This is something that might be overlooked by a lot of audiophiles, as part of my annual physical I always get my ears syringed in order to remove a build up of cerumen, my ear canals are narrower than normal so I tend to build up rather quickly, believe me it does make a huge difference once the path is 100% clear and free. Anyhow take care of the most important piece of equipment - your ears. As a final check make sure that your doctor takes another look to make sure that all of it came out. Happy listening. from wiki" pre syringe treatment: A cerumenolytic should be used 2–3 times daily for 3–5 days prior to the cerumen extraction. A review of studies found that topical preparations for the treatment of earwax were better than no treatment and that there was little difference between oil based and water based preparations (including plain water). Syringing Once the cerumen has been softened, it may be removed from the ear canal by irrigation. This may be effectively accomplished with a bulb syringe at home. Ear syringing techniques are described in great detail by Wilson & Roeser, and Blake et al., who advise pulling the external ear up and back, and aiming the nozzle of the syringe slightly upwards and backwards so that the water flows as a cascade along the roof of the canal. The irrigation solution flows out of the canal along its floor, taking wax and debris with it. The solution used to irrigate the ear canal is usually warm water, normal saline, sodium bicarbonate solution, or a solution of water and vinegar to help prevent secondary infection. Patients generally prefer the irrigation solution to be warmed to body temperature, as dizziness is a common side effect of syringing with fluids that are colder or warmer than body temperature. Sharp et al. recommend 37 °C, while Blake et al. recommend using water at 38 °C, one degree above body temperature, and stress that this should be checked with a thermometer. Any other temperature may cause vertigo, just as used when testing the caloric reflex test. A syringe should be used to gently stream water into the ear. For children the rate and speed should be lower. After irrigating, the head is tipped to allow the water to drain. Irrigation may need to be repeated several times. If the water stream hurts, then the flow should be slower. It is better to irrigate too gently for a long period than irrigate too forcefully attempting to remove wax quickly. This procedure can be done at home in the shower using an ear irrigation syringe with a right angle tip. After the wax is removed, the ear can be dried by tipping the head and gently pulling the ear upwards to straighten the ear canal.