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Patient Name: ___ Today\'s Date: ___ Health History for Cerumen Removal Which ear needs ear wax/cerumen removed?RightLeft Both Have you tried to remove the ear wax/cerumen yourself?YesNo If your answer
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How to fill out how to remove cerumen

01
Begin by preparing the necessary materials, such as a bulb syringe, warm water, hydrogen peroxide, or mineral oil.
02
Tilt your head sideways and gently pull the outer ear up and back to straighten the ear canal.
03
Use the bulb syringe to gently squirt warm water into the ear canal. Do not force the water too forcefully to avoid injury.
04
Allow the water to sit in the ear for a few minutes to soften the cerumen.
05
Tilt your head over a sink or towel to let the water drain out along with the loosened cerumen.
06
If the water alone is not effective, you can try using a few drops of hydrogen peroxide or mineral oil in the ear canal. Follow the instructions on the packaging.
07
After applying hydrogen peroxide or mineral oil, let it sit in the ear for a few minutes to further soften the cerumen.
08
Tilt your head to drain the liquid and any dissolved cerumen out of the ear.
09
Use a clean, soft cloth or tissue to gently wipe away any remaining cerumen from the outer ear.
10
Repeat the process if necessary for the other ear.

Who needs how to remove cerumen?

01
Anyone who experiences a buildup of earwax or feels a blockage in their ear may need to remove cerumen.
02
Individuals who wear hearing aids or use earphones regularly may also need to remove cerumen more frequently.
03
Those who have a history of excessive earwax production or narrow ear canals may need to regularly remove cerumen to maintain ear health.

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Cerumen removal refers to the process of extracting earwax from the ear canal to alleviate blockage or discomfort.
Individuals experiencing earwax buildup may seek removal, typically performed by healthcare professionals.
An appointment with a healthcare provider is necessary; they will assess and perform cerumen removal as needed without a filing form.
The purpose is to relieve symptoms caused by excessive earwax, such as hearing loss, discomfort, or ear infections.
Typically, no formal reporting is required as the procedure is conducted during a medical visit.
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