Yet Another Cycling Forum

General Category => The Knowledge => Health & Fitness => Topic started by: Russell on 06 December, 2017, 10:31:34 am

Title: Removing ear wax
Post by: Russell on 06 December, 2017, 10:31:34 am
Any tips on how to keep ears clear of wax build up?  Olive oil is supposed to work but while it softens it does not remove.  This is an issue for a wearer of in-ear hearing aid moulds.  Wax build up not only blocks the canal but also prevents the mould from sitting fully in the ear causing chafing and pain (and feedback!).

Bicarb is mentioned in other places.

Any thoughts good people.

Thanks
Title: Re: Removing ear wax
Post by: Ben T on 06 December, 2017, 10:41:46 am
Book a syringing at the GP, you will need to soften it in the week before with oil.... not sure if you can avoid having to go back for a second appointment by telling them you know to do that, rather than have one appointment for them to simply tell you to loosen it with oil and them come back for a second one where they actually do it.
Sometimes it's the nurse that does it rather than the doctor themselves.
Title: Re: Removing ear wax
Post by: mattc on 06 December, 2017, 10:48:34 am
I am too sensible to tell you the best way:
(click to show/hide)

I think I had a nurse deal with mine once, and she insisted they only use the syringes if there is a serious medical need. She  then applied warm olive-oil, to very little effect  ::-)   It's probably a post-code lottery thing.

Fortunately it's been years since I've needed to bother. pardon?? I wish young people would speak more clearly.
Title: Re: Removing ear wax
Post by: Canardly on 06 December, 2017, 10:50:26 am
Seems to be another area the Government is trying to privatise. Private ear wax removal offers are springing up around here.
Title: Re: Removing ear wax
Post by: Russell on 06 December, 2017, 10:57:25 am
Syringing is not practical due to the timescales, it would need to be done fortnightly, certainly more often that once a month, and by the time an appointment is made the ear is sore and deaf (well, more deaf).

We did, in an emergency, buy some ear drops in France that worked which may well have been Benzoyl Peroxide but they are now out of date.
Title: Re: Removing ear wax
Post by: Kim on 06 December, 2017, 12:19:20 pm
Wax dissolves in glycerol and glycerol in water.  That seems to be the winning strategy, though I've never had to make use of it myself (I've only ever had my ears syringed due to infectious discharge and an embarrassing[1] foreign body incident as a toddler).  Bear in mind that you should never stick anything smaller than an audiologist in your ear canal.

Earmoulds are teh ming though.  I'd rather have a hole in my head (https://en.wikipedia.org/wiki/Bone-anchored_hearing_aid).


[1] For my parents, who thought that trying to flush a seed out with water was a good idea.
Title: Re: Removing ear wax
Post by: Ben T on 06 December, 2017, 01:38:04 pm
Not recommended, but: I once did get water stuck in my ear after going swimming and I used the vacuum cleaner (with pipe tool attachment) to remove it, it was very successful, put a tea towel in between the end of the tool and my ear.
Title: Re: Removing ear wax
Post by: hellymedic on 06 December, 2017, 01:42:33 pm
[OT] Audax ear drops used to be packaged in a red and white box...

I don't think they are available any more...
Title: Re: Removing ear wax
Post by: Ian H on 06 December, 2017, 01:45:52 pm
A friend who is an antiques dealer insisted that the tiny, silver, delicately shaped spoon or shovel shaped object was in fact for removing ear-wax.
Title: Re: Removing ear wax
Post by: Greenbank on 06 December, 2017, 01:47:50 pm
[OT] Audax ear drops used to be packaged in a red and white box...

http://www.greenbank.org/misc/audax.jpg
Title: Re: Removing ear wax
Post by: pcolbeck on 06 December, 2017, 01:50:53 pm
Otex ear drops have always worked for me.  They use Urea Hydrogen Peroxide and fizz in your ear.
Title: Re: Removing ear wax
Post by: barakta on 06 December, 2017, 02:33:22 pm
I use cotton buds even though you're not supposed to. Kirby grips (https://www.savers.ie/images/2%20inch%20kirby%20blonde.jpg) loopy end is quite good too, gets the wax out good and proper. (This is not medically advised thobut)

It might be worth the hearing aid user consulting their audiology dept for advice. It might be their mould can be made "less deep" and they can be given sensible maintenance advice which doesn't involve syringing all the time. There may be prescription eardrops which aren't normally available.
Title: Re: Removing ear wax
Post by: Blodwyn Pig on 06 December, 2017, 02:36:41 pm
had something from the doc  once, ear  drops, and it softened the wax,  then dried it out so it shrunk, then it came loose, and eventually fell out. Can't tell you was it was tho.
Title: Re: Removing ear wax
Post by: T42 on 06 December, 2017, 03:15:06 pm
(click to show/hide)
Title: Re: Removing ear wax
Post by: Si S on 06 December, 2017, 03:23:29 pm
Another vote for Otex. I have resorted to making my own from the contents of the oxidiser cabinet once, I wouldn't recommend it - if it sets fire to paper when you spill it, it's too strong for putting in your ears.
Title: Re: Removing ear wax
Post by: Russell on 06 December, 2017, 03:42:24 pm
It might be their mould can be made "less deep"

We went extra deep to prevent 'leakage' as the gain is up very high.  Previously my daughter and I were listening to music escaping from the aids but Mrs R could not make out the tune.  The 'new' deeper moulds have fixed that but brought their own issues.

Will look up Otex, thanks.

T42 - shame on you.
Title: Re: Removing ear wax
Post by: Russell on 06 December, 2017, 03:48:11 pm
Quote
"Will look up Otex, thanks."

Except from Otex website:

Quote
"Can Otex be used with a hearing aid?

    If you are using a hearing aid then you should not use Otex. It is advisable to seek expert medicinal advice if you have a history of any other ear problems."
Title: Re: Removing ear wax
Post by: Charlie Polecat on 06 December, 2017, 04:03:58 pm
Any tips on how to keep ears clear of wax build up?  Olive oil is supposed to work but while it softens it does not remove.  This is an issue for a wearer of in-ear hearing aid moulds.  Wax build up not only blocks the canal but also prevents the mould from sitting fully in the ear causing chafing and pain (and feedback!).

Bicarb is mentioned in other places.

Any thoughts good people.

Thanks

I have a perennial problem with ear wax and I use a baby suction bulb to blast them out using hot water. It works for me.  :)
Title: Re: Removing ear wax
Post by: hellymedic on 06 December, 2017, 04:09:04 pm
I really don't know about these things but my guess is that some ingredient(s) in Otex might attack plastics (like the dreaded DEET insect repellant).

If you can remove/wash away every trace of Otex before using the hearing aid, you might be OK.

I think you have a case for mechanical wax removal by a medical professional.
Title: Re: Removing ear wax
Post by: Wowbagger on 06 December, 2017, 07:07:02 pm
As per Barakta's point, upthread, a Kirkby Grip, although, despite having been employing these things all my life, I have never before heard of that expression.
Title: Re: Removing ear wax
Post by: Greenbank on 06 December, 2017, 07:12:36 pm
Bobby pins (although I think I first heard that from a USAian).
Title: Re: Removing ear wax
Post by: Kim on 06 December, 2017, 07:20:32 pm
Bobby pins (although I think I first heard that from a USAian).

Device for shorting out the speed control on the XR-2300 lunar shuttle.  Only women have them.
Title: Re: Removing ear wax
Post by: Jaded on 06 December, 2017, 10:11:06 pm
The problem with putting oil or other things into your ear to clear wax is you lessen the chance of that amazing feeling when you hold on your fingertips an enourmous piece of wax and think “chuff neck, that came out of my ear!!!”
Title: Re: Removing ear wax
Post by: drossall on 06 December, 2017, 10:23:33 pm
I think I had a nurse deal with mine once, and she insisted they only use the syringes if there is a serious medical need. She  then applied warm olive-oil, to very little effect  ::-)   It's probably a post-code lottery thing.
I've had mine syringed at the surgery every five to ten years for decades. It is normally the practice nurse who does the job. I do have to soften the wax first, but just doing that would certainly not clear it.
Title: Re: Removing ear wax
Post by: hbunnet on 07 December, 2017, 09:59:20 am
I'm a long term sufferer. I go to the practice nurse about once a year to have them syringed, but they won't do that if they can see through to the ear drum with their ear gizmo.

I have found that regular use of drops helps. Otex, which contains Urea Hydrogen Peroxide is the most convenient and is better for me than Olive Oil.  I add one or two, no more, drops when lying on my side in bed before getting up, once or twice a week in the most affected ear.

The problem is getting the wax out, the ear seems to be badly designed for this.  I go against the dire warnings against self syringing.  I use a 20ml syringe with warm water in the shower, 3 or four squooshes about once a month.  It's not possible to raise too much water pressure with only 20ml so I reckon it's safe.  The pressure felt during Nurse syringeing is much greater.

Top Tip #1  Buy Otex from Ebay
       
Title: Re: Removing ear wax
Post by: Russell on 07 December, 2017, 10:44:57 am
We are trying bicarb eardrops that have glycerol in them.  The French sourced drops I mentioned smell strongly of acetone so may not be the same as Otex.
Title: Re: Removing ear wax
Post by: hellymedic on 07 December, 2017, 01:22:52 pm
I quite understand those who DIY.
20ml syringes won't generate much pressure but 60ml syringes will generate less.
Remember, the smallest syringes generate the highest pressures (even if the volume is trivial).
Title: Re: Removing ear wax
Post by: hbunnet on 07 December, 2017, 01:28:56 pm
I quite understand those who DIY.
20ml syringes won't generate much pressure but 60ml syringes will generate less.
Remember, the smallest syringes generate the highest pressures (even if the volume is trivial).

I don't get the physics of that Helly.  But pressure wasn't the right term, I was referring to volume over time.
Title: Re: Removing ear wax
Post by: hellymedic on 07 December, 2017, 01:46:53 pm
I quite understand those who DIY.
20ml syringes won't generate much pressure but 60ml syringes will generate less.
Remember, the smallest syringes generate the highest pressures (even if the volume is trivial).

I don't get the physics of that Helly.  But pressure wasn't the right term, I was referring to volume over time.

60 ml syringe has piston with area of about 8cm2 at a guess
20 ml syringe has piston with area of around 3 cm 2
5 ml syringe has piston area of maybe 1 cm2

Apply same force over smaller area and you'll get higher pressure; you obviously never wore stiletto heels  ;) ;D and never had anyone wearing them tread on your toes!

The volume of the ear canal is less than a millilitre.
Title: Re: Removing ear wax
Post by: andyoxon on 07 December, 2017, 01:47:49 pm
Olive oil each day, then this Aculife from Amazon (https://www.amazon.co.uk/AcuLife-Ear-Wax-Removal-Syringe/dp/B000SOJXGA).  It worked for me.  The silicone head directs the jets of water onto the side of the ear canal.  Saved me a trip to the GPnurse for 'syringing'.
Title: Re: Removing ear wax
Post by: Tim Hall on 07 December, 2017, 01:51:01 pm
Somewhere on teh internets is a write up, with refs and everything, detailing the removal of earwax using a Super Soaker water pistol thing.

<fx: tappity tap>  Here you go: http://www.cmaj.ca/content/173/12/1496.full (http://www.cmaj.ca/content/173/12/1496.full)
Title: Re: Removing ear wax
Post by: hellymedic on 07 December, 2017, 02:02:46 pm
I quite understand those who DIY.
20ml syringes won't generate much pressure but 60ml syringes will generate less.
Remember, the smallest syringes generate the highest pressures (even if the volume is trivial).

I don't get the physics of that Helly.  But pressure wasn't the right term, I was referring to volume over time.

Have you ever tried inflating a bike tyre with a wide-bored pump? Did you ever get it above 60psi?
There's reasons why I like my zéfal hp-x!
Title: Re: Removing ear wax
Post by: hbunnet on 07 December, 2017, 03:54:08 pm
I quite understand those who DIY.
20ml syringes won't generate much pressure but 60ml syringes will generate less.
Remember, the smallest syringes generate the highest pressures (even if the volume is trivial).

I don't get the physics of that Helly.  But pressure wasn't the right term, I was referring to volume over time.



60 ml syringe has piston with area of about 8cm2 at a guess
20 ml syringe has piston with area of around 3 cm 2
5 ml syringe has piston area of maybe 1 cm2

Apply same force over smaller area and you'll get higher pressure; you obviously never wore stiletto heels  ;) ;D and never had anyone wearing them tread on your toes!

The volume of the ear canal is less than a millilitre.

That's the physics of pistons. No problem with that.  :-)
 
Title: Re: Removing ear wax
Post by: hellymedic on 07 December, 2017, 04:05:36 pm
I don't get the physics of that Helly.  But pressure wasn't the right term, I was referring to volume over time.

I might call that flow rate but I'm not a physicist or hydraulic engineer.
Title: Re: Removing ear wax
Post by: Nutbeem on 07 December, 2017, 09:21:08 pm
Ear wax is naturally produced, meant to be there and should clear itself so that ear irrigation shouldn't be required (Ears are irrigated these days using a Propulse machine or similar, syringing is old school). Natural clearing of the wax may be problematic for those wearing hearing aids as they, obviously, occlude the ear canal.

The best solution is regular use of ear drops, olive oil or similar, to soften the wax and encourage it to drain. I would suggest putting drops in each ear once a week. Here's the important bit; you need to do it while lying on your side to let the drops soak down and stay on your side for a good 10-15 minutes, don't use cotton wool to try and keep the oil in place as it will just wick it out. Once the oil has soaked in turn your head the other way to let the oil and wax drain out and don't be in a rush to put your hearing aid back in.

Ear irrigation is one of my, varied, duties. It's not something I'm keen on doing. If the person has been instilling drops correctly it shouldn't need doing, if they haven't the wax is often still too hard to irrigate. It's a relativelty time consuming job, often requiring repeat visits and there is an inherent risk of causing damage to the ear drum. That said it is rewarding when big hard lumps of wax are coaxed out of the ear.
Title: Re: Removing ear wax
Post by: Brucey on 08 December, 2017, 12:15:47 am
A friend who is an antiques dealer insisted that the tiny, silver, delicately shaped spoon or shovel shaped object was in fact for removing ear-wax.

it may well have been; apparently the Romans had such instruments, and I doubt they disappeared in the meantime. Then again it may have been a tiny snuff-spoon.
This is a roman ear-wax spoon;

(http://assets.catawiki.nl/assets/2016/1/23/c/9/a/c9a14bc8-c222-11e5-81ae-d586d7cec6f3.jpg)

Anything you stick in your ear may itself cause an infection and/or (if clumsily used) damage your eardrum. Caution is advised!
A potential issue with the use of cotton buds or Kirby grips is that there is part on the end that may become  detached, which would be a bad thing.

If you look on e-bay you can find ear-wax spoons, ear wax scoops, ear wax curettes.

cheers
Title: Re: Removing ear wax
Post by: simonp on 08 December, 2017, 12:24:21 pm
I had a problem recently and had micro suction because you don't need to go through the whole olive oil nonsense (olive oil drops make the problem worse, not better, since it tends to cause the wax to slough against the drum). Maybe once your ears are clear an occasional drop is ok but just putting olive oil in turned me from a little bit deaf to a lot deaf. I was supposed to do this for two weeks before having syringing, but it wasn't needed for micro suction.

It isn't always easy; poor chap in front of me was having a terrible time. Having an ear canal that's Tardis like (bigger on the inside than outside) and a hard lump of wax in the inner canal that's two large to travel down the outer - not helpful.

I ended up getting both treatments (syringe for the easy stuff and microsuction to tidy up) and the change in my hearing was basically instantaneous night and day. I'd no idea how bad it had become; in my case I think the ear plugs I use on the motorbike had contributed to the problem, helping to push was further in, a bit like the OP.


Title: Re: Removing ear wax
Post by: Redlight on 08 December, 2017, 12:34:26 pm
I've had this problem intermittently. Most of the time, a week or so's application of earwax as PhilB describes does the trick but when it does get severe I've had to go to the GP.  On the most recent occasion - about four years ago - the nurse used a pulsing device on the outside of the ear which, she explained, gently breaks up the wax so that it can then be flushed out without syringing.  Completely painless, although it took a bit longer than the old fashioned squirt-the-dirt approach. 

I've not had to go back since  :thumbsup:
Title: Re: Removing ear wax
Post by: JonJo on 08 December, 2017, 12:34:54 pm
Also a regular problem for me but if I swim regularly my ears don't get blocked. Guessing it's the chlorine in the water that keeps them clear.
Title: Re: Removing ear wax
Post by: ElyDave on 14 December, 2017, 07:07:40 am
I think the ear plugs have an effect as well, I use them during site visits, non moulded throw away type. The generic comment during offshore medicals is build up of wax in the ear, but it's never been enough to affect the audiometry. 

Generally the olive oil softening and then a trip to the practice nurse does the trick about once every year or two.
Title: Re: Removing ear wax
Post by: Sergeant Pluck on 14 December, 2017, 02:01:13 pm
https://www.tofugu.com/japan/mimikaki/

Quote
“Many Japanese grew up having their ears cleaned by their mothers, and associate it with pleasant feelings of maternal closeness.”

Or, in my partner's case, one would go to visit grandparents and have the same treatment. All very relaxing, allegedly. On seeing my partner's mimikaki collection, I made my thoughts clear on this madness, nothing larger than your elbow, self-cleaning ears etc. with no effect.

She's awaiting an audiology review at the moment. 

There has been recent public health advice on ear syringing to the effect that it should not be done and that it is old hat. Microsuction is the thing now.
Title: Re: Removing ear wax
Post by: andytheflyer on 14 December, 2017, 02:54:21 pm
Otex ear drops have always worked for me.  They use Urea Hydrogen Peroxide and fizz in your ear.

What he said. I'd had a problem for years, been regularly syringed. Lasted about 6 months - but the doctor was getting less keen to do it.  Tried olive oil etc. and any product I tried was of no use.

Then I tried Otex.  Brilliant.  I put it in one ear at night, then sleep on the other side so the oil stays in. It needs 4 or 5 nights of applications per side, but it really works.  Needs doing about 2x a year.

I suspect it's the bubbling action that dislodges any loose bits.  It's a weird sensation, but I think it's a case of no bubbling, no wax, which seems to indicate the point where I can stop the treatment.  I'm relieved not to have to go to the doc's for syringing any more.