Skip to main content

Featured post

Child Noisy Breathing or Stridor? Parent Guide | London & Essex

  Why Is My Child’s Breathing Noisy? A Parent’s Guide to Stridor, Croup and When to Seek Help Hearing an unusual noise when your child breathes can be frightening. Parents may describe the sound as squeaky, harsh, wheezy, whistling or “croupy”. Some notice it only when their child is crying or excited. Others hear it while the child is resting or sleeping. One of the most important points is that not all noisy breathing is the same . A noise coming from the nose is different from a wheeze coming from the lower airways. A harsh sound when a child  inhales may be  stridor , which can indicate narrowing of  the upper airway or voice box. Many causes of noisy breathing in children are treatable, and some are temporary. However, because a child’s airway is relatively small, worsening breathing difficulty should always be taken seriously. Mr Gaurav Kumar, Consultant ENT Surgeon, assesses children with ear, nose, throat, voice and upper-airway concerns from Lond...

Post Head injury ossicular reconstruction

Popular Post

LAX VOX

  LAX VOX  is a vocal therapy technique that can help improve voice quality, relaxation, and overall vocal health. It involves using a unique tube to create  bubbling sounds  while phonating.  Here are the steps for practising LAX VOX: Relax and Focus on Posture and Breathing : Maintain a good posture with a long spine. Relax your face, neck, upper back, and chest muscles, allowing them to release toward gravity. Preparing for Bubbling with Phonation : Place a  silicone tube  (about 35 cm long and 9-12 mm in diameter) between or in front of your incisor teeth and above your tongue. Keep your tongue relaxed (imagine it as a piece of steak) and slightly touch the tube. Hold the water-filled bottle near your body to avoid using shoulder muscles. Inhale through your nose as if you’re yawning with your mouth closed. Prepare for phonation during exhalation, focusing on abdominal and lower back muscles. Finding the Target Voice : Create bubbling sounds with y...
Read more

Retracted Ear Drum

  What Is a Retracted Eardrum? A retracted eardrum, also known as tympanic membrane retraction, is a condition where the eardrum (tympanic membrane) is pulled inward or drawn backwards from its normal position. The eardrum is a thin, delicate membrane that separates the outer ear from the middle ear. It plays a crucial role in transmitting sound vibrations from the outer ear to the middle ear, where the auditory ossicles (small bones) are located.   Under normal circumstances, the eardrum is slightly concave and positioned at an angle that allows it to respond to changes in air pressure. The Eustachian tube, a tube connecting the middle ear to the back of the throat, helps equalize pressure between the middle ear and the outside environment.   However, in cases of a retracted eardrum, the Eustachian tube might not function correctly or become blocked, leading to an imbalance in pressure. When negative pressure builds up in the middle ear, it causes the eardrum t...
Read more

Private Pediatric Coblation Tonsillectomy London & Essex | Mr Gaurav Kumar

Private Pediatric Coblation Tonsillectomy London & Essex | Mr Gaurav Kumar Coblation Tonsillectomy for Children: A Gentler, Less Painful Option in London and Essex When a child suffers from chronically enlarged tonsils that disrupt their breathing at night, or recurrent bouts of tonsillitis that cause high fevers and missed school days, surgical removal is often the most effective long-term solution. However, the prospect of a traditional tonsillectomy can make many parents incredibly anxious, primarily due to concerns over post-operative throat pain and a lengthy recovery period. Fortunately, modern surgical advancements have introduced a technique designed specifically to address these concerns: Coblation Tonsillectomy . If you are looking into private treatment options for your child outside of overstretched local NHS waiting lists, understanding how this gentle technology works can help you make an informed choice. This guide breaks down the benefits of coblation and how famil...
Read more

After your Epley manoeuvre — patient information leaflet

  What this leaflet tells you This leaflet explains what to expect after the Epley (canalith repositioning) manoeuvre for posterior-canal BPPV, what you should and shouldn’t do, and when to seek help.   1. Quick summary — what the Epley did The manoeuvre moves tiny particles (otoconia) out of the balance canal of your inner ear and back into a place where they don’t cause spinning (vertigo). Most people feel much better after one or a few treatments. However BPPV can come back (recurrence is common).   2. How you may feel immediately afterwards You may feel dizzy or off-balance for a few minutes to a few hours; nausea is possible.   Some people feel better straightaway; others get gradual improvement over days.   Rarely ,you may have brief recurrences of vertigo — this does not always mean the manoeuvre failed.   3. Activity and posture — what the evidence says Good news: High-quality studies and recent guidelines show that strict he...
Read more

Adult Tonsillectomy Recovery: Day-by-Day Guide After Tonsil Surgery

  Adult Tonsillectomy Recovery: What to Expect Day by Day Adult tonsillectomy can significantly improve quality of life for people struggling with recurrent tonsillitis, chronic sore throats or repeated throat infections. However, recovery after adult tonsil surgery is often more uncomfortable than many patients expect. Understanding the normal stages of recovery can help reduce anxiety and allow patients to prepare properly before surgery. This guide explains what adults commonly experience after tonsillectomy, how to support recovery safely, and when to seek urgent medical advice. Why is adult tonsillectomy recovery difficult? The tonsils sit in an area that moves constantly during swallowing, eating and speaking. After surgery, the throat heals gradually over approximately two weeks. Adults generally experience: Significant throat pain Pain when swallowing Ear pain (referred pain from the throat) Tiredness and reduced energy Disturbed sleep Temporary bad brea...
Read more

Earbuds vs Over-Ears: Which One Is Silently Damaging Your Hearing?

Headphones are no longer an occasional accessory—they’re part of daily life. From early-morning podcasts to late-night playlists, our ears are spending more time under acoustic load than ever before. But a question keeps coming up in clinics, classrooms, and conversations around ear health: Are earbuds worse for your hearing than over-ear headphones? Let’s move beyond opinion and aesthetics. By looking at sound pressure levels , hygiene , and long-term listening behaviour , we can reach a clear, evidence-informed conclusion. 1. Sound Pressure Levels: Distance Matters More Than You Think The single most important factor in headphone-related hearing risk is the amount of sound energy that  reaches the inner ear . Earbuds (In-Ear Headphones) Sit millimetres from the eardrum Deliver sound directly into the ear canal Require lower absolute power , but often result in higher sound pressure at the cochlea Users tend to increase volume in noisy environments (commuting, g...
Read more

Private Glue Ear Treatment for Children in London & Essex | Mr Gaurav Kumar

  Glue Ear in Children: Helping Your Child Hear Clearly in London and Essex It is incredibly common for parents to notice a sudden change in their child’s behavior—whether they are suddenly turning up the iPad volume, ignoring instructions at home, or struggling to follow what their teacher is saying at school. While it is easy to mistake this for daydreaming or a simple lack of attention, the true culprit is frequently a structural condition known as Glue Ear (Otitis Media with Effusion). When local families across East London and Essex search for answers, they are often relieved to find that this common cause of childhood hearing loss is highly treatable. This guide explains how glue ear impacts your child's daily development and the localized care pathways available to resolve it. What is Glue Ear? Glue ear occurs when the middle ear space—the air-filled cavity directly behind the eardrum—becomes filled with a thick, sticky fluid instead of air. In children, the Eustachian tube...
Read more

Private Child Ear Infection Treatment London & Essex | Mr Gaurav Kumar

  Recurrent Ear Infections in Children:  When is it Time for a Specialist ENT Review? A single earache can be a standard part of growing up, often arriving alongside a common winter cold or nursery cough. However, when a child suffers from frequent, recurrent ear infections—waking up screaming in the night, running high fevers, and experiencing temporary hearing loss—it quickly becomes a significant source of anxiety for the whole family. When parents across East London and Essex find themselves locked in a continuous loop of GP appointments and repeated rounds of oral antibiotics, they naturally begin searching for long-term answers. This guide  explains why some children are uniquely prone to middle ear infections ( acute otitis media ), how they impact  their day-to-day development, and the localised private care pathways available to provide lasting relief. Why Do Some Children Keep Getting Ear Infections? The middle ear is an air-filled chamber sitting directly ...
Read more

Flying with Eustachian Tube Dysfunction | London & Essex ENT

  Dread the Descent? Tips for Flying with Eustachian Tube Dysfunction and Blocked Ears in East London, Brentwood and Essex For most holidaymakers or business travellers across East London, Brentwood and Essex, boarding a flight is the start of an exciting journey. But if you suffer from Eustachian Tube Dysfunction (ETD) , looking at a plane ticket can fill you with pure dread. The thought of that final 30-minute descent—waiting for a sharp, agonizing pop or a feeling of absolute deafness that lasts for days after landing—is enough to make anyone anxious. You might find yourself frantically chewing gum, swallowing hard, or panicking as you sit on the tarmac, worrying about permanent damage to your hearing. If you are tired of your ears feeling completely blocked every time you travel, it is not something you simply have to endure. Understanding how your ears react to cabin pressure, paired with a few specialist strategies, can completely transform your next journey. Anatomy and Path...
Read more

Private Thyroglossal Cyst Surgery for Children | Mr Gaurav Kumar

  Thyroglossal Cysts in Children: Understanding Central Neck Lumps Discovering a new lump or swelling on your child’s neck can be an incredibly alarming experience for any parent. When a smooth, round lump appears exactly in the middle of the neck—just above the voice box—parents across East London and Essex frequently contact their GPs or search for answers online to understand what it means and how to manage it. While neck swellings can stem from simple reactive lymph nodes after a cold, a lump located precisely in the midline that moves upward when your child swallows or sticks out their tongue is often a Thyroglossal Cyst . This guide explains what a thyroglossal cyst is, why it forms, and the localised private care pathways available to treat it safely. What is a Thyroglossal Cyst? A thyroglossal cyst is a benign, fluid-filled sac that is present from birth. It develops during the early weeks of pregnancy when your child's thyroid gland is forming. In the womb, the thyroid gla...
Read more