As a Board Certified Otolaryngologist, Dr. Ludwick is a surgical expert of the upper aerodigestive tract.  This includes all structures from the tip of your lips to the lungs.  Common complaints in these areas include:



Hoarseness lasting more than two weeks should be evaluated.  We offer in-office video laryngoscopy so you can see your own examination and results.

Some common causes of hoarseness include:

  • Acute and chronic laryngitis
  • Vocal cord polyps
  • Reflux
  • Throat cancer
  • Vocal Cord Paralysis
  • Voice Abuse
  • Trauma
  • Aging process

At high risk for possible laryngeal cancer include those who smoke and have chronic hoarseness and/or associated throat pain.  In this patient group, early diagnosis is associated with the best outcomes.

Foreign Body Sensation in the Throat

One of the most common throat complaints Dr. Ludwick evaluates is a sensation that something is stuck in the patient’s throat.  A thorough head and neck evaluation including laryngoscopy is indicated to determine the cause. Often this is secondary to undiagnosed reflux disease, nasal allergy, or occasionally a mass or tumor is the culprit. West Houston ENT and Sleep Center offers in-office video laryngoscopy so you can view your own examination and results.


Tonsillitis and Peri-tonsillar Abscess

Dr. Ludwick manages complicated tonsil infections and infections leading to abscess formation.  Known as a peri-tonsillar abscess, it requires surgical drainage.  Typically, this can be done in the office.  Delayed treatment of a peri-tonsillar abscess can lead to serious, life-threatening upper airway compromise and hospitalization.

The vast majority of tonsil infections can be effectively managed by your primary care physician.  However, if your symptoms are not improving within 36-48 hours after initiating therapy, you should make an appointment with Dr. Ludwick for an evaluation.


Swollen Glands

If you have enlarged cervical lymph nodes that persist for more than a few weeks, you should be evaluated for diagnosis and treatment.  Known to most as “glands”, enlarged lymph nodes can be caused by infection or cancer.  Causes of enlarged lymph nodes include:

  • Reactive enlargement due to local bacterial or viral infections
  • System viral infections such as HIV or Infectious Mononucleosis
  • Direct bacterial infection called Lymphadenitis
  • Tuberculosis

In addition, lymph nodes themselves can become involved in a cancerous process such as:

  • Lymphoma
  • Leukemia
  • Metastatic cancer



Salivary Gland Problems

Pain or swelling that occurs right in front or just below your ear or below the jaw bone can be caused by your salivary glands.  We have three major paired salivary glands including the parotid, submandibular, and sublingual glands. Tumors, infection, and salivary gland duct stones can cause enlargement of these glands.  As a board-certified ENT physician, Dr. Ludwick can evaluate and resolve salivary gland problems.


Difficulty Swallowing

Does it feel like food or pills are getting stuck in your throat on the way down?  The medical term is dysphagia.  The problem likely stems from an issue with upper esophagus.  Dr. Ludwick can evaluate and treat all of the causes of dysphagia relating to the upper esophagus such as:

  • Enlarged thyroid gland
  • Diverticulum of the Esophagus
  • Cricopharyngeal muscle spasm
  • Cervical spine osteophytes
  • Reflux
  • Tumors
  • Strictures

To find relief from your throat pain and discomfort, contact us today.


"I was 4 years old when I had my Tonsillectomy, back in 1966. Least favorite memory: Friends gave me a toy dump truck, but by the time I got home from the hospital, my little brother had already broken it. Favorite memory: lots and lots of ice cream afterward!"
Karl K. - not a patient of Dr. Ludwick back then

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