Ear discharge
Hearing Difficulty
Ear Blocked
Buzzing in the ear
Ear Trauma
Hearing aid
Cochlear implant
Bone anchored hearing aid
Peri auricular fistula
Nasal blockage
Nasal congestion
Nasal Polyps
Facial pain
Bleeding from nose
Tumours in nose
Fracture nasal bone
Cosmetic nasal defect
Throat pain
Tonsillar stones
Oral ulcers
Submucous fibrosis
Salivary gland
Change in voice
Sleep apnoea
Neck swelling
Fistulas and sinuses
Head and neck cancer

Earache: pain in the ear is one of the most severe pains known to man, can be extremely discomforting especially in a child.In case of severe pain, please feel free to call the doctor even at odd hours.

The causes of earache range from impacted ear wax, acute otitis media, otits externa, fungal infection of the ear,ear trauma and rarely live foreign body such as insects.

Ear discharge: Mucous, pus or blood may come out of the ear depending of the kind of disease process affecting the ear drum. Otoscopy will reveal the diagnosis. Please do not neglect chronic ear discharge.

Hearing Difficulty: as a parent it is imperative to assess the hearing ability of new borns to rule out congenital hearing loss.

Reduced hearing could be due to simple ear wax/fungus which is immediately cured , or ear effusion, fluid in the middle ear which may need medicines or myringotomy, and ear perforations which need to be corrected with surgery.

Ear Blocked: negative pressure in the ear may result from Eustachian catarrh or effusion. An otoscopy will confirm the diagnosis.

Buzzing in the ears or Tinnitus : are sounds generated within the cranium , which may be quite disturbing to patients especially at night. Ear examination and pure tone audiometry are required to make the diagnosis. The causes may range from Eustachian catarrh, ear wax, sensorineural hearing loss, noise trauma , Meniere's disease and acoustic neuroma.

Vertigo: giddiness or loss of balance with a rotatory sensation needs a thorough ENT examination with complete work up including pure tone audiometry, positional tests etc

Ear Trauma: blunt trauma may result in ear perforations,hematoma auricle or perichondritis. Sharp trauma may cause lacerations.

Hearing aids: patients who are diagnosed with sensorineural hearing loss are fitted with hearing aids so they can have normal functioning lives.Various kinds of digital and analogue hearing aids are available to suit the audiological profile and the socio-economic profile of the patients.

Cochlear implants: is a surgically implanted electronic device that provides a sense of sound to a person who is profoundly deaf or severely hard of hearing , also known as Bionic ears.

Bone anchored hearing aid is a type of hearing aid based on bone conduction. It is suitable for patients with conductive hearing loss who cannot use in the ear or behind the ear hearing aids.It is implanted behind the ear by a small surgical procedure

Peri auricular fistula: opening in front of or behind the ear along with recurrent swelling, pain, and discharge from the same. Needs medical treatment and complete surgical excision instead of just incision and drainage for complete cure.

Headache: ENT is a common cause of headache and needs complete evaluation.

Sneezing: excessive sneezing is a sign of allergic rhinitis.

Colds: patients with nasal allergy, nasal polyps, sinusitis and adenoids all have frequent colds,nasal discharge and nasal blockage.

Nasal Polyps: polyps are soft fleshy mucosal masses arising from the nose and paranasal sinuses, they frequently accompany allergic rhinitis. They are freely movable and nontender. Investigation includes nasal endoscopy and ct scan.

Facial pain: Trigerminal neuralgia and stylalgia are very debilitating ENT causes of facial pain.

Bleeding from nose: Epistaxis may vary from few drops to profuse nasal bleed. This can be quite a distressing experience for the patient and family alike. In children the commonest cause if digital nose picking, but rare causes like juvenile nasopharyngeal angiofibromas have to be ruled out in case of recurrent excessive bleeds.

In adults, nasal trauma, hypertension, sinusitis, and septal spurs are all causes of nasal bleeds.

Tumours in nose: benign and malignant tumours of the nose can be diagnosed with nasal endoscopy and ct scans.

Sinusitis: characterized by nasal blockage,headache, congestion and nasal discharge. Recurrent episodes of sinusitis need intervention.

Fracture nasal bone: trauma to the nose may cause fracture/disclocation of the nasal bones and nasal septum , resulting in cosmetic deformity and nasal obstruction.It is best treated promptly after injury with closed nasal reduction as delay will cause fibrosis in the incorrect position and then treatment will involve more complicated surgery.

Cosmetic nasal defect: rhinoplasty is correction of nasal defects ranging from hump nose, saddle nose to completely off-centre nose.

Throat pain: acute infections in the throat could be viral/bacterial or fungal. Chronic throat pain may be due to long stolid process.

Tonsillitis: recurrent attacks of documented tonsillitis more than 4-5 episodes/year is an indication for tonsillectomy.

Qunicy: peritonsillar abcess or quincy is a very painful condition which needs immediate incision and drainage and IV antibiotics to prevent spread into madiastinum.

Tonsillar stones or keratosis tonsil: collection of food and debris in the tonsillar crypts, may cause foreign bnody sensation to the patient, but this is essentially harmless and does not mandate intervention.

Oral ulcers: recurrent aphthous ulcers or non healing ulcers need investigation and intervention by the ENT surgeon.

Submucous fibrosis: Oral submucous fibrosis (or OSF) is a chronic,complex,irreversible,highly potent pre-cancerous condition characterized by inflammatory reaction and progressive fibrosis of the submucosal tissues . As the disease progresses, the jaws become rigid to the point that the sufferer is unable to open his mouth. The condition is linked to oral cancers and is associated with areca nut chewing, the main component of betel quid.This habit has been in India dating back thousands of years.

Salivary gland: There are three pairs of named and several un-named salivary glands , which produce saliva. The parotids,submandibular and submental. They can become diseased because of infection, calculi , auto-immune diseases or tumours.

Lymphadenopathy: swelling of lymph nodes may be acute or chronic. Acute usually settle with a course of antibiotic , chronic need complete ENT and blood work up.

Change in voice: short time voice change may be due to infection, but its always best to have laryngoscopic examination to rule out mass lesion in vocal cords.

Laryngitis: acute and chronic. Needs intervention.

Neck swelling: Non healing swellings need complete ENT evaluation to rule out malignancy and chronic infections like tuberculosis.

Thyroid : Any thryomegaly needs complete ENT work up.

Head and neck cancer: may involve any part of the head and neck. A high degree of suspicion and prompt biopsy are requisite for early detection. Please DO NOT NEGLECT change in voice/difficulty in swallowing/non healing ulcers/any new neck swellings. Early detection helps complete cure.


"I was about to die...didi ne humein bacha liya.."

Patient Sonu, 22 year old female with peritonsillar abcess, parapharyngeal abcess, mediastinitis, pretracheal abcess and pleural effusion. Treated in Oct 2010.

" I am grateful to Dr Sarika for diagnosing my throat cancer which was missed by many ENT specialists"

Patient Mr Khatri, oropharyngeal cancer diagnosed and treated in April 2010.

"Very good diagnostic skills and excellent explanation of disease in layman's language" Patient Ms. Sonalika. October 2011