ENT Clinic Online — ear, nose and throat
We help with problems affecting hearing, the sinuses, nasal breathing, the throat, the voice and balance — a medical assessment, interpretation of test results, and a safe plan.
- Appointments in Swedish, English and Arabic
- Evidence-based care
- Written plan after every visit
About the clinic
ENT is an unusually broad field — hearing, balance, breathing, smell, voice and swallowing all sit here. That means the same symptom can arise from several different systems, and that a large part of the work is about sorting things correctly early on. An experienced ENT doctor knows that the right question at the start often saves the patient several unnecessary trips between clinics.
We spend time on the sorting at the very first contact — which system the symptoms actually come from — so that you are not sent around between specialties before anyone takes an overall grip.
Who we help
- You with a blocked feeling in the ear
- You with facial pain over the sinuses
- You with recurrent nosebleeds
- You with difficulty swallowing
- You with bad breath
- You with recurrent infections
- You with hearing loss
- You with chronic sinus problems
- You with allergic rhinitis
- You with a suspected deviated nasal septum
- You with snoring or suspected sleep apnoea
- You who would like a second opinion
Symptoms
Conditions
- Ear infection
- Hearing loss
- Chronic sinus problems
- Allergic rhinitis
- Deviated nasal septum
- Snoring and sleep apnoea
- Tonsillitis
- Acute sinusitis
- Dizziness of vestibular origin
- Hoarseness and voice problems
Services and examinations
- A structured history and medical assessment
- Review of previous records, test results and imaging
- Guidance on blood tests and further investigation
- A treatment plan and follow-up
- Second opinion
- An assessment of when a physical ENT examination is needed
How it works
- 1Book and describe your main problem online.
- 2Upload previous results if you have them — test results, examinations, medication list.
- 3Video consultation — review of your history and targeted questions.
- 4A clear plan — next steps, any treatment, and a timeframe for follow-up.
What to prepare
- A timeline of your symptoms (when it started, what triggers or relieves it)
- Current medications and doses
- Known allergies and previous illnesses
- Previous test results and examinations, with dates if possible
- Your three most important questions for the visit
Call your local emergency number immediately or go to the nearest emergency department if you have:
- A sudden, heavy nosebleed that will not stop
- Severe difficulty swallowing with breathing affected
- Marked swelling in the throat
- Sudden, pronounced hearing loss
- Severe dizziness with neurological symptoms at the same time
Digital care cannot replace emergency services. If unsure, seek care immediately.
Our doctors
See available doctors and book an appointmentFrequently asked questions
When should I seek care for ear, nose or throat problems?
If the symptoms are recurrent, drawn out, affect sleep or everyday life, or are getting worse.
Can you interpret tests and imaging from another care provider?
Yes.
Do I need investigations before the appointment?
Not always; sometimes a hearing test or a physical examination is recommended.
Can an online appointment replace an ordinary clinic visit?
Not always — some conditions require an examination in person, and we tell you clearly when that is needed.
Do I get a plan after the appointment?
Yes.
Can you assess snoring and sleep apnoea?
We give a first assessment and guidance on further investigation.
Can children be helped?
Yes.
What do I do about a heavy nosebleed that will not stop?
Seek emergency care — see the safety box.
Can you assess my hearing digitally?
We can assess the symptom picture and decide what needs a hearing test, but the test itself requires equipment.
Why am I sent between different clinics for the same symptom?
Because ENT symptoms often border on several specialties. We try to sort things correctly from the start, precisely to avoid that.
Fifteen common conditions
Ear infection
- Typical age
- All ages; most common in children.
- Background
- Infection of the middle ear or the ear canal.
- Symptoms
- Earache, sometimes fever.
- What the doctor looks for
- The general condition; the eardrum itself requires a physical examination.
- Investigations
- A physical examination is often necessary for a secure diagnosis.
- Diagnosis
- Often requires an in-person visit.
- Management
- Pain relief, sometimes antibiotics.
- Follow-up
- If problems persist.
- Prognosis
- Good.
- What you can do yourself
- Pain relief at the right dose matters most; warmth against the ear can help.
- When should you book?
- For earache lasting more than two days, or for fluid coming from the ear.
Hearing loss
- Typical age
- All ages.
- Background
- Several possible causes, from a wax plug to age-related hearing loss.
- Symptoms
- Poorer hearing, sometimes a blocked feeling.
- What the doctor looks for
- The onset, and whether it is in one ear or both.
- Investigations
- A hearing test through in-person care.
- Diagnosis
- Often requires investigation in person.
- Management
- Depends on the cause.
- Follow-up
- According to the cause.
- Prognosis
- Varies with the cause.
- What you can do yourself
- Note whether it involves one ear or both, and whether it came on suddenly or gradually.
- When should you book?
- For sudden hearing loss in one ear — the same day; it can be treatable if that is done quickly.
Chronic sinus problems
- Typical age
- Adults.
- Background
- Long-standing inflammation of the sinuses.
- Symptoms
- A blocked nose, facial pain, a reduced sense of smell.
- What the doctor looks for
- The duration and previous attempts at treatment.
- Investigations
- The clinical picture, sometimes imaging.
- Diagnosis
- The clinical picture.
- Management
- Nasal rinsing, medication, sometimes referral to a specialist.
- Follow-up
- If there is no improvement.
- Prognosis
- Good with the right treatment.
- What you can do yourself
- Daily nasal rinsing with saline has a good documented effect and is under-used.
- When should you book?
- For problems lasting more than twelve weeks despite self-treatment.
Allergic rhinitis
- Typical age
- All ages.
- Background
- An allergic reaction in the lining of the nose.
- Symptoms
- Sneezing, a blocked nose, a runny nose.
- What the doctor looks for
- A seasonal pattern, or constant exposure.
- Investigations
- The clinical picture, sometimes an allergy test.
- Diagnosis
- The clinical picture.
- Management
- Antihistamine, nasal spray, avoiding the trigger.
- Follow-up
- As needed.
- Prognosis
- Good; it is manageable.
- What you can do yourself
- Start a nasal steroid two weeks before the pollen season — preventing works better than treating once the season is under way.
- When should you book?
- When over-the-counter treatment isn't enough, or where there is asthma at the same time.
Deviated nasal septum
- Typical age
- Adults.
- Background
- A structural deviation in the nose.
- Symptoms
- A blocked nose on one side or both.
- What the doctor looks for
- How the symptoms affect breathing.
- Investigations
- A physical examination is required for confirmation.
- Diagnosis
- Specialist examination.
- Management
- Depends on symptoms, from no intervention through to surgery.
- Follow-up
- As needed.
- Prognosis
- Good; surgery where needed is often effective.
- What you can do yourself
- Try nasal rinsing and a nasal steroid first — a blocked nose often has several causes working together.
- When should you book?
- For a blocked nose on one side that persists despite treatment.
Snoring and suspected sleep apnoea
- Typical age
- Adults.
- Background
- Relaxation of the airways during sleep.
- Symptoms
- Heavy snoring, pauses in breathing (according to a partner), daytime sleepiness.
- What the doctor looks for
- Risk factors and the symptom picture.
- Investigations
- May require a sleep study through in-person care.
- Diagnosis
- Often requires specialist investigation.
- Management
- Lifestyle measures, sometimes specialist treatment.
- Follow-up
- According to the investigation.
- Prognosis
- Good with the right treatment.
- What you can do yourself
- Sleeping on your side, losing weight where you are overweight, and avoiding alcohol in the evening often reduce the problem.
- When should you book?
- For observed pauses in breathing or pronounced daytime sleepiness — that should always be investigated.
Tonsillitis
- Typical age
- All ages; more common in children and young adults.
- Background
- Infection of the tonsils.
- Symptoms
- A sore throat, fever, pain on swallowing.
- What the doctor looks for
- The general condition and the severity.
- Investigations
- The clinical picture, sometimes a strep test.
- Diagnosis
- The clinical picture.
- Management
- Symptom relief, sometimes antibiotics.
- Follow-up
- If there is no improvement.
- Prognosis
- Good.
- What you can do yourself
- Pain relief and cold drinks. Most throat infections are viral and heal without antibiotics.
- When should you book?
- For a sore throat with a high fever and severe pain on swallowing, or for problems lasting more than a week.
Acute sinusitis
- Typical age
- All ages.
- Background
- Infection of the sinuses, often after a cold.
- Symptoms
- Facial pain, a blocked nose, yellow-green mucus.
- What the doctor looks for
- The duration and the severity.
- Investigations
- The clinical picture.
- Diagnosis
- The clinical picture.
- Management
- Symptom relief, sometimes antibiotics where the symptoms are pronounced.
- Follow-up
- If there is no improvement.
- Prognosis
- Good.
- What you can do yourself
- Nasal rinsing, and a decongestant nasal spray for no more than ten days.
- When should you book?
- For problems lasting more than ten days, or for a deterioration after an initial improvement.
Dizziness of vestibular origin
- Typical age
- All adult ages.
- Background
- A disturbance in the balance organ of the inner ear.
- Symptoms
- Dizziness, often triggered by position.
- What the doctor looks for
- The character of the dizziness and what sets it off.
- Investigations
- History, sometimes a physical balance examination.
- Diagnosis
- The clinical picture, sometimes specialist investigation.
- Management
- Depends on the cause, sometimes specific manoeuvres.
- Follow-up
- If problems persist.
- Prognosis
- Good in many cases.
- What you can do yourself
- Note whether the dizziness is triggered by a change of position — that is decisive for the diagnosis and for which treatment works.
- When should you book?
- For recurrent dizziness. For dizziness with double vision, difficulty speaking or weakness — emergency care.
Hoarseness and voice problems
- Typical age
- All adult ages.
- Background
- Overuse of the vocal cords, or infection.
- Symptoms
- A changed voice, hoarseness.
- What the doctor looks for
- The duration — long-standing hoarseness (more than three weeks) should always be investigated further.
- Investigations
- The clinical picture; long-standing problems require a physical examination of the vocal cords.
- Diagnosis
- The clinical picture, or a specialist examination.
- Management
- Voice rest; depends on the cause.
- Follow-up
- For long-standing problems — further investigation.
- Prognosis
- Good where the problem is short-lived.
- What you can do yourself
- Voice rest, and avoid whispering — whispering strains the vocal cords more than normal speech does.
- When should you book?
- For hoarseness lasting more than three weeks. Always, whatever the other symptoms.
Tinnitus
- Typical age
- All adult ages; more common with increasing age.
- Background
- Very common, and often a considerable source of anxiety. Most people have a benign form linked to hearing loss, but certain patterns — one-sided tinnitus, a pulsing sound — need investigating.
- Common symptoms
- A ringing, hissing or whistling sound with no external source, often most noticeable in quiet surroundings or at bedtime.
- What the doctor looks for
- Whether it is one-sided (which needs more investigation), whether it pulses (which can point to a vascular cause), and whether there is hearing loss at the same time.
- Investigations
- A hearing test; an MRI for one-sided tinnitus or accompanying neurological symptoms.
- How the assessment is made
- By separating benign, hearing-related tinnitus from the patterns that need further investigation.
- Management
- A hearing aid where there is hearing loss as well (often very effective), sound therapy, and CBT where the distress is pronounced.
- Follow-up
- As needed.
- Risk factors to know
- Noise exposure, hearing loss, certain medicines, stress and lack of sleep (which noticeably worsen how it is experienced).
- Common misconception
- That nothing can be done about tinnitus. The sound can rarely be removed — but how much it intrudes can be influenced a great deal.
- What you can do yourself
- Avoid complete silence — background sound makes tinnitus considerably less intrusive, particularly when falling asleep.
- When should you book?
- For one-sided tinnitus, a pulsing sound, or when it affects sleep and quality of life.
- Prognosis
- Most people adapt well, even where the sound persists.
Reduced or lost sense of smell
- Typical age
- All adult ages.
- Background
- It received considerably more attention after covid-19, but it has many causes — chronic sinusitis, nasal polyps, viral infections and in some cases neurological disease. It affects quality of life more than most people think, because the experience of taste is largely based on smell.
- Common symptoms
- A reduced or absent sense of smell, often experienced as a loss of taste; sometimes distorted smell.
- What the doctor looks for
- Whether it came on suddenly (which points to a virus) or gradually (which points to polyps or chronic inflammation), and whether the nose is blocked.
- Investigations
- Clinical assessment; where problems persist, examination of the nose through in-person care.
- How the assessment is made
- From how it began and from any nasal symptoms alongside.
- Management
- A nasal steroid where the cause is inflammatory, and smell training in post-viral loss (documented effect).
- Follow-up
- After a few months of treatment.
- Risk factors to know
- Nasal polyps, chronic sinusitis, a previous viral infection, smoking, head injury.
- Common misconception
- That a lost sense of smell cannot be treated. Smell training has a documented effect in post-viral loss, particularly if it is started early.
- What you can do yourself
- Smell training — deliberately smell four strong scents twice a day for at least three months.
- When should you book?
- For loss of smell that has lasted more than four weeks.
- Prognosis
- Good where the cause is post-viral, particularly with early smell training; otherwise it depends on the cause.
Difficulty swallowing
- Typical age
- All ages; of more serious significance with increasing age.
- Background
- A symptom that should always be assessed, because the causes range from benign (reflux, muscle tension) to those needing prompt investigation. Progressive difficulty swallowing solid food is particularly important to catch early.
- Common symptoms
- A feeling that food is sticking, coughing on swallowing, pain on swallowing, a lump in the throat.
- What the doctor looks for
- Whether it involves solid food, liquids or both; whether it is constant or intermittent; and whether it has worsened over time.
- Investigations
- Often requires a gastroscopy or a swallowing X-ray through in-person care.
- How the assessment is made
- Through pattern analysis; progressive difficulty with solid food is prioritised.
- Management
- Depends on the cause.
- Follow-up
- According to the findings.
- Risk factors to know
- Age over 50, smoking, alcohol, long-standing reflux, unintentional weight loss, previous radiotherapy to the throat.
- Common misconception
- That a lump in the throat always means something serious. A globus sensation without genuine difficulty swallowing is usually benign — but the difference should be assessed.
- What you can do yourself
- Note whether it is solid food, liquids or both, and whether it has got worse — that is the most decisive information there is.
- When should you book?
- For difficulty swallowing that has lasted more than three weeks, and promptly where there is weight loss at the same time.
- Prognosis
- Depends on the cause; good where the cause is benign.
Recurrent nosebleeds
- Typical age
- All ages; common in children and in older people.
- Background
- The great majority of nosebleeds come from a blood-vessel-rich area at the very front of the nasal septum and are entirely benign. In adults with recurrent bleeds, though, blood pressure and any anticoagulant treatment should always be taken into account.
- Common symptoms
- Bleeding from one nostril, often after picking the nose, dry air or a cold.
- What the doctor looks for
- Whether the bleeding comes from the front or the back of the nose, whether it is one-sided, and any anticoagulant medication.
- Investigations
- Clinical assessment; blood tests where the bleeds are frequent.
- How the assessment is made
- From the frequency, the amount and the risk factors.
- Management
- A moisturising nasal ointment; cauterisation of the bleeding vessel where the problem recurs.
- Follow-up
- If the bleeding continues.
- Risk factors to know
- Dry indoor air, picking the nose, use of nasal sprays, anticoagulant medication, high blood pressure, a bleeding disorder.
- Common misconception
- That you should tilt your head back for a nosebleed. That makes the blood run down into the throat — tilt forward instead.
- What you can do yourself
- Tilt your head forward and pinch the soft part of the nose for ten minutes, without letting go to check in between.
- When should you book?
- For nosebleeds that recur every week, or for bleeding that is hard to stop. For bleeding that does not stop after 20 minutes of pressure — emergency care.
- Prognosis
- Very good — most can be dealt with simply.
A sore throat that will not go away
- Typical age
- All ages.
- Background
- The great majority of throat infections heal within a week. A sore throat that lasts longer often has a cause other than infection — reflux, a dry mouth, allergy or muscle tension — and in rare cases something that needs prompt investigation.
- Common symptoms
- A persistent sore or scratchy throat without fever, often worse in the morning (which points to reflux) or with vocal fatigue.
- What the doctor looks for
- Whether there is fever (which points to infection), whether it is one-sided, and symptoms alongside such as hoarseness or difficulty swallowing.
- Investigations
- Clinical assessment; where it lasts more than three weeks or is one-sided, examination of the pharynx and larynx through in-person care is required.
- How the assessment is made
- By separating infectious from non-infectious causes, from the time course and the accompanying symptoms.
- Management
- Directed at the cause — often acid suppression for reflux, voice rest for overuse.
- Follow-up
- If problems persist.
- Risk factors to know
- Smoking, alcohol, reflux, a job that demands a lot of the voice, a dry mouth.
- Common misconception
- That a long-standing sore throat means you need antibiotics. Persisting symptoms point rather to it not being a bacterial infection at all.
- What you can do yourself
- Note whether it is worst in the morning (reflux) or after a lot of talking (vocal strain) — that often points straight to the cause.
- When should you book?
- For a sore throat lasting more than three weeks, a one-sided sore throat, or a sore throat with hoarseness.
- Prognosis
- Good — most causes are benign and treatable.
Contact
The information on this page is general patient information and does not replace an individual medical assessment. Digital care has limitations and cannot handle emergencies — see the emergency box above. If you are unsure, contact healthcare services or your local emergency number.
About this content
This information draws on established Swedish clinical sources, primarily 1177 Vårdguiden, Internetmedicin and Läkemedelsboken. It is general patient information and does not replace individual medical assessment.
