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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...

Ear cartilage meatoplasty

  Ear cartilage meatoplasty (conchal cartilage reduction) for external ear canal stenosis — an operation to widen the entrance (outer/cartilaginous part) of the ear canal by reshaping/removing the obstructing conchal cartilage and associated soft tissue, so the canal stays open and can ventilate, drain, and be cleaned.  Why is this being recommended? Your ear canal is narrowed because the conchal cartilage (the bowl-shaped cartilage at the ear opening) is bulky or positioned in a way that crowds the canal entrance. This can lead to a cycle of wax trapping, recurrent otitis externa/inflammation, discharge, blocked hearing, difficulty examining the eardrum , and repeated need for microsuction. Meatoplasty aims to restore a stable, self-cleaning canal opening and reduce recurrent problems.  What benefit can you reasonably expect? The intended benefits are: easier ear toilet/cleaning, fewer blockages and infections, improved access for drops and examination, and (i...

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...

Why Some People Can't Stop Coughing

  Understanding Refractory Chronic Cough: What You Need to Know   Have you ever faced a cough that simply refuses to subside?   While most coughs resolve independently, some persist for an unacceptable length of time—weeks, months, or even years. This condition is known as refractory chronic cough (RCC), and it is a significant issue that demands attention in the medical community, especially among specialists in ear, nose, and throat (ENT) care.   In this blog post, we will clearly outline what RCC is, why it occurs, and the most promising treatments available to those suffering from relentless coughing.     What is Refractory Chronic Cough?   A chronic cough is defined as one that lasts longer than eight weeks in adults. For many individuals, it is associated with conditions such as asthma, allergies, acid reflux, or certain medications. However, there are instances where the cough continues even after these underlying causes have been effectively ad...