of reduced hearing, and the commonest self-treatment makes it worse.

Worth doing

  • Use drops for several days before considering removal
  • Ask about local availability; NHS removal varies by area
  • Let the ear clean itself the rest of the time

Worth avoiding

  • Cotton buds or any object in the ear canal
  • Ear candles, which do not work and cause burns
  • Drops if you have a perforated eardrum or grommets

Where to go next

When to speak to a doctor

See a GP for ear pain, discharge, bleeding, sudden hearing loss, or dizziness rather than treating for wax. Do not use drops if you have or may have a perforated eardrum. Sudden hearing loss needs same-day assessment.

Where this comes from

  • NICE — Earwax clinical knowledge summary
  • NHS — Earwax build-up

How this page was put together

Every figure, recommendation and warning above is taken from the guidance named in Where this comes from. Nothing on this page is inferred, summarised or generalised beyond what those bodies publish: where they give a number, it is their number, and where they are silent, so are we. Pages are rebuilt whenever the underlying record changes. Sign-off by a named clinician, where it has happened, is shown at the top of the page along with the date.

Medical disclaimer

This article is general information, not medical advice. It cannot account for your own history, medication or circumstances. Always speak to a GP, pharmacist or another qualified health professional before making changes that affect your treatment, and never delay seeking medical advice because of something you have read here. In an emergency, call 999.

Spotted something wrong? Report an error on this page. We correct on the page and say what changed.

Dr Priya Raghunathan

Clinical psychologist writing on sleep, stress and mood. Insists that every technique we publish has been tried by someone with a job, a commute and no spare hour in the morning.

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