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Tuesday, November, 24, 2009
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 Hi Ms. Kime,   Laryngitis can really be annoying, especially when it fails to respond to treatment. It may be persistent because of the failure of your current medications to treat the rhinitis/bronchitis or because of another factor.   Some possibilities include:   -Chronic sinusitis (which requires at least 3 or more weeks of antibiotics) -Allergic rhinitis or non-allergic rhinitis complicated by sinus infection or another one of the disorders listed below -Vocal cord polyps -GERD (gastroesophageal reflux disease) -VCD (vocal cord dysfunction), a failure of the vocal cords to open  properly -dysphonia (hoarseness) sometimes associated with inhaled steroids   You should go back to our doctor for re-evaluation. Get a referral to an Ear, Nose and Throat specialist if your primary doctor is uncertain about your diagnosis.   Good Luck!
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