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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...

Sudden Sensorineural Hearing Loss SSNHL | Private ENT Care in London & Essex


 

Sudden Hearing Loss in East London, Brentwood & Essex: Could It Be SSNHL?

Losing hearing suddenly can be frightening.

One moment your hearing feels normal. Then, over a few hours or days, one ear may feel blocked, muffled, distorted or “switched off.” You may wonder whether it is wax, congestion, stress, infection, or something more serious.

One important condition to know about is Sudden Sensorineural Hearing Loss, often shortened to SSNHL.

SSNHL is a sudden loss of hearing caused by the inner ear or hearing nerve pathway not working properly. It is sometimes called “nerve hearing loss.” It usually affects one ear and develops over 72 hours, or 3 days.

This is not a symptom to ignore.

For adults across East London, Redbridge, Woodford, Romford, Brentwood and Essex, early ENT assessment can make a real difference because treatment is usually most effective when started quickly.

What Is SSNHL — and Why Does It Happen?

To understand SSNHL, it helps to know how hearing works.

Sound travels through:

  1. The outer ear
  2. The eardrum and middle ear bones
  3. The cochlea in the inner ear
  4. The hearing nerve to the brain

SSNHL happens when the problem is not simply wax or fluid behind the eardrum, but instead involves the cochlea or hearing nerve pathway.

The cochlea is a delicate spiral-shaped structure in the inner ear. It converts sound vibrations into nerve signals that the brain understands as hearing.

In many patients, no single cause is found. However, possible triggers include:

  • Viral inflammation of the cochlea
  • Inner-ear circulation problems
  • Ménière’s disease or other inner-ear disorders
  • Autoimmune inner-ear disease
  • Head injury or acoustic trauma
  • Medication-related inner-ear toxicity
  • Rarely, a benign growth on the balance/hearing nerve, such as a vestibular schwannoma

SSNHL is uncommon, but important. Around 5 to 30 people per 100,000 may develop SSNHL each year.

SSNHL Symptom Checklist: When Should You See an ENT Specialist?

You should seek urgent medical or ENT advice if you notice:

  • Sudden hearing loss in one ear
  • Hearing loss developing over hours or within 3 days
  • A new feeling that one ear is blocked, but it does not clear
  • Ringing, buzzing or hissing in the ear, known as tinnitus
  • Sounds becoming distorted or robotic
  • Difficulty hearing speech on one side
  • New dizziness or vertigo
  • Feeling sick or being sick alongside hearing loss
  • Sudden hearing loss after a viral illness, head injury or loud noise exposure
  • Hearing loss that is not explained by visible wax or infection

A common mistake is assuming sudden hearing loss is “just wax.” Wax is common, but SSNHL needs to be ruled out quickly, especially if the hearing change is sudden and one-sided.

Your Local SSNHL Patient Journey: From East London or Essex to Specialist ENT Assessment

For patients travelling from East London, Redbridge, Woodford, Romford, Brentwood or wider Essex, private ENT assessment may be arranged at:

  • Spire London East, Redbridge/Woodford
  • Nuffield Health Brentwood
  • Spire Hartswood, Brentwood and Essex

These locations are accessible from key routes including the A12, A406 North Circular, M25 and A127, making them practical for patients who need prompt assessment without a long delay.

What Happens During the Consultation?

Mr Gaurav Kumar will usually begin with a focused history:

  • When did the hearing loss start?
  • Was it sudden or gradual?
  • Is it one ear or both?
  • Is there tinnitus, vertigo, nausea or imbalance?
  • Any recent viral illness?
  • Any head injury or loud noise exposure?
  • Any new medication?
  • Any previous ear surgery or hearing problems?

He will then examine the ear using specialist ENT equipment.

Tests Used to Diagnose SSNHL

The key test is an audiogram.

An audiogram measures how well you hear different sound frequencies — low, middle and high tones. It helps confirm whether the hearing loss is:

  • Conductive, such as wax, fluid or eardrum problems
    or
  • Sensorineural, involving the inner ear or hearing nerve

Additional tests may include:

  • Tympanometry to assess eardrum and middle-ear pressure
  • Speech discrimination testing to assess clarity of hearing
  • Tuning fork tests during examination
  • Microsuction, if wax is blocking assessment
  • MRI of the internal auditory canals and brain, when indicated, to check the hearing and balance nerve
  • Balance assessment if vertigo or unsteadiness is significant

The aim is to confirm the diagnosis quickly and decide whether urgent treatment is appropriate.

Treatment Options for SSNHL in London & Essex

Treatment depends on the severity of hearing loss, timing, medical history, and whether there are symptoms such as vertigo.

1. Medical Management

Oral Steroid Treatment

Steroid tablets may be recommended to reduce inflammation in the inner ear.

They are usually considered when SSNHL is diagnosed or strongly suspected, particularly early after onset.

Before prescribing steroids, an ENT specialist will consider:

  • Diabetes
  • High blood pressure
  • Stomach ulcer history
  • Glaucoma
  • Infection risk
  • Other medication interactions
  • Previous steroid side effects

Steroids are not suitable for everyone, so treatment should be personalised.

Monitoring and Repeat Audiograms

A repeat hearing test may be arranged to track recovery.

Some patients recover partially or fully within the first 1 to 2 weeks, while others have a slower or incomplete recovery.

2. Advanced and Procedural Treatment Options

Intratympanic Steroid Injection

If oral steroids are not suitable, or if hearing has not recovered enough, Mr Kumar may discuss an intratympanic steroid injection.

This means steroid medication is placed through the eardrum into the middle ear, allowing a high concentration of medication to reach the inner ear area.

It is usually performed with local anaesthetic.

You may feel:

  • Pressure
  • Mild discomfort
  • A brief dizzy sensation
  • A full feeling in the ear afterwards

Most patients are asked to lie still for around 60 to 90 minutes after the injection.

Some patients need more than one injection, often spread over a few weeks.

Because dizziness can occur afterwards, it is sensible to arrange for someone to take you home.

Hearing Rehabilitation

If hearing does not fully recover, support may include:

  • Hearing aids
  • CROS hearing systems for single-sided hearing loss
  • Assistive listening devices
  • Communication strategies
  • Tinnitus support
  • Audiology rehabilitation
  • Counselling or emotional support
  • Cochlear implant assessment in selected severe cases

Sudden hearing loss can affect confidence, work, relationships and social situations. Rehabilitation is not “giving up” — it is about helping you function and communicate as well as possible.

Safety-Netting: When Is Sudden Hearing Loss an Emergency?

Please seek urgent medical help if you develop:

  • Sudden hearing loss in one or both ears
  • Hearing loss with new facial weakness
  • Hearing loss with slurred speech, arm weakness, severe headache or confusion
  • Severe vertigo with inability to stand or walk
  • New neurological symptoms
  • Sudden hearing loss after head injury
  • Severe ear pain, swelling, fever or discharge
  • Sudden hearing loss in your only hearing ear
  • Sudden hearing loss with severe vomiting or dehydration

If symptoms suggest a stroke or serious neurological problem, call 999 or attend emergency care immediately.

For local NHS emergency assessment, patients in the Romford area may attend Queen’s Hospital, Romford, part of BHRUT Trust, depending on urgency and pathway availability.

Do not wait several weeks to see whether sudden hearing loss settles. SSNHL is time-sensitive.

Why Choose Mr Gaurav Kumar for Local SSNHL Care?

Mr Gaurav Kumar is a Consultant ENT Surgeon with extensive NHS and private sector experience in adult ear conditions, hearing loss assessment and otology.

Patients across East London, Redbridge, Woodford, Romford, Brentwood and Essex can access private ENT care at convenient locations including:

  • Spire London East, Redbridge/Woodford
  • Nuffield Health Brentwood
  • Spire Hartswood, Brentwood and Essex

For many patients, the most reassuring part of the journey is getting a clear explanation:

  • Is this wax, fluid, infection or nerve hearing loss?
  • Do I need urgent treatment?
  • Do I need an MRI?
  • What are the chances of recovery?
  • What can be done if the hearing does not fully return?

Mr Kumar’s approach is calm, evidence-informed and practical — helping patients move from fear and uncertainty to a clear plan.

Reassuring Conclusion

A sudden change in hearing can feel alarming, especially when it comes with tinnitus, dizziness or nausea.

The key message is simple:

Sudden hearing loss should be assessed urgently.

Many people with SSNHL recover some or all of their hearing, particularly when the condition is recognised early and treatment is started promptly.

If you live in East London, Brentwood, Essex, Redbridge, Woodford or Romford, and you have developed sudden hearing loss, arrange urgent ENT assessment.

Early diagnosis gives you the best chance of receiving the right treatment at the right time.

Disclaimer

This information is intended for general educational purposes only and does not replace personalised clinical advice.

If you develop sudden hearing loss, severe dizziness, facial weakness, neurological symptoms, severe headache, confusion, limb weakness, or symptoms suggesting a stroke or serious emergency, please seek immediate emergency medical care by calling 999 or attending the nearest Emergency Department.


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