Inhaled steroids (IS) for the treatment of asthma have become a standard in the U.S. and many countries around the world. They are an essential cornerstone in the management of persistent asthma. Adverse effects of IS are minimal, but a small percentage of patients may experience dysphonia (hoarseness, weakness or loss of voice), throat irritation, cough or candida overgrowth (oral thrush).
Many patients who have hoarseness related to IS describe a subtle onset which began months or years after starting the inhaler. There is increased risk of voice change with higher doses or strengths of inhaled steroid. It’s often very frustrating when you have established a good routine of daily inhalations and have reaped the rewards of good asthma control, but later learn the wonder drug is weakening your voice.
Studies have reported between 10-50% of patients on IS experience hoarseness, although package inserts only reflect a range of 1-8%. In my practice it always seems to be a singer,...
When discussing of the symptoms of rheumatoid arthritis, we often talk about pain, stiffness, swelling, and disability. We don’t often talk about vocal quality or ability to breathe freely, but RA can affect the larynx and small joints of the head and neck, including temporomandibular joint (TMJ), the cricoarytenoid joint (CAJ), and the cricothyroid joint (CTJ).
According to a new literature review in the journal Autoimmune Diseases , the prevalence of laryngeal symptoms of RA has risen from up to 31% of RA patients in 1960 (Lawry, 1984) to 75% by the end of the 20th century (Hamdan, 2013). At least a portion of this significant increase is likely due to increased awareness and better clinical diagnosis.
Symptoms of larynx involvement caused by RA include odynophagia (painful swallowing), foreign body sensation, dysphagia (difficulty swallowing), sore throat, lump sensation in the throat, change in voice quality (e.g. hoarseness, breathiness, vocal fatigue), referred ...
If you are reading this article then you are in the midst of advocating for yourself or someone in your life that has osteopenia or osteoporosis; or you're someone who wants to educate themselves before they reach the stage of normal age-related bone loss.
Many of you who come to this site, OsteoporosisConnection.com, either have osteopenia or osteoporosis, or have a friend or family member with this disease, and are desperately looking for answers to questions about diagnosis, treatment, and fracture risk. Some are terrified that this diagnosis will greatly impact their quality of life, and rightfully so, but what can you do about the lack of knowledge, fear and loneliness? Starting a support group with the help of education, may be the avenue you can use to begin your advocacy, to find the answers to these questions that we all have.
Advocacy is a term that we use to describe the active support of an idea or cause.
With advocacy tra...
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