Skip to main content

Posts

Where did I start and where am I led to..in my professional journey.

Looking back at my professional life  ....I create this profile.
However it is definitely incomplete as it does not lists the beautiful souls I have met and exchanged so much of joy in working with them.It does not lists my colleagues, hospital staff, my team members, mentors, teachers and family and extended families of patients who have been my strength.That particular list of my support pillars is very exhaustive and I can only say that I am here because of them.

Profile: Dr Sheelu Srinivas, M.S.ENT, DORL (Mumbai), DLO (RCS, London)

Dr. Sheelu Srinivas is an ENT Surgeon with over 17 years of experience. She studied ENT at K.E.M. Medical College, Mumbai and underwent further training in Otolaryngology in the U.K. She pursued her further surgical training in Otology and Pediatric ENT in France, Turkey and Switzerland. Her interest in deafness and communication disorders in children has led her to successfully complete hands on training and certificate courses on deaf education as we…
Recent posts

Importance of the nasal breathing in children

Babies are nasal breathers and do not know how to breath through the mouth when they are born.
At birth, human babies are obligate nasal breathers.

Breathing through the nose enables adequate facial growth and proper positioning of the teeth. It also leads to calm and restoring sleep.


Noisy breathing or snoring is not normal in children. The commonest cause of nose block is allergic rhinitis. A child with blocked nose leads may have bad breath and suffer with sinusitis more frequently. Also these children are less interested in eating as they cannot smell food and hence enjoy it.
Another common cause of mouth breathing in children is Adenoid hypertrophy or Adenoid enlargement. These are lymphoid tissues like tonsils in the space at the back of the nose. The size of adenoids is usually confirmed with a nasoendoscopy.

Breathing through the mouth can cause the following
Unexpressive face; Changes in positioning of the teeth; Dental caries; Aesthetic facial alterations (elongated face, hypo…

When to consult an ENT Doctor for my child?

"Your child's Pediatrician is the primary care provider and incharge of your child's health."

Parents should consult a Pediatric ENT only if the child's Pediatrician has suggested them to do so.

Pediatric otolaryngologists are concerned with treatment of medical and surgical ENT disorders in children. They have been trained to take care of children from newborn period to teenage years.

Children are not just small adults.The disease presentations and management can differ from adults.Right from the clinical approach for diagnosis differs in children.It needs specialised training and experience in working with children to keep them comfortable while examining them.

A child will not always be cooperative and will not be able to answer medical questions or express their problems. Sometimes they have their own ways of expressing concerns. I cannot forget a 3 year old telling me her ears are "singing" and we did go ahead and found a cause.

If we learn to inter…

Preschool Health Screening: Is it necessary and what does it involve?

Schools have started and I have started getting visits of little ones whose parents are advised to see ENT doctor following the childs health screenings in school.
There are a few points about school/pre school health screenings,I would like to discuss here.

Before we start, lets talk about "Neural Plasticity" and 'Critical Period" 

During early period of life, neurons in brains are moldable (plastic) and it is easy to teach any skill to a child. Once the child is above 5 years,it is difficult to do rehabilitaton and bring them age appropriate. Hence we say that the critical period is the early infant or toddler years.

Let me take you through some common questions asked by parents:

1. Preschool screening: Is it mandatory? Should it be made mandatory by law?
My toddler has been visiting pediatrician regularly,why another screening?

The pediatrician is definitely your child's primary physician.When you visit a pediatrician in well baby clinics/immunization clinic,…

Geriatric ENT: ENT Care for the Elderly

The patient population of people more than 65 years old in the population are an integral part of ENT Outpatients.
Like pediatric,Geriatric patients also need a targeted approach to their diseases because they have special issues unique to their population.

The commonest problems I get refereed in the elderly is dizziness and hearing loss. I must mention here that chronic ear infections commonly called as CSOM is the third common diagnosis.
When I used to work in a tertiary care cardiac center, the common presentation was nose bleed due to blood thinners.
Apart from above common presentations,we are very careful in the elderly who present with any swellings or change invoice or breathing and swallowing problems to rule out Head and Neck masses.If the symptoms are of more than 4-6 weeks or any suspicion, a transnasal flexible laryngoscopy is immediately performed in outpatients.




I love interacting with the senior citizens.Its not all about me advicing them, I also get to learn lessons from …

Team for Early Intervention of 0-6 years children with communication disorders

This is not really a blog post with medical information but its a platform I am using to request readers to connect me with like minded professionals.

I am Dr Sheelu Srinivas with following qualifications  and practising in Bangalore for a decade now. M.S. ENT (G.S.M.C.and K.E.M.Hospital, Mumbai),MBBS (T.N.M.C.& BYL Nair Hospital, Mumbai) Specialist Registrar and Associate Specialist U.K. 2001-2006 May Consultant ENT Surgeon and Department Coordinator Fortis B.G.Rd June 2006-Mar 2015 Honorary Consultant  at Indira Gandhi Institute of Child Health and Spastics Society of Karnataka

Specialised Training in Pediatric ENTincluding airway reconstruction and Cochlear implants at CHUV Lausanne, Switzerland (Prof Monnier) and Hacettappe University Ankara Turkey (Prof Seneroglu: Pioneer in operating Anomalous Cochlea)

•Pediatric Disability Training: Deafness and communication disorders including Autism Balavidyalaya Chennai ,DHVANI Methodolody for Deaf children ,Training the trainer course Com DEA…

Tongue tie

Tongue-tie (ankyloglossia) is where the strip of skin connecting the baby's tongue to the floor of their mouth is shorter than usual.
Some babies who have tongue-tie don't seem to be bothered by it. In others, it can restrict the tongue's movement, making it harder to breastfeed. Other potential problems could be difficulty in sticking tongue out and sticking it side to side.
Treatment of choice depends on the infant's ability to feed.
Division with scissors in outpatients is the optimum treatment up until the age of 12 weeks after which, without general anaesthetic, it is not feasible

There is anxiety among parents that child will not learn speech and language due to tongue:this is not true. Learning speech and language is a higher skill.