FROM OUR EXPERTS
Throughout the week Jan will be updating the community in a series of posts on the latest research from the American Academy of Pediatrics Conference. Read her first update live update from the AAP .
Parents sometimes tell me their child or teen has a deep voice or sounds hoarse. Surprisingly, a few parents of infants say the crying sounds hoarse. I have been contacted by professional singers and frustrated adults who want their voices heard so I was curious to find out more about this topic.
A hoarse voice may be a symptom of Gastroesophageal Reflux Disease (GERD) , allergies, overuse of voice or the result of injury/intubation in children and teens. It is likely the primary care doctor such as a pediatrician will be the first stop for diagnosis and treatment.
If a child does not respond to treatment, a referral may be made to a specialist in pediatric voice disorders called a laryngologist. The evaluation may include a careful history of the pro...
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 ...
Let’s get rid of the word, stigma, once and for all. Every once in a blue moon, I feel the urge to sound off. Please indulge me:
As a word, “stigma” is an insult to the outrages inflicted upon our population. Its use - even by well-meaning people - only perpetuates our status as third-class citizens. A quick history lesson:
In the US, during the first decades of the twentieth century - in the name of the improvement of the human race, with the sanction of the Supreme Court - 30,000 individuals deemed mentally unfit were subjected to enforced sterilization.
In Hitler’s Germany, some 300,000 to 400,000 forced sterilizations were carried out. Then, beginning in 1939, a quarter million mentally and physically disabled people were gassed in special “euthanasia” centers.
We live in a more enlightened age, but the basic premise that we are not welcome as equals in society remains substantially unchallenged. We are no...
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