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Talk to your doctor about professional treatment options. Undergo repeat ear canal irrigation. Have your ear suctioned. Remove wax with an instrument. Examine the ear with a microscope.

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If you can’t remove your wax at home or experience other problems such as severe hearing loss, pain or discharge, talk to your doctor about your different treatment options for wax plugs. This can help ensure that you get the most effective, least invasive, and most painless treatment for your impacted cerumen. Your doctor may recommend professional treatments or options that you can use at home, including drops and irrigation. Your doctor may decide to treat your wax plugs by irrigating your ear canals. This can help to soften wax and clear away any blockages causing your discomfort.  Your doctor will inject water or another medical solution, such as saline, into your ear and let it soften the wax. Once the water is drained, your doctor may check to see if the plug is gone or if it needs to be removed with an instrument such as a curette.  You may experience slight discomfort with irrigation. Unlike commercial suction methods, your doctor may use a more powerful suction method to clear your ear canal. This can help effectively and completely remove wax plugs.  Your doctor will insert the suction device into your ear canal to remove the wax.  She may check if the plug is gone once she’s suctioned and assess if you need a stronger or different method to remove your impaction.  Suction may cause minor discomfort or some bleeding. If your ear wax plug is especially stubborn, your doctor may opt to remove it with different instruments including a cerumen spoon or curette. This treatment directly removes wax plugs and may help quickly and effectively relieve your impaction.  A curette is a small, thin device that your doctor will insert into your ear canal to remove the blockage.  A cerumen spoon is a small device inserted into the ear canal that can scoop out blockages.  Having wax removed with an instrument may cause discomfort and some bleeding. Your doctor may refer you to an ENT (Ears, Nose, and Throat) specialist if she is unable to get all the wax out. The ENT specialist may use a microscope to better see the wax plug in your ear canal. This can help him assess the extent of your impaction and if he’s cleared away the entire blockage.  To look at your ear with a microscope, the ENT specialist will place a metal speculum inside your ear canal and then shine the microscope light inside. The ENT specialist may continue to use the microscope to guide wax removal.