Why Subspecialisation Changes Everything
There is a difference between a doctor who can diagnose your condition and one who has spent years training specifically for it. In ENT, this distinction matters more than most patients realise — because two of the most common ENT complaints, vertigo and chronic allergy, are precisely the conditions where general training is often not enough.
Dr. Akansha Tewari completed her core ENT training at KGMU Lucknow — earning gold medals in both MBBS and MS ENT — and then did something unusual. She returned for formal subspeciality training, twice. First in Vestibular Medicine, training under pioneer neurotologists of India. Then in Allergy & Immunology at AIIMS, under the Global Allergy Program — one of the few internationally recognised fellowship pathways available in the country.
The result is a clinic where patients with long-standing vertigo and undertreated allergy — many of whom have seen multiple doctors without resolution — finally get an accurate diagnosis and a treatment plan that addresses the actual cause.
"The patients who come to me with vertigo are rarely new to the problem. Most have seen two or three doctors, taken months of medication, and been told their MRI is normal. What they have not had is a proper clinical examination — the Dix-Hallpike, the roll test, a few minutes with a specialist who knows what to look for. That is where the diagnosis is. Not in the scan."
— Dr. Akansha TewariQualifications — What Each One Means
The Vertigo Clinic — Diagnosis That Requires Specialist Training
Vertigo is among the most commonly mismanaged conditions in routine ENT practice. The reason is straightforward: accurate vestibular diagnosis requires dedicated training, specific clinical manoeuvres, and equipment — namely VNG — that most clinics do not have.
The result is that patients spend months on antihistamines that suppress symptoms without identifying what is causing them. Many have unnecessary brain scans. Some are told nothing is wrong.
- BPPV diagnosis and same-visit Epley Manoeuvre treatment — resolution in a single session for most patients
- VNG (Videonystagmography) — infrared recording of eye movements to identify the exact canal and side affected
- Dix-Hallpike and Supine Roll testing — precise positional assessment for all canal variants
- Meniere's Disease workup — audiometric and vestibular evaluation
- Differentiation from central causes — knowing when neurological referral is genuinely indicated
- Vestibular rehabilitation guidance for chronic imbalance
Experiencing sudden dizziness, spinning on head movement, or unexplained imbalance? A vestibular evaluation at HealthNest takes under 30 minutes and can give you answers that months of general treatment have not.
Book a Vertigo ConsultationAllergy & Immunology — The Gap in Lucknow's Care
Allergic rhinitis — year-round nasal allergy — is one of the most prevalent and most undertreated conditions in India. The majority of patients are managed with daily antihistamines for years. This is symptom suppression, not treatment — and during those years, the underlying immune response continues to cause inflammation, structural changes, and often progresses to sinusitis or asthma.
Dr. Tewari's AIIMS fellowship trained her in the one treatment that actually modifies the immune response — allergen immunotherapy — and in the diagnostic test that makes it possible — skin prick testing.
- Skin Prick Testing (SPT) — identifies your exact allergens from a panel including dust mite, pollen, mould, cockroach, and pet dander
- Subcutaneous immunotherapy (SCIT) — injection-based programme with 80–90% long-term improvement rates
- Sublingual immunotherapy (SLIT) — daily drops or tablets at home, suitable for children and patients who cannot attend frequently
- Unified airway management — treating nasal allergy and asthma together, as the connected conditions they are
- Allergy workup for recurrent sinusitis — identifying whether allergy is the underlying driver
Until now, this level of allergy care in Lucknow has been available only at large corporate hospitals — at fees that made ongoing treatment impractical for most families. At HealthNest, skin prick testing and immunotherapy are available at transparent, affordable pricing in a personal clinic setting.
HealthNest Clinic — Advanced ENT, Vertigo & Allergy Centre, Chandra Panorama, Golf City, Lucknow
Pediatric ENT — Children Are Seen at HealthNest
A significant portion of Dr. Tewari's practice involves children. Pediatric ENT requires a different clinical approach — children present differently, communicate their symptoms differently, and respond differently to examination. Dr. Tewari is experienced in managing children from infancy through adolescence.
- Recurrent ear infections and glue ear — including assessment for grommets and hearing impact
- Tonsil and adenoid problems — recurrent tonsillitis, obstructive sleep symptoms, snoring
- Mouth breathing and adenoid face — early intervention before facial development is affected
- Childhood allergy — allergic rhinitis, skin prick testing, and allergen immunotherapy from an appropriate age
- Childhood asthma in the context of nasal allergy — unified airway management
- Hearing concerns and speech delay — audiometric evaluation and appropriate referral
- Pediatric nasal problems — blocked nose, nosebleeds, sinusitis
If your child has been on repeated courses of antibiotics for ear or throat infections, breathes through their mouth, snores at night, or has been told they have allergies — a consultation at HealthNest Clinic gives you a specialist assessment and a clear plan rather than a further prescription.
What HealthNest Clinic Offers
- Access No referral needed. Direct appointments available — Monday to Saturday, 5:30–8:30 PM, and Sunday mornings.
- Pricing Affordable subspeciality care — skin prick testing and immunotherapy at a fraction of corporate hospital costs, without compromising on protocol or allergen extract quality.
- Consultation Every patient receives a full explanation of their diagnosis, why it happened, what treatment involves, and what the alternatives are. No rushed sessions.
- Online Teleconsultation available for follow-ups, second opinions, and patients from Kanpur, Varanasi, Prayagraj, and other cities.
- Approach Evidence-based, not investigation-heavy. No unnecessary scans or tests. Clinical assessment first — investigations only when they will change management.
If you have been experiencing recurring dizziness, chronic nasal allergy, or any persistent ENT concern — and previous treatment has not resolved it — a consultation at HealthNest Clinic is the place to start. Contact: +91-8382811224
