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Whether it be an ENT (Ear, nose, throat doctor), audiologist, or hearing instrument specialist, an ear doctor's office can look a little bit odd with all of the various tools and instruments. An otoscope is most commonly used to look inside the ear to look for ear wax buildup, signs of ear infection, and diagnose other issues. This instrument is used by a wide range of medical professionals, including your general physician. There are a couple of common instruments that ear doctors use to remove ear wax in their office. A curette is a long, skinny instrument with a small scoop on the tips that can fit inside the ear canal. Irrigation is used by many professionals to clear built up ear wax and debris from the ears. Trade in your your hearing aids and receive $500 for each hearing aid less than 5 years old and $300 for hearing aids more than 5 years old!
Mr Ajay Nigam Ear, nose and throat Consultant, Blackpool, Lancashire, private hospital specialist. Having been trained in general otolaryngology in Cambridge and Birmingham, I developed an interest in the management of head and neck cancer whilst working in Newcastle and Sunderland.
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Medical and surgical management of allergic and non-allergic rhinitis, nasal polyps, rhinosinusitis, facial pain, snoring and sleep apnoea. Mucosal immune responses in allergic nasal disease including interactions with the lower airways. During my final year of training (2008), I undertook a subspecialist overseas fellowship in Rhinology & Anterior Skull Base Surgery under the tutelage of Professor Wytske Fokkens at the Academic Medical Centre in Amsterdam.
I am married to a consultant gastro-enterologist who has a particular interest in pancreatic disease.
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It may be due to dry skin, and 2-3 drops of mineral oil or baby oil 2-3 times weekly can moisturize the ear canal skin, reducing the itchiness. But the same bacteria that cause sinus infections cause ear infections, so we can certainly pass "bugs" between children and adults.
The most common reason for tinnitus is damage to the hearing cells, either temporary or permanent. I have two children, 3 and 5, what would you recommend to sooth a child’s sore throat without medication? While initially the warm liquid can feel better, the heat can worsen the inflammation in the throat.
Every year around this time, the inside of my nose gets really sore and red, sometimes bleeds. If you do not have a humidifier on your furnace, you can run a portable one at your bedside at night. Mr Murray Waldron Cosmetic Surgery, Ear, nose and throat & Paediatric surgery Consultant, Washington, Newcastle, Tyne and Wear, private hospital specialist. Mr Waldron is a Consultant Ear, Nose and Throat surgeon with many years of Consultant level experience.
He has an interest in patient safety and clinical governance being the ENT Clinical Governance Lead within his NHS practice. Mr Waldron returned back to the North East, where he grew up, to complete his Specialist ENT training and then consultant post. If wax goes deep into the ear canal, a person may need to visit an ear, nose and throat specialist. Before one makes the decision to remove ear wax build up, it is important to think about whether or not the build up of wax should be removed at all.
At home, the goal is to soften the ear wax so that it can flow out of the ear, and then to flush the ear so that it is clean.
In a doctor's office, the doctor has an array of tools to choose from to remove ear wax build up. I am a Certified Medical Assistant, and I clean people's ears on a daily basis at the clinic I work at. After I am done with that, I use an otoscope to look inside the ear to see what wax is left, and where it is. My experience of ear wax removal by micro suction, and it was not quite as effective and pain free as I had been led to believe. An after view was shown me via the laptop, and the only wax removed was around the ear drum, which appeared pink and clear.
The right ear, which I expected to be much worse, only produced a very small amount of wax. I had them syringed many years ago, and an astonishing amount of wax came out of my ears, but the discomfort level was, I think, less than the suction treatment I received, and my hearing was pin sharp in both ears. I've been going to an ENT for six years but he honestly cares about seeing an improvement in my ears. I first had a gigantic blockage of ear wax in my ear, and I was told to use Waxsol, a wax softening drop which really made no difference to the plug of wax in my ear. I'm not sure, but sometimes that ear (it was just my left one that was blocked, strangely it's always just my left which is the waxiest!) lapses between being blocked and unblocked. I'm really apprehensive about going back to that doctor again, plus I'm not too fond of ear drops. When you take a shower, just turn your head so the water goes into your ears and give them a good flushing out.
I have ear wax right now, I used a q tip yesterday but it went all the way in whenever I swallowed, I felt the ear wax, but my mom put baby oil in my ear and the next morning (today) the ear wax was right at the end of my ear canal. On the first visit, I had asked if he was to use the vacuum to remove the wax, and he outright lied to me and said no, but then he did use it and it was very painful.
He then had the nerve to inform me that in order not to become dizzy, one must irrigate the ear with warm liquid, and when I nicely asked him why he didn't use a warm liquid on my ear, I received no response to my query. I was informed it was "otitis externa" (external ear canal infection) and given antibacterial drops to use for 10 days. I went to the doctor and when he looked in my ears, they had too much wax, so they cleaned my ears with water at the office. I've had an irritating buildup for a few days now, and I just applied hot water to my ear canal with my finger and ended up pulling out something unpleasant.
When I was younger I went to the doctor to get my ears flushed since there was too much wax.
I accidentally pushed my earwax way into my ear canal while cleaning with a q-tip yesterday and tried to get it loose with an ear syringe and hydrogen peroxide to no avail.
It got so bad I couldn't even hear out of my right ear and there was some slight pressure (pain) as well.
She then stopped and handed it to the other nurse who was in training and told her to finish me up. Anyway, the wax came out and i could now hear again, so overall I'm glad I went in and had it done but I do think that the first nurse could've been a lot gentler because my ear hurt for several hours afterward.

If the wax buildup is too much for debrox, I go to a clinic that uses a tiny vacuum to pull out the wax. Senior Residency In Neurosurgery Department At Amrita Institute Of Medical Science, Kerala. Fellowship under guidance of Dr H N Vijayendra for 1 month i.e from 1 August 2012 to 31 August 2012 for otology and lateral skull base surgeries.
This section is written as a narrative in the first person as I feel that the heart and soul of being a good doctor cannot and should not be reduced to a series of bullet points. Though lucky enough to have "a good pair of hands" I always strive to improve my surgical skills.
I am grateful to all the colleagues I worked with during my three years of excellent postgraduate training in ENT- and fellowship in skull base surgery at kochi, Dr Janaki Sir and Dr Vijayendra Sir who gave me broad clinical experience and a sound basis for further professional development. I am now in my 7th year of independent practice, and have built on this foundation a wealth of clinical experience and judgement, learned mostly from my patients, to whom I am most grateful for entrusting me with their lives and wellbeing.
This period my work was to assess the neurosurgical patient specifically the neuro-otological patient like cerebropontine angle tumour, pituitary macroadenoma, glomus tumour. In school health programs effectively participated in implementing national health programs.
Performed key role in stream lining the ENT department for the NABH and ISOQAR accreditation at Zydus hospital.
Ongoing paper presentation work on a case of atypical foreign body in nose, on ectatic internal carotid artery, an ENT perspective and venous hemagioma of inferior turbinate.
Given lecture in CME on Endoscopic Skull Base Surgery as faculty at South Gujarat Otolaryngology associations Surat. More interested in the Endoscopic skull base surgery, sinus ballon plasty, snoring and cochlear implant and middle ear implant surgeries. An otoscope (also known as an auriscope) is a medical instrument that allows healthcare professionals to better see the outer and middle portions of the ear. In young children and infants, an otoscope can diagnose issues that the child can not vocalize what is bothering them, as in the case of a baby with an ear infection. It is used at routine checkups to make sure that all is well and looks healthy in your ears. For most cases of ear wax buildup or blockages, patients will be sent home with an at-home ear wax removal kit. Curettes are used to gently scoop ear wax out of the ear and is handy when ears are especially compacted with ear wax.
Don't be afraid to ask questions about the instruments used in the office so that you have an understanding of what your doctor plans to use and why. I was appointed as an honorary consultant at Groote Schuur Hospital in Cape Town where I managed to enhance this experience.I have also developed an interest in performing functional endoscopic sinus surgery and minimally invasive treatment of snoring. Salib Allergy & Ear, nose and throat Consultant, Southampton, Hampshire, private hospital specialist.
In 2008, I was awarded one of the Higher Education Funding Council for England (HEFCE) Clinical Senior Lectureships. I have also developed a subspecialist interest in Rhinolgy and Allergy in particular medical and surgical management of allergic and non-allergic rhinitis, nasal polyps, rhinosinusitis, snoring, and facial pain.
I am also a faculty member on the internationally renowned Advanced Endoscopic Sinus Surgery Course held in Winchester. He trained at Oxford University and completed his higher surgery training, in ENT, in the Northern Deanery before being appointed as an ENT Consultant in City Hospitals Sunderland in 2004. This collaboration allows the clinic to offer a range of surgical and non-surgical treatments for snoring and sleep related breathing problems. People who have experienced perforated ear drums and severe ear infections should consult a doctor if they think they have a build up of ear wax, as there are some special concerns about their ears which must be addressed. The ears generate lots of wax naturally to clean the ears and protect them from dust and other dangers, and it is normal to have some wax in and around the ear. Softening can be accomplished by pouring a few drops of a warm, neutral oil such as baby oil into the ear, by holding a hot water bottle to the ear, or by applying a few drops of a solution specifically designed for softening ear wax. Hydrogen peroxide should not be used alone to remove ear wax build up, as it will not soften the wax.
Doctors can use specialized water jets to get wax out of the ear, or scoops which can be gently inserted into the ear to pull out wax.
My doctor told me both my ears was blocked with wax and that was probably causing the vertigo problem I have. It became a quite uncomfortable experience as the suction tool was used, and I pulled my head away three times. I hope it will help others to consider carefully how you get the wax removed from your ears. After going to multiple doctors for many years of my childhood and not being able to hear well, I was finally recommended to an ENT. My ENT can be rough but he always tells me to tell him if it hurts so he can immediately stop! He used to take about 45 excruciating minutes to clean my ears and now it takes about five minutes per ear. It's the kind of ear syringe where it sucks up water from a separate container when you squeeze a hand lever and all that.
She wasn't exactly gentle, and squirted the water in full pelt; however it wasn't painful in the slightest.
That's all I can get out." She didn't even try any more, told me to use more Waxsol and come back in a few days.
Now, I'm beginning to think that my decision to let my doctor syringe my ears was a bad idea, as everyone is saying you should never let your GP syringe or clean out your ears in any way, that you should always visit a specialist. It did not work, so he flushed my ear with a cold liquid, causing me to become so extremely dizzy I was about to screech. I immediately informed him of the vertigo that had lasted for many minutes and all he said to me was "deal with it"! Not surprisingly, six weeks later I returned with a raging earache, which I believe was from all of the agony I had been through in order to remove the wax. Two weeks later I returned and was told that not only did the drops not work, I now had 'pustules' which had to be scraped out.
This was the third visit, and I was mighty tired of what seemed to be an easy wax removal visit on the first visit, turning into a medical nightmare. I still wonder why there isn't a numbing agent, such as liquid lidocaine, which can be used to prevent such unnecessary discomfort. I didn't know this either until the other day, but excessive use of ear plugs or headphones will increase ear wax. One ear didn't hurt at all, but when they did my left ear it hurt and they couldn't get much of anything out and it hurt too much to keep trying. She pumped the device a lot slower and more gently than the other lady did and I appreciated that because my ear was sore enough as it was. I don't know if it was just from having my ear plugged up all day or from the aggressive water treatment that I got but if your ear is sore and you go in to get it fixed, make sure to tell them to be gentle. If I catch the buildup early enough, debrox (wax softener) works fine after about three or four days of using it twice a day.
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In adults, an otoscope can confirm symptoms and help the doctor understand how to treat your ears.
If you visit your physician or an ear doctor with complaints about ear pain or discomfort, and otoscope is likely the first instrument that will be used to look at your ears. However, some tools are needed for severe cases in which ear wax cannot be removed at home with a kit. Many people are a little scared to think of a doctor putting this device inside of their ear, but rest assured that doctors are professionals and the last they they want to do is damage your ear or hurt you.
I undertook my higher specialist surgical training in ENT in the West Midlands and Wessex deaneries.
I started my appointment as Senior Lecturer in Rhinology and Honoarary Consultant ENT Surgeon at Southampton University Hospitals in May 2009.
My main research interests focus on the mucosal immune repsone in nasal airways disease (rhinitis and rhinosinusitis) with the aim of creating a constructive channel between the ENT clinical service and the academic excellence in airways disease mucosal biology at Southampton. My main interests outside work are mainly family-oriented but also include sports, fast cars and wildlife programmes.
His family, including his two children and dog, are often out walking, especially the North-East coastline. For these individuals, it is safer to have a doctor remove the wax, as he or she can do so with specialized equipment which will not damage the ear drum. If the hearing is impaired or a suspected build up is causing pain and irritation, it should be removed.
It is best to do this with the head lying on a table and an ear pointing up, and to hold this position for several minutes before tilting to allow the wax to flow out. It can be used with softened wax, as the bubbling motion of the hydrogen peroxide will help remove ear wax from the ear. These techniques should not be used at home, as they require special training to avoid damage to the ear. I have the patient lie on their side, soak the troubled ear with debrox for about five minutes, then use a mixture of warm water and hydrogen peroxide to flush out the ear with a giant syringe with a special tip.
I was advised to put olive oil in my ears for 10 days, and then return to have them syringed.
I felt some discomfort, and at one point I pulled away from the suction tool due to the sharp pain caused by the suction. The view shown was as the left ear a very small area cleared with what sill looked a fair amount of wax present in the ear. He encourages me to keep coming back because he wants to make sure he stops any blockage from occurring again!
Even though he says he can see the wax, he tells me it is too far down for him to get to it. I was amazed at the amount of wax coming out, and even my mum who accompanied me to the doctor gasped as lumps of wax continued to be pumped out of my ear.
For those that have to wear plugs for work, it's hard to change, but if you're a heavy xbox player like me, then playing without the headphones may be your answer!
I'm so nervous to ever get my ears flushed with water again, but my ears get so much wax build up. I had hardened earwax he was afraid to flush with water because he said it would cause pain. He used a small syringe I believe and cleaned my ears with warm water, it was painless as he very gentle.
Selarka is a Accredited Consultant Ear Nose & Throat Specialist and also Over 10 years clinical experience.
I don't hesitate to discuss difficult problems with colleagues, and refer on when necessary. For emergencies, I am always available when on-call, and do not hesitate to come in even when not on-call if there is a problem with one of my patients. In the office, ear doctors often have a slightly stronger irrigator that allows a solution to flow through the ears a bit more. During my training, The Royal College of Surgeons of England funded me for three years (2001-2004) to carry out postgraduate basic science research into the mechanisms of inflammation in allergic rhinitis. In the next few years, I hope that this liaison will develop further bi-directional benefits in not only establishing an academic presence to develop ENT research but would also facilitate translational research for patient benefit within this area and enabling better understanding of the upper and lower airway interactions. Likewise if ear wax has been pushed into the ear canal because of overzealous use of cotton swabs.
Once the wax has come out, the ear can be flushed with warm salt water, either with the use of an bulb syringe or by pouring water slowly into the ear. After four days of applying olive oil I decided to try micro suction to relive the vertigo effects and the near total hearing loss in my right ear sooner.
My hearing in the right ear was only a little better, leaving me quite disappointed with the results.
I have had pain and not been able to hear from the blockage and my ENT only wants to do hearing tests, I think he wants to only sell hearing aids so I am checking into seeing a new ENT. It is possibly some sort of infection, as I do sometimes experience sharp, stabbing pain in that ear. It means finding out what the patient hopes for and expects from treatment, and explaining the limitations and risks of surgery. I have done individually the craniotomy and burr hole and in some of the cases I have exposed the sphenoid sinus for the pituitary tumour. The solution used is generally a medication that softens ear wax so that it can be removed easily.
This research was based in the Infection, Inflammation and Immunity Division of the School of Medicine at the University of Southampton. He also has sub-speciality interests in rhinology including rhinoplasty and snoring and sleep disordered breathing disorders.
But if only a small amount of wax is present, it may be better not to remove ear wax build up.
This happened to me and I was lucky enough a family member was home and encouraged me not to drive for the day! Having explained treatment options in terms I hope the patient can understand, I check they have understood it. Never go back, even though it means getting another doctor and possibly traveling a bit further. You know how when your cleaning your ears with q tips or you are itching your ear and it feels really good.
She stuck it in my ear and started pumping that thing really vigorously for about minutes straight.
Subsequently, I was also awarded a Hunterian Professorship of Surgery by the Royal College of Surgeons of England in 2006. If they are rude or insensitive or care more about money than you, it means that they are sociopathic, devoid of emotion -- a small percentage of doctors are sociopaths.
Selarka Skilled in general otolaryngology, adults and children and also Special interests in otology, rhinology, endoscopic skull base surgery, snoring and cochlear implant surgery .

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