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Wednesday, July 9, 2008

Hoarseness or changing voice

Throat anatomy
Throat anatomy
Definition

Hoarseness is described as having difficulty producing sound when trying to speak, or a change in the pitch or quality of the voice. The voice may sound weak, excessively 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).

Persistent hoarseness (hoarseness that lingers for weeks or months) may be caused by a variety of problems ranging from trivial to dangerous.


Common Causes
  • Laryngitis
  • Excessive use of the voice (as in shouting or singing)
  • Allergies
  • Inhaling irritating substances
  • Excessive use of alcohol or tobacco
  • Coughing (may be caused by allergies or some diseases such as bronchitis )
  • In children, prolonged or excessive crying
  • Viral illness
  • Gastric reflux (acid from the stomach irritating the voice box)

Other causes include:

  • Heavy smoking and drinking, especially in combination
  • Overall weakness caused by other diseases
  • Tonsillitis
  • Ingestion of a caustic liquid
  • Foreign body in the esophagus or trachea
  • Infectious mononucleosis
  • Postnasal drip
  • Vocal cord nodules or paralysis (post-surgical)
  • Bronchoscopy or other tests (temporary)
  • Puberty
  • Cancer of the voice box (laryngeal cancer)


Review Date: 08/03/2005
Reviewed By: Alden J. Pearl M.D., Clinical Assistant Professor, Department of Otolaryngology, State University of New York Health Science Center at Brooklyn, Brooklyn, NY. Review provided by VeriMed Healthcare Network.

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