Managing earwax

Here in quebec canada nurses are allowed and do ear cleaning. No vertigo, no pain, no liquid coming out of ears is essential for us nurses to do this autonomously. Also we use syringes with water. It can be tap water. Needs to be warm or warm hot as tolerated by patient. Not more then 10 min per ear as it can be irritating to ear canal. If discomfort happens i stop. Most cases i see
with this problem is when they come to my office for sore throat. I otoscope their ears and realize they have impacted ear wax. I usually try to remove using a 30 ml syringe with water and either a small tube from a blood collector needle ( i cut off the needle) or a special ear rinse syringe tip. I try this for 10 min. Usually after 3 min its out. Some rare cases i have seen i needed to ask them to go home and place oil in ear before bed time for 7 nights to soften it up and come back and see me. No problems with oil use but the purpose of oil is to soften it to be able to remove it. Its usally very easy to remove with syringe after. Other then senior citizens, i have not seen that many ppl come back probably because i Usually find out what the cause of the impaction was. Usually they have been cleaning ears with qtips. Once they stop this ear wax impaction stops. I do have my regular customer sometimes but its usually elderly people. Hair cells are slower and ear wax is dryer so its harder to come to surface of ear canal.
As a nurse i am not allowed to curate ears. And i cant use peroxyde. Although at a dr appointment, my dr trying to see my daughter’s ear drums attempted to remove ear wax. It was solid. She proceeded to insert peroxyde filling ear canal to brim and we waited 10 min per ear in a laying down position. It came out right away with syringe after.

Normal care regimen i tell my patients to do is to let water from shower go in ear at lowest sprinkle pressure. I tell them to take a wash cloth with finger and remove ear wax as far as finger with washcloth would go. No soap in eat canal as removing too much eat wax contributes to more ear wax being secreted. I also say not to use qtip. Qtips irritates ear canal causing more ear wax to form and it pushes it in. More and more pushed in ear wax creates glob of ear wax impossible for hair cells to bring to surface. And it traps more ear wax… And then its just a matter of time before ear wax is building and its covering ear drum.

I think that if you do use a syringe and water finally gets behind the ear wax buildup but you stop, you may trap water causing external ear infection. I use an otoscope to see what is going on. If i see its starting to move i know its just a matter of 2 -3 syringes and its out. So maybe getting a friend to try to look in ears or getting a cheap set of otoscope on amazon.

Good luck

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