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Ear wax should usually be managed through self-care, but when necessary should be removed via irrigation in Primary Care. Provide patient with self-care leaflet.
Contraindications to irrigation:
Advise anyone who has had earwax removed to return if they develop otalgia, or significant itching of the ear, discharge from the ear (otorrhoea), or swelling of the external auditory meatus, as this may indicate infection.
Note: Prior to attending Audiology for a hearing test the ears must be completely clear of wax.
Primary care management must have been attempted prior to referral including use of ear drops and two attempts at ear irrigation unless contraindicated as described in the management section.
Referrals to the new Community Microsuction service should be made via eRS using the appropriate referral form. Please advise patient to use an over the counter ear wax softening product (such as sodium bicarbonate) for the 5 days prior to their appointment
Referrals to other providers such as Tetbury Hospital can be made through a letter via eRS.
Referral for microsuction should only be made if one of the following referral criteria are met:
Managing recurrent wax
Refer to Primary Care Management section.