Ear Nose & Throat Paediatrics | Childrens Doctor London | Viveka Health Practice NW8 | Viveka


Ear, nose, throat (ENT)

If you are concerned about an ENT problem such as a constantly runny nose, ear infection, noisy breathing, enlarged adenoids or recurrent sore throat, we'll help you find the right treatment.   

The first step is for your child to visit a paediatrician. If you would like us to refer you to a specialist associated with Viveka, we will be happy to do this. 

Most diagnostic testing can be done in the consulting room. Laboratory tests may be needed, e.g. to confirm an ear infection (such as acute otitis media, acute otitis externa, or glue ear). Occasionally specific tests are recommended, for instance to assess hearing. Allergy testing may be useful if your doctor would like to rule out or confirm allergy.

Medical treatment may be necessary, for instance to combat infection. For blocked ears, a paediatrician may use microsuction to remove excess wax.

Surgical treatment is sometimes needed.  A small number of children benefit from the use of grommets, which can be easily fitted to improve hearing. When constant nasal discharge is an issue, an adenoidectomy (removal of the swellings/glands at the back of the nose) may be very effective. Tonsillectomy may be considered for tonsil removal in a small number of cases (e.g. where repeated tonsillitis infection means missing school for prolonged periods).

Complementary therapies are often used in conjunction with paediatric guidance, and in some cases of recurrent infection can bring excellent results. Homeopathy, for example, may be very effective to reduce the frequency of infections and to help boost immunity.  It is common for families to work closely with acupuncturists or osteopaths. Practical nutritional advice may be very useful. Our nutritionists are expert in reducing some symptoms and probiotics are beneficial when antibiotics are needed. 

Emotional support may be valuable for you as a family, particularly if problems are prolonged or recurrent. If emotional or relationship issues contibute to the picture, time with a family therapist or counsellor may be enormously helpful.