Question 1

What is ear irrigation?

Accepted Answer

Ear irrigation is a method of ear wax removal that uses a controlled flow of warm water to gently flush wax out of the ear canal. Modern ear irrigation uses electronic irrigators that deliver water at a precise temperature and pressure — making it considerably safer and more comfortable than the old-fashioned metal syringe your grandparents might remember. The warm water softens and dislodges wax, which then flows out of the ear naturally.

Question 2

What is the difference between ear irrigation and ear syringing?

Accepted Answer

Ear irrigation and ear syringing refer to the same basic principle — using water to flush wax from the ear canal — but the equipment is very different. Traditional ear syringing used a large metal syringe that delivered water in a single forceful jet, which carried a higher risk of discomfort and ear canal trauma. Modern ear irrigation uses electronic irrigators that deliver a gentle, controlled, pulsed flow of water at body temperature. The modern approach is significantly safer and is the standard used by qualified practitioners today.

Question 3

How does ear irrigation work?

Accepted Answer

During ear irrigation, your practitioner directs a gentle, warm stream of water into your ear canal at a controlled angle. The water flows behind the wax plug, softening it and creating pressure that dislodges it. The wax and water then drain out of the ear into a small basin held beneath your ear. The practitioner will examine your ear before and after the procedure using an otoscope to confirm the wax has been removed successfully.

Question 4

Is ear irrigation the same as ear flushing?

Accepted Answer

Yes — ear irrigation, ear flushing, ear syringing, and water irrigation all describe the same procedure. The terminology has evolved over the years as the equipment has improved. You may also hear it called "aural irrigation" in clinical settings. Whatever name it goes by, the principle is the same: warm water is used to flush wax from the ear canal.

Question 5

Is ear irrigation still available on the NHS?

Accepted Answer

NHS ear wax removal services, including ear irrigation, have been significantly reduced in recent years. Many GP surgeries no longer offer the service, and those that do often have long waiting lists. NICE guidelines published in 2020 acknowledged that ear wax removal is a clinically necessary service, but commissioning decisions are made locally, which means provision varies considerably across Devon. Most people now access ear irrigation privately, where same-day or next-day appointments are typically available. Read more about NHS ear wax removal changes.

Question 6

Is ear irrigation safe?

Accepted Answer

Ear irrigation is safe when performed by a trained practitioner using modern electronic equipment. The key is that the water is delivered at body temperature (37°C) and at a controlled, gentle pressure. Cold or hot water can cause dizziness and discomfort. Forceful water pressure can damage the ear canal or eardrum. When these factors are properly controlled by a qualified professional, the procedure is well-tolerated and effective for suitable candidates.

Question 7

Who is ear irrigation NOT suitable for?

Accepted Answer

Ear irrigation is not suitable for everyone. You should not have ear irrigation if you have a perforated eardrum, grommets (ear tubes), or have had ear surgery in the past. It is also not recommended if you have an active ear infection, a history of recurring ear infections, or a known cholesteatoma (an abnormal skin growth in the middle ear). If you have any of these conditions, microsuction is usually the safer alternative. Your practitioner will assess your suitability before proceeding.

Question 8

Can ear irrigation damage your eardrum?

Accepted Answer

When performed correctly by a trained practitioner using modern equipment, the risk of eardrum damage is very low. The main risk arises when water is delivered at excessive pressure or when the procedure is performed on someone with an existing perforation. This is why a thorough assessment before the procedure is so important. Your practitioner will examine your ear with an otoscope before starting to confirm your eardrum is intact.

Question 9

Does ear irrigation hurt?

Accepted Answer

Most people find ear irrigation comfortable and describe it as a strange but not unpleasant sensation — a bit like having warm water trickle through your ear. You may feel a slight pressure as the water enters the canal. Some people experience a brief moment of dizziness, which usually passes within seconds. If you feel any sharp pain during the procedure, tell your practitioner immediately and they will stop.

Question 10

Can I have ear irrigation if I have tinnitus?

Accepted Answer

If your tinnitus is caused by ear wax buildup, removing the wax through irrigation may actually improve it. However, if you have tinnitus that is unrelated to wax, your practitioner will discuss the risks with you. In some cases, the procedure can temporarily change the perception of tinnitus. Read more about the relationship between tinnitus and ear wax.

Question 11

Is ear irrigation safe for children?

Accepted Answer

Ear irrigation can be performed on older children, but it requires cooperation from the child — they need to be able to sit still during the procedure. For younger children or those who are anxious, microsuction is often a better option as it is quicker and does not involve water. Our children's ear care service is tailored to make the experience as comfortable as possible for younger patients.

Question 12

Can I have ear irrigation if I have a hearing aid?

Accepted Answer

Yes, hearing aid users can have ear irrigation, provided there are no contraindications such as a perforated eardrum. In fact, hearing aid users tend to accumulate wax more quickly because the device blocks the ear canal's natural self-cleaning mechanism. Regular wax removal is particularly important for hearing aid users to maintain sound quality and prevent damage to the device. Read more about hearing aids and ear wax.

Question 13

Do I need to use ear drops before ear irrigation?

Accepted Answer

Yes — unlike microsuction, ear irrigation works best when the wax has been softened beforehand. We recommend using olive oil drops (or sodium bicarbonate drops if you prefer) twice a day for at least five to seven days before your appointment. This softens the wax and makes it much easier to flush out, reducing the time needed for the procedure and improving the chances of complete removal in a single session.

Question 14

What ear drops should I use before irrigation?

Accepted Answer

Olive oil is the most widely recommended option and is endorsed by NHS guidelines. It is gentle, effective, and suitable for most people. Sodium bicarbonate drops are an alternative that some people find more effective for very hard wax. Proprietary ear drops such as Earol (olive oil spray) are also suitable. Avoid using hydrogen peroxide drops unless specifically advised by a healthcare professional, as they can irritate the ear canal.

Question 15

How do I apply ear drops correctly?

Accepted Answer

Lie on your side with the affected ear facing upward. Gently pull the outer ear upward and backward to straighten the ear canal. Apply 2-3 drops of olive oil into the ear canal. Stay in this position for 5-10 minutes to allow the oil to penetrate the wax. Then sit up and allow any excess oil to drain onto a tissue. Repeat twice daily for five to seven days before your appointment.

Question 16

What if I cannot use ear drops?

Accepted Answer

If you cannot use ear drops — for example, if you have a known perforation or if drops cause discomfort — please let us know when you book. In these cases, microsuction is usually a better option as it does not require pre-treatment with drops and is effective even on dry, hard wax.

Question 17

What should I tell my practitioner before the procedure?

Accepted Answer

Before your appointment, let your practitioner know if you have ever had a perforated eardrum, grommets, or ear surgery. Tell them about any current or recent ear infections, any history of recurring ear problems, and any medications you are taking. If you have had ear irrigation before and experienced problems, mention this too. This information helps your practitioner decide whether irrigation is the right approach for you.

Question 18

How long does ear irrigation take?

Accepted Answer

Most ear irrigation appointments take 20-40 minutes in total, including the initial consultation and examination. The actual irrigation procedure usually takes 10-20 minutes per ear. If the wax is particularly stubborn or if both ears need treatment, the appointment may run slightly longer. Your practitioner will give you a realistic estimate once they have examined your ears.

Question 19

What happens during an ear irrigation appointment?

Accepted Answer

Your practitioner will begin by taking a brief medical history and asking about your symptoms. They will then examine both ears using an otoscope to assess the wax and confirm your eardrum is intact. During the procedure, you will sit comfortably whilst warm water is gently directed into your ear canal using an electronic irrigator. A small basin is held beneath your ear to catch the water and wax as it drains out. Afterwards, your practitioner will re-examine your ears to confirm the wax has been removed.

Question 20

Can both ears be irrigated in one appointment?

Accepted Answer

Yes, both ears can usually be treated in a single appointment. If both ears need wax removal, your practitioner will treat them one at a time during the same session. This is more convenient and more cost-effective than booking separate appointments.

Question 21

Will I hear better straight away?

Accepted Answer

Most people notice an immediate improvement in hearing once the wax has been flushed out. Sounds may seem noticeably louder or clearer — this is simply your normal hearing returning. Some people find the sudden improvement in sound a little overwhelming at first, but this settles quickly as your brain readjusts.

Question 22

What if the wax does not come out?

Accepted Answer

Occasionally, wax that has not been adequately softened beforehand may not flush out completely in a single session. If this happens, your practitioner may recommend continuing with ear drops for a further week and returning for a second appointment. Alternatively, they may suggest switching to microsuction, which can be more effective for hard or impacted wax. Your practitioner will always discuss the options with you.

Question 23

What should I expect after ear irrigation?

Accepted Answer

After ear irrigation, your ears should feel clear and your hearing should improve noticeably. You may experience a slight feeling of fullness or dampness in the ear for a short while as any residual water drains away. This is completely normal and usually resolves within an hour. Some people feel a brief sensitivity to sound immediately after the procedure, which settles quickly.

Question 24

Are there any side effects of ear irrigation?

Accepted Answer

Side effects are uncommon when the procedure is performed correctly. Some people experience temporary dizziness during or immediately after the procedure, which usually passes within a few minutes. Mild discomfort or a feeling of fullness in the ear is normal and temporary. Very rarely, the procedure can cause minor irritation to the ear canal skin. Serious complications such as eardrum perforation are extremely rare when the procedure is performed by a trained practitioner.

Question 25

Can I swim after ear irrigation?

Accepted Answer

It is advisable to wait at least 24-48 hours before swimming after ear irrigation, to allow the ear canal to fully dry and settle. When you do return to swimming, consider using well-fitting earplugs to keep water out of your ears. If you swim regularly, ask your practitioner about preventive ear care strategies to reduce future wax buildup.

Question 26

How long do the results last?

Accepted Answer

The results of ear irrigation vary from person to person. Some people remain wax-free for many months or even years, whilst others — particularly those who naturally produce more wax — may need treatment every few months. Factors that affect how quickly wax accumulates include age, ear canal shape, hearing aid use, and genetics. Your practitioner can advise on a suitable maintenance schedule based on your individual pattern.

Question 27

Should I use ear drops after irrigation?

Accepted Answer

There is no need to use ear drops routinely after irrigation. However, if you are prone to wax buildup, using a few drops of olive oil once or twice a week as a preventive measure can help keep the wax soft and encourage the ear\'s natural self-cleaning process. Read more about post-irrigation ear care and what to use after the procedure.

Question 28

What is the difference between ear irrigation and microsuction?

Accepted Answer

Ear irrigation uses warm water to flush wax out of the ear canal, whilst microsuction uses gentle suction under direct vision to remove wax without any water. Microsuction is generally considered the gold standard because it is performed under direct vision, does not introduce water into the ear, and is suitable for people with perforated eardrums or a history of ear problems. Ear irrigation is a good alternative for people with soft wax and healthy ear canals who prefer a water-based approach. Read our detailed comparison of microsuction vs ear syringing.

Question 29

Which is better — ear irrigation or microsuction?

Accepted Answer

Both methods are effective when used in the right circumstances. Microsuction is the preferred option for most people because it works under direct vision, requires no pre-treatment with drops, and is suitable for a wider range of patients including those with perforated eardrums. Ear irrigation is a good choice for patients with soft wax, healthy ear canals, and no contraindications. Your practitioner will recommend the most appropriate method after examining your ears.

Question 30

Is ear irrigation safer than ear candling?

Accepted Answer

Yes, significantly so. Ear candling has no credible scientific evidence supporting its effectiveness and carries genuine risks including burns to the face and ear canal, blockage of the ear canal with candle wax, and eardrum perforation. Medical professionals do not recommend ear candling. Ear irrigation, when performed by a trained practitioner, is an evidence-based procedure with a well-established safety record.

Question 31

Can I irrigate my own ears at home?

Accepted Answer

Home ear irrigation kits are available, but we strongly advise caution. Without the ability to examine your eardrum first, you cannot know whether irrigation is safe for you. Using water in an ear with a perforation can cause a serious middle ear infection. The water pressure from home kits is also difficult to control. If you are considering home ear care, read our article on how to syringe ears at home safely for guidance on the risks and safer alternatives.

Question 32

How much does ear irrigation cost?

Accepted Answer

The cost of ear irrigation varies depending on the provider and location. Private ear irrigation typically costs between £50 and £80 for both ears. Some clinics charge per ear whilst others offer a fixed price for both. The fee usually includes the initial examination, the procedure itself, and a post-treatment check. View our full pricing for details.

Question 33

How do I book an ear irrigation appointment?

Accepted Answer

You can book an ear irrigation appointment online or by calling us on 01769 302119. We offer appointments across 14 locations in Devon. When you book, let us know which ear or ears are affected and whether you have been using ear drops — this helps us allocate the right amount of time for your appointment.

Question 34

Do I need a GP referral for ear irrigation?

Accepted Answer

No, you do not need a GP referral to book a private ear irrigation appointment with us. You can contact us directly and book at a time that suits you. If we identify anything during your appointment that requires medical attention beyond ear wax removal, we will advise you to see your GP and can provide a written summary of our findings if helpful.

Question 35

Do you offer home visits for ear irrigation?

Accepted Answer

Yes, we offer home visit appointments for patients who are unable to travel to one of our clinic locations — for example, those with mobility difficulties, serious illness, or caring responsibilities. Home visits are available across Devon. Please contact us to discuss availability and pricing for home visits.

Question 36

What if I am not sure whether I need ear irrigation or microsuction?

Accepted Answer

Don't worry — that is exactly what your initial examination is for. When you arrive for your appointment, your practitioner will examine your ears and assess the type and amount of wax present. Based on this assessment, they will recommend the most appropriate treatment. In some cases, they may start with irrigation and switch to microsuction if needed, or vice versa. The goal is always to achieve the best outcome for you. You can also read our comparison of microsuction vs ear syringing to help you understand the differences before your appointment.

Ear Irrigation: Your Questions Answered

About This Page

About Ear Irrigation

Safety & Suitability

Before Your Appointment

The Procedure

After Ear Irrigation

Ear Irrigation vs Other Methods

Cost & Booking

Related Pages You Might Find Helpful

Ear Irrigation Service

Microsuction Service

Microsuction FAQ

Microsuction vs Syringing

NHS Ear Wax Removal

Post-Irrigation Ear Care

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