Do you need a referral for ear wax removal?

Blocked hearing, pressure, or ringing can occur when wax fills the ear canal, but similar symptoms can have other causes. A clinician may look inside the ear and check for infection, a damaged eardrum, or a history that makes irrigation unsuitable. Removal may involve microsuction or another method selected for the ear findings. Some providers accept direct appointments; others need a referral from general practice or an ear, nose, and throat service.

Call the clinic and ask whether it offers ear wax removal directly and whether an examination is included. Tell the clinician about ear surgery, a perforated eardrum, pain, discharge, or previous problems with removal. Avoid putting cotton buds or objects into the canal, as they can push wax deeper or injure the skin. Follow the clinic’s advice about softening drops before the visit. More detail is available on the Ear Wax Removal page.

Arrange prompt assessment for severe ear pain, discharge, sudden hearing loss, significant dizziness, fever, or an object stuck in the ear. These symptoms should not be assumed to be simple wax. Seek urgent help if severe dizziness is accompanied by weakness, trouble speaking, or a new severe headache.

Does wax explain my symptoms after examining the ear? Is direct booking suitable for me? Which removal method is appropriate, and should I use softening drops beforehand?