Hoarseness in the simplest sense means, 'hoarse voice'. It may be defined as an abnormal voice change. It is experienced in the form of strained, rough, thick, harsh and grating voice. Variations can be felt even in the loudness and pitch of the voice.

Hoarseness is a temporary infection associated with the larynx, which is also known as the voice box in animals as well as humans. Vocal cords are present inside the voice box. Depending on the vibration of the vocal cord, different sounds are produced.

What are the general causes of hoarseness?

Hoarseness may be caused by common cold, viral infection, cough, irritation due to screaming, smoking, allergy, thyroid problem, acute laryngitis and benign tumor. In adults, the stomach asset comes up to the throat causing hoarseness. Heartburn can also be one of the causes.

When hoarseness arises due to common cold and cough, it will last for 2 to 3 days and will subside using cough suppressant and home remedies like salt water gargling, drinking hot milk with turmeric and pepper powder. As cough or cold suppress, hoarseness will also reduce.

When to see an Otolaryngologist (ENT specialist)?

ENT stands for ear, nose, throat. Serious infections in these areas are treated by an otolaryngologist. It is very essential to consult this specialist if hoarseness lasts for more than 2 to 3 weeks; pain in ENT is not due to cold or flu, coughing up blood, lump in the neck.

Evaluation

The medical specialist starts his diagnosis by physically examining the vocal cord. Flexible light weight fiber optic tube scope is also used to visually examine the larynx area. Videotaping, acoustic analysis is also done to study voice irregularities, airflow to guide treatment.

How can hoarseness be treated?

The mode of treatments depends on underlying the cause of the problem. The patient may be advised:

In most cases, hoarseness can be treated just by resting your throat or modifying the use of your voice.
To avoid smoking or passive smoking
Referred to a speech therapist to improve sound of voice.
In case of benign tumor the nodule or polyp is removed by surgery.
How can you prevent hoarseness?

We've all heard the phrase, 'prevention is better than cure'. Alas, it is. Preventing hoarse voice and throat is a much better option than treating it. Here are some tips on how to prevent hoarseness:

Avoid smoking
Avoid overconsumption of caffeine and alcohol.
Consume plenty of water
Avoid eating spicy food.
Avoid speaking loudly for long intervals of time.

How Hoarseness Can be Treated

If you are experiencing pain, irritation, or itchiness in your throat, the condition is referred to as a sore throat. It is likely for you to face difficulty in swallowing food and the pain worsens when you want to swallow. The primary symptom of a sore throat is throat pain. People of all ages can get affected by a sore throat.

Causes
There are several causes of a sore throat. The most common ones are as follows:

Viral infection
  Viral infections are the most common causes of sore throat.
  These are the infections that are caused by a virus, like the flu or cold.
  Measles, chicken pox, and croup are other viral infections that cause a sore throat.

Bacterial infection
  Several bacterial infections also lead to a sore throat.
  They may include strep throat, diphtheria, and whooping cough.

Environmental factors
  Several environmental factors also cause sore throat.
  Exposure to pollen, mold, pet dander, and several other irritants leads to postnasal drip.
  This causes throat pain and inflammation.
  Exposure to dry air, and smoking cigarettes are also common causes of a sore throat.

Diagnosis
  For the diagnosis of a sore throat, a physical examination of your throat is carried out, and your throat will be examined using a lighted instrument.
  Doctors usually look out for inflammations and white patches that indicate strep throat. Your breathing will also be checked.
  The back of your throat can be swabbed for examining samples in order to determine the virus.
  Certain blood tests may also be required to be undertaken.

Treatment
  The treatment of sore throat depends on the cause.
  In case your sore throat is caused by a bacterial infection, you will be prescribed antibiotics for killing the infectious bacteria.
  The medicines should be taken strictly according to a doctor s prescription.
  You should complete the course of 10 days to get effective results.
  If you stop the treatment at an early stage on noticing improvements, a sore throat can recur soon.

There are certain simple home remedies which are effective for curing the most common forms of sore throat. They include:
  Gargling with warm, salted water.
  Consuming warm fluids like soup, tea, and water.
  Having throat lozenges.
  Reducing the inflammation using ibuprofen and acetaminophen.
  Avoiding exposure to allergens and irritants.

In case your sore throat is caused by a viral infection, the virus should be left to run its course. During its course, you will be prescribed medicines like pain relievers and decongestants for relieving the symptoms. Antiviral drugs are also used in some cases for fighting the virus effectively.

Sore Throat - Factors That Can Put You At Risk!

When is Your Throat Pain, a Serious One?

Throat pain mainly occurs due to two conditions-'sore throat' or 'strep throat'. Often the terms 'sore throat' and 'strep throat' are used interchangeably, but they don't indicate the same thing. While a sore throat is a condition mostly followed by common cold, runny nose or congestion; strep throat is a bacteria-induced infection. The bacterium called Streptococcus is responsible for strep throat.

The most common reason behind a sore throat is a viral infection like flu or cold. So, if you've a sore throat that is caused by virus, there is no reason to worry as it can be treated easily. But if you are suffering from strep throat or streptococcal infection, then antibiotic drugs for additional treatment will be required to avoid complications.

Signs and symptoms of a strep throat (which indicates that your throat pain is serious and needs attention) include:

Pain while swallowing food
Sore throat which usually persists for more than 48 hours
Small red spots at the roof top of your mouth
Swollen and red tonsils at times with streaks of pus or white patches
Fever
Swollen, benign lymph nodes in your neck
Headache
Rash
Body aches
Vomiting or feeling of nausea, especially amongst younger children

When these signs and symptoms become noticeable, you need to promptly visit your doctor for test and treatment. And, if the reports indicate strep throat, then your doctor will prescribe you some oral antibiotics to reduce the complications and severity of symptoms so that it doesn't spread to others. You are advised to follow your prescription properly and stay indoors for at least a day after starting your medication.



When is Your Throat Pain, a Serious One?

What is a foreign body (FB)?
Foreign body or FB is an object or piece of extraneous matter that has entered the body by accident or design. It is common to see certain items getting stuck in the ear, nose or throat especially, in young children. While most of the time they do not raise an alarm, however, sometimes they can lead to severe consequences like rupture of the eardrum or even choking.

How do FBs affect ear, nose and throat?

Children over 9 months develop an ability to pick up objects. As they explore the environment around them, they tend to put items such as peas, beans, marbles, beads, cotton, paper, etc, in their mouth, nose or ears. Similar trend may be seen in adults with mental disorders.
Trauma/ fall/accident can force FBs like rock, pebbles into the ear, nose or throat.
Adults while riding a bike or sleeping on the ground (campsites) can have insects: flies, ants, roaches fly into the nose or ear.
Choking occurs when FBs block the airway, common reasons are: not chewing the food properly, diseases like Parkinsonism, drinking alcohol or certain drugs that slowdowns the process of swallowing.
Managing FB in the ear, nose and throat

Foreign bodies in the ear
Symptoms: Pain in the ear, discharge or bleeding from the ear, feeling of fullness or pressure in the ear and dizziness and nausea in extreme cases.

Management: 

Make sure the patient is sitting in an upright position, pull the pinna or outer semicircle of the ear towards the back. This can help you see the object clearly and also loosen it to wiggle out. If you can see the object clearly, use a tweezer to grasp the object and gently remove.
In case a live insect gets trapped inside the ear lie down and place few drops of warm vegetable or baby oil. Use oil only if symptoms of eardrum perforation like pain, bleeding/discharge from the ear is absent.
Tilting the head to the affected side can facilitate gravity to dislodge the object.
Foreign bodies in the nose:
Symptoms: Pain and difficulty in breathing from that side of the nose.
Management: Keep the uninvolved nostril closed by pressing a finger against the side of the nose and gently ask the person to blow from the affected nostril.

Foreign bodies in the throat:
Symptoms: Choking, inability to breathe and speak 
Management: Perform Heimlich maneuver: abdominal thrusts, if trained otherwise, it is advised to call for medical help immediately.

How can you prevent foreign bodies from entering your ear, nose, throat?

Discourage talking, playing, laughing when food is in the mouth.
Do not give whole grapes, popcorn, nuts to children below 3 years.
Keep small objects out of reach of small children.
Teach children to avoid placing objects into their nose, ears.

Presence Of Foreign Bodies In Ear/Nose/Throat - How It Can Be Managed?

Virus is the most common cause of pain in the throat or sore throat and it is often accompanied by cold symptoms like running nose, red watery eyes, cough and sneezing. Smoking, irritants in the air and pollution are the main causes of sore throat. It becomes very difficult to swallow food in such a condition when an individual experiences pain, itchiness or irritation in their throat.

Causes
The main causes of occurrence of sore throat include:
-leukemia in exceptional cases
-measles
-sinusitis
-diphtheria
-mumps
-bacterial as well as viral infection as in common cold
-influenza
-smoking

Symptoms of sore throat
The nasal passages get blocked
-inability to gulp down food
-severe pain in the throat which is followed by coughing
-lymph glands get swollen
-fever is followed by chills

When to visit the doctor
It is very important to visit your doctor, if the pain in the throat lasts for longer time and it is accompanied by symptoms like joint pain, difficulty in breathing and fever. The primary symptom of sore throat is pain in the throat and other symptoms like hoarseness and white patches on the tonsils also occur under this condition. People of all age groups can get affected with this condition, but it affects mostly children and smokers. People with weak immune system and suffering from allergies are also prone to pain in the throat.

Main Reasons of Throat Pain and How Can It Be Healed

Allergies and the common cold afflict everyone. Every person comes down with either of these or both multiple times a year. Children, adults and the elderly all are equally vulnerable to both these minor ailments. And one of the chief complaints of both is a sore throat. But, how can you tell whether your painful throat is a result of an allergy or a cold? Read on to know more.

How are Allergies and Common Cold Similar?

Sore throat is not the only commonality between cold and allergies. There will be other similar symptoms as well.

  A runny and itchy nose

  Coughing

  Sneezing

  Blocked nose

  Painful sinuses

  Postnasal drip

  Conjunctivitis

That is why similar symptoms like sore throat and all the rest make it very hard to tell allergies and a common cold apart.

Can you tell the Difference between Sore throat caused Common Cold or Allergies?

There are a few questions that you will have to ask yourself to find the answer to whether your sore throat is triggered by cold or allergy.

  How did your sore throat manifest itself? Have you been feeling it coming for quite a while now? Maybe, your throat has been feeling itchy for a few days before a full-blown painful throat came along. Or did it start suddenly without a warning? If it is the former, then it is a case of a common cold. But the latter is possibly an effect of allergies.

  If other symptoms are periodic, that is they manifest at certain times of the day like early in the morning or during sunset, your sore throat could be because of allergies. But if the other symptoms last all day, then your sore throat owes its origin to the common cold.

  Are you feverish? Does your thermometer register an above normal body temperature? Then it is a case of a common cold. Allergies do not trigger a fever.

  Have your sore throat and other symptoms started abating in six or seven days? Then it is possibly common cold. The duration of allergies lasts much longer. Or they come and go   depends on the presence of allergens in the air. Treatment for the two kinds of sore throat Common cough and cold have no cure. Your doctor will suggest paracetamol to help manage the symptoms of the common cold and this will bring relief from a sore throat as well. Allergies can be treated with antihistamines. Talk to your doctor who will recommend the necessary medicines.

A sore throat can be a very painful and annoying problem. It could be triggered by both allergies and the common cold. However, there are medicines that can help with both.

How To Tell If A Sore Throat Is From An Allergy Or A Cold?

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