Ear wax Build-up

Question 1

What are the clinical features of wax build up?

Answer 1

gradual hearing loss, ear discomfort, recent attempts to clean ear

itchiness, tinnitus and dizziness occur infrequently and this affects inner ear

Question 2

When to refer a pt with ear wax build up?

Answer 2

1. Dizziness, tinnitus - inner ear
2. Unusual discharge from the ear canal
3. Persistent pain from within the ear
4. Fever, general malaise in children

Question 3

What are side effects that can occur?

Answer 3

local irritation and increase deafness at first but will pass

Question 4

What is general advice you would give to patients ?

Answer 4

do not use cotton buds, hairgrips, matchsticks, pens or any other utensils

Question 5

What are oil-based products that can be used? What should patients be warned about when using these products?

Answer 5

1. Cerumol Ear drops (peanut oil) - 5 drops into the affected ear two to three times a day for up to 3 days
2. Cerumol Olive oil drops - two to three drops BD for up to 7 days
3. Earex - peanut oil, almond oil etc- dour drops BD for up to 4 days

peanut allergy

Question 6

What are peroxide-based products?

Answer 6

Exterol, earex advance, otex

react with catalyse enzyme to release oxygen which mechanically breaks wax up
five drops once or twice daily for at least 3-4 days - effervescence may occur

Question 7

What are water-based products?

Answer 7

sodium bicarbonate

2-3 times a day for up to 3 days

Question 8

what other tx options are available?

Answer 8

Docusate - facilitates penetration of water

Glycerin-based products - acts as softeners