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Answer 1. Do you mean an industrial? Wash it, carefully removing ALL crust (you don't want to drag crust through your flesh!) using an antimicrobial soap (best) or Dial soap (a little harsh but it's the next best thing; do NOT use anything super-harsh like peroxide!). When the jewelry and the ear is clean, with clean hands, carefully unscrew the ball on one side, and pull it out. But if you're removing it because it's horribly infected, it's best to go to a doctor for antibiotics and wait to remove it until the infection starts to go down... Or else you just sealed up the exit for all that nastiness, and could wind up with an unattractive lump at the site of the pus and swelling!

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