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Thursday, December 3, 2009
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Hoarseness

Throat anatomy
Throat anatomy
Definition

Hoarseness is having difficulty producing sound when trying to speak, or a change in the pitch or quality of the voice. The voice may sound weak, very breathy, scratchy, or husky.


Alternative Names

Voice strain; Dysphonia; Loss of voice


Considerations

Hoarseness is usually caused by a problem in the vocal cords. Most cases of hoarseness are associated with inflammation of the larynx (laryngitis).

Hoarseness that lingers for weeks or months may be caused by a variety of problems. Some causes are minor, while others are serious.


Common Causes
  • Allergies
  • Coughing (may be caused by allergies or diseases such as bronchitis )
  • Excessive use of alcohol or tobacco
  • Excessive use of the voice (as in shouting or singing)
  • Gastroesophageal reflux
  • Inhaling irritating substances
  • Laryngitis
  • Prolonged or excessive crying (in children)
  • Viral illness

Other causes include:

  • Aneurysms of the upper aorta
  • Bronchoscopy or other tests (temporary)
  • Cancer of the voice box (laryngeal cancer)
  • Foreign object in the esophagus or trachea
  • Heavy smoking and drinking, especially together
  • Infectious mononucleosis
  • Ingesting a harsh chemical liquid
  • Overall weakness caused by other diseases
  • Postnasal drip
  • Puberty
  • Thyroid or lung cancer
  • Tonsillitis
  • Vocal cord nodules or paralysis (after surgery)


Review Date: 10/10/2008
Reviewed By: Alan Lipkin, MD, Otolaryngologist, Private Practice, Denver, Colorado. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org).
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