Why wax builds up
Ear wax protects the ear canal, and most of the time it works its way out naturally. Some people simply produce more, or have narrow canals, or push it deeper with cotton buds or earphones — and then it can block the canal. Ear wax problems are among the most common ear complaints the NHS sees.
The symptoms of a blockage
The NHS describes the signs as earache, difficulty hearing, itchiness, dizziness, tinnitus (ringing) and sometimes a feeling of fullness. If hearing loss comes on suddenly or you have severe pain or discharge, that needs prompt medical assessment rather than routine wax removal.
Why not cotton buds
Cotton buds are the classic mistake. They tend to push wax further in and pack it against the eardrum, and they can scratch or even perforate the canal. The advice from the NHS is clear: do not use cotton buds, and do not try to dig wax out.
How microsuction works
Microsuction is widely regarded as the safest modern method. The clinician looks into the ear under magnification and uses a fine, low-pressure suction device to lift the wax out. No water is flushed into the ear, which makes it suitable for people with a history of perforations or ear surgery, and it is quick — usually a few minutes per ear.
What to expect at the appointment
The pharmacist examines both ears first. If wax is the cause, they remove it and check again afterwards; if something else is going on, they will tell you. Using olive oil drops for a few days beforehand often softens the wax and makes removal easier.
Common questions
