A physician by profession, he is currently posted as Chief Medical Officer in Guwahati under Labour and Employment Department, Government of India. He had also served as Medical Officer in Dr Ram Manohar Lohia Hospital, New Delhi, for four years. He has authored nine story collections, a compilation of essays and edited one book of translated world short stories compilation by Asam Sahitya Sabha. He was honoured with Sahitya Akademi Award (2020) for his short story collection Bengsata. His short stories have been translated into almost all Indian languages.
Short story collections by Dr Saikia include Byartha Nayak (Lawyers’ Book Stall, 1998), Bixoi : Premar Xangbidhan (Renu Prakashan, 2000), Maati Akhara (Krantikal Prakashan, 2003), Bajarat Edin (Bani Mandir, 2007), Lingamukta Prithivir Xadhu Eta (Aank-Baak, 2012), Bengsata (Aank-Baak, 2016), Chatar Urohi (Panchajanya Publication, 2019), Randhani Beli (Aank-Baak, 2022), Manar Daaktar (Aank-Baak, 2022). He also edited Deshi-Bideshi Galpa Sambhar, a translation of World Short Stories published by Asam Sahitya Sabha in 2021. Asamiya Manuhar Gene (Axel Publication, 2016) is his only essay collection.
He has been honoured with several awards and recognitions, including Jadav Sarmah Memorial Award for Bajarat Edin, Literary Excellence Award by Indian Medical Association, Antarlipi Sahitya Bota for Literary Excellence, Katha-sandhi Samman by Sahitya Akademi, Ambikagiri Roychoudhury Award by Asam Sahitya Sabha for Chatar Urohi and Sahitya Akademi Award for Bengsata.