Reflux occurs when stomach acids move up into your esophagus causing a burning chest pain (heartburn). If these symptoms occur more than twice a week you may have an acid reflux disease or Gastroesphageal Reflux Disease (GERD). Common causes of this include a stomach abnormality known as hiatal hernia, eating large meals, being overweight, snacking close to bedtime, eating acidic foods or smoking. Symptoms include heartburn, bloating, burping, nausea and dysphagia. Drs. Mendians and Hengy may order several tests to determine the cause of the reflux, including esophagram and endoscopy. Treatment may involve eating smaller meals, quiting smoking and losing weight along with over the counter medications to keep the reflux under control.

Skin Cancers and Lesions

Drs. Hengy and Mendians can remove (excision) lesions both cancerous and non-cancerous in the neck region.

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There are two types of coughs; productive and nonproductive. Productive coughs produce phlegm or mucus, while nonproductive coughs do not produce mucus. Either can be a symptom of other underlying illnesses or health issues, such as a viral infection or allergies. Drs. Hengy and Medians will conduct a full examination to determine what is causing the cough. Treatment will depend on the diagnosis.

Dysphagia (Difficulty Swallowing)

Dysphagia or difficulty swallowing can indicate a problem with your throat or esophagus. Causes of dysphagia are many and include gastroesphageal reflux disease (GERD), esophagitis and aging. Symptoms can include trouble getting food or liquid down on the first try, gagging, choking, coughing when swallowing or pain when swallowing. Drs. Hengy and Mendians will conduct various tests to determine the cause of your dysphagia, including X-rays, videoesophagography or esophagoscopy. You may also be referred to a gastroenterologist or speech-language pathologist for therapy. Treatments may involve medications, swallowing exercises, change in diet or surgery to remove any blockage in the esophagus. Parotid Gland: swollen or enlarge Parotid gland in the neck for which a Parotidectomy may be recommended.

Sleep Apnea

Sleep apnea is the cessation of breath during sleep. Obstructive sleep apnea is the most common form of apnea and occurs when there are repeated episodes of complete or partial blockage of the upper airway during sleep. Common symptoms may include daytime fatigue, dry mouth, snoring, difficulty getting up or headaches in the morning. After Drs. Hengy and Mendians perform a physical exam and discuss your medical and sleep history, you may be sent for a sleep test to measure various body functions during sleep. After determining the cause of the obstruction, treatment can range from changing nighttime habits or losing weight, to the use of a CPAP (continuous positive airway pressure) machine or surgery to remove the obstruction. Surgeries can include: Uvulopalatopharyngoplasty or Uvulopharyngoplasty, and Uvulectomy.


Snoring is when you stop breathing, choke or gasp during sleep. It is often associated with sleep apnea. Treatment can include losing weight, quiting smoking, sleeping on side rather than back and limiting use of alcohol. In more severe cases a CPAP machine may be recommended or possible surgery to open up the airway. Surgeries can include: Uvulectomy or Nasal Septum Reconstruction.

Hoarseness (Laryngitis)

Hoarseness (Laryngitis) is an inflammation of the voice box, or larynx that causes your voice to become raspy or hoarse. It can be short-term or long-term depending on the underlying cause. It can be caused by colds, acid reflux, allergies, smoking or overuse of voice. Long term (chronic) symptoms can be due to acid reflux, nerve damage, sores or polyps (hard and thick nodules) on your vocal cords. A physical exam will help determine the cause and severity of the hoarseness. Treatment can include resting the voice and drinking lots of fluids, speech therapy, change of habits that can cause the laryngitis or surgery to remove the polyps. Surgeries include: Microlaryngoscopy with Excision or Biopsy.