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Hoarse Voice - What Are Its Causes And Treatment Options?

Dr. Suven Kalra 89% (27 ratings)
MBBS, MS - ENT, Fellowship In Otology
ENT Specialist, Delhi
Hoarse Voice - What Are Its Causes And Treatment Options?

Any kind of abnormal change in the voice of a person is termed as hoarseness. It is a harsh, strained or raspy voice coupled with a change in the pitch and volume. Hoarseness is often caused by a variety of conditions such as allergies, GERD, smoking and thyroid. It has been noted that that hoarseness is not a medical condition but a symptom of a disease. For you to get a clearer picture of the condition, here are some of the causes and possible treatment measures for the condition. 

Causes of Hoarse Voice 
The conditions which result in hoarse voice as one of their symptoms include: 

  1. Laryngitis: This is one of the most common conditions that cause hoarseness. In this condition, the vocal cords become inflamed which is mostly due to a viral infection. This problem is worsened due to other problems like reflux of acid from stomach into the throat and environmental pollution. Strep throat and epiglottitis are specific types of Laryngitis caused by a particular virus or affliction of a particular site in the voice box. 
  2. Vocal nodules: In this condition small nodules develop on the Vocal cords. Also known as Singer’s nodules, these are common in professional singers, teachers and other professionals who overuse their voice. 
  3. Vocal Polyps: These are small masses that may develop on the vocal cords and prevent them from vibrating normally resulting in a hoarse voice. They may be a result of repeated episodes of laryngitis or acid reflux
  4. Myasthenia Gravis: In this condition, the muscles become weak. This is basically a neuromuscular disorder and hoarseness in voice is one of its symptoms. 
  5. Vocal cord paralysis: One of the two vocal cords may stop moving and lose its function. This can be due to a variety of conditions like thyroid gland swelling, tuberculosis or tumors
  6. Throat Cancer: Hoarseness of voice is one of the earliest signs of cancer of the voice box. If caught early this type of cancer can be treated. Smokers beware! 

Treatment of Hoarse Voice 
Some of the treatment measures for hoarse voice are: 

  1. Medication – General medication to reduce swelling of the vocal cords, medicines to reduce reflux of acid from stomach into the throat, medicines to reduce pain and strain in the voice box are generally recommend. 
  2. Surgery Certain conditions like Vocal polyps, nodules need to be removed surgically. Micro-laryngeal surgery is used for such type of lesions. Using a microscope with laser and without any external cuts or stitches these problems can be tacled easily. 
  3. Phonosurgery This is a highly specialized type of surgery using which a surgeon can make your voice more like you want it. The pitch of voice can be altered surgically, Meaning that your voice can be made more masculine, more feminine, deeper or more shrill according to your preference. 
  4. Cancer treatment – Depending upon the stage of throat cancer the treatment varies and may include surgery or radiotherapy or both. 
  5. Voice rest and Vocal hygiene – Along with the primary treatment depending upon the exact cause of hoarseness, measures like voice rest and speech exercises to improve voice may be advised by your doctor. The right cause and the right treatment for your hoarse voice can only be determined by a doctor. 

In case you have a concern or query you can always consult an expert & get answers to your questions!

4105 people found this helpful

Laryngitis - Top Signs You Must Not Ignore!

Dr. Geeta Kathuria 88% (32 ratings)
M.B.B.S, MS ENT, MRCS Ed ENT, Fellowship Golf
ENT Specialist, Delhi
Laryngitis - Top Signs You Must Not Ignore!

Laryngitis is referred to as the inflammation of the vocal cord or the larynx situated in the throat either due to it’s over usage or certain infections. This condition spreads rapidly and does significant damage to the larynx. Laryngitis can be acute or chronic. If not diagnosed timely, laryngitis can cause significant problems in the respiratory system such as experiencing trouble while breathing. Laryngitis can be treated with antibiotics and with other home remedies such as gargling with warm salt water, giving your voice some rest and drinking sufficient water (around 2-2.5 liters) in a day to keep dehydration at bay. Make sure you avoid any caffeinated beverage and alcohol if such a condition develops. In urgent cases of laryngitis, a prescribed dosage of corticosteroids and antibiotics can provide relief.

Causes
The causes of laryngitis depend considerably on the form of laryngitis. If the laryngitis is of acute nature, then it might have been caused due to an infection and it tends to go away after suitable treatment. In the case of chronic laryngitis, the inflammation is caused due to a frequent exposure to irritants. This condition has long sustained effect and tends to be painful. The causes of laryngitis are as follows:

  1. Apart from viral and bacterial infections, an acute form of laryngitis can be caused due to the impairment of the vocal cord as a result of constantly talking or screaming at a high-pitched voice.
  2. Acid reflux (acidity) and frequent instances of sinus infections can cause chronic laryngitis.
  3. Excessive consumption of tobacco and alcohol might cause chronic laryngitis.
  4. Constant exposure to toxic chemicals might cause chronic laryngitis.
  5. In some cases, prolonged huskiness of the throat might be a symptom of a serious underlying medical condition such as cancer or vocal cord paralysis. In such a case, you should seek medical attention as soon as possible.

The symptoms of laryngitis are as follows:

  1. A constant sensation of dry throat which might lead to permanent impairment of voice
  2. Persistent sensation of titillation in the throat coupled with a persistent dry cough
  3. Significant pain while swallowing food
  4. Feeling of fullness in the throat
  5. Severe pain in the throat

In case you have a concern or query you can always consult an expert & get answers to your questions!

4377 people found this helpful

Laryngitis - Know Its Symptoms!

MS - ENT, MBBS
ENT Specialist, Ghaziabad
Laryngitis - Know Its Symptoms!

Laryngitis is referred to as the inflammation of the vocal cord or the larynx situated in the throat either due to it’s over usage or certain infections. This condition spreads rapidly and does significant damage to the larynx. Laryngitis can be acute or chronic. If not diagnosed timely, laryngitis can cause significant problems in the respiratory system such as experiencing trouble while breathing. Laryngitis can be treated with antibiotics and with other home remedies such as gargling with warm salt water, giving your voice some rest and drinking sufficient water (around 2-2.5 liters) in a day to keep dehydration at bay. Make sure you avoid any caffeinated beverage and alcohol if such a condition develops. In urgent cases of laryngitis, a prescribed dosage of corticosteroids and antibiotics can provide relief.

Causes
The causes of laryngitis depend considerably on the form of laryngitis. If the laryngitis is of acute nature, then it might have been caused due to an infection and it tends to go away after suitable treatment. In the case of chronic laryngitis, the inflammation is caused due to a frequent exposure to irritants. This condition has long sustained effect and tends to be painful. The causes of laryngitis are as follows:

  1. Apart from viral and bacterial infections, an acute form of laryngitis can be caused due to the impairment of the vocal cord as a result of constantly talking or screaming at a high-pitched voice.
  2. Acid reflux (acidity) and frequent instances of sinus infections can cause chronic laryngitis.
  3. Excessive consumption of tobacco and alcohol might cause chronic laryngitis.
  4. Constant exposure to toxic chemicals might cause chronic laryngitis.
  5. In some cases, prolonged huskiness of the throat might be a symptom of a serious underlying medical condition such as cancer or vocal cord paralysis. In such a case, you should seek medical attention as soon as possible.

The symptoms of laryngitis are as follows:

  1. A constant sensation of dry throat which might lead to permanent impairment of voice
  2. Persistent sensation of titillation in the throat coupled with a persistent dry cough
  3. Significant pain while swallowing food
  4. Feeling of fullness in the throat
  5. Severe pain in the throat

In case you have a concern or query you can always consult an expert & get answers to your questions!

2444 people found this helpful

Laryngitis - Signs You Are Suffering From It!

Dr. Vivek Kumar Pathak 90% (257 ratings)
MS-ENT, MBBS
ENT Specialist, Noida
Laryngitis - Signs You Are Suffering From It!

Laryngitis is referred to as the inflammation of the vocal cord or the larynx situated in the throat either due to it’s over usage or certain infections. This condition spreads rapidly and does significant damage to the larynx. Laryngitis can be acute or chronic. If not diagnosed timely, laryngitis can cause significant problems in the respiratory system such as experiencing trouble while breathing. Laryngitis can be treated with antibiotics and with other home remedies such as gargling with warm salt water, giving your voice some rest and drinking sufficient water (around 2-2.5 liters) in a day to keep dehydration at bay. Make sure you avoid any caffeinated beverage and alcohol if such a condition develops. In urgent cases of laryngitis, a prescribed dosage of corticosteroids and antibiotics can provide relief.

Causes
The causes of laryngitis depend considerably on the form of laryngitis. If the laryngitis is of acute nature, then it might have been caused due to an infection and it tends to go away after suitable treatment. In the case of chronic laryngitis, the inflammation is caused due to a frequent exposure to irritants. This condition has long sustained effect and tends to be painful. The causes of laryngitis are as follows:

  1. Apart from viral and bacterial infections, an acute form of laryngitis can be caused due to the impairment of the vocal cord as a result of constantly talking or screaming at a high-pitched voice.
  2. Acid reflux (acidity) and frequent instances of sinus infections can cause chronic laryngitis.
  3. Excessive consumption of tobacco and alcohol might cause chronic laryngitis.
  4. Constant exposure to toxic chemicals might cause chronic laryngitis.
  5. In some cases, prolonged huskiness of the throat might be a symptom of a serious underlying medical condition such as cancer or vocal cord paralysis. In such a case, you should seek medical attention as soon as possible.

The symptoms of laryngitis are as follows:

  1. A constant sensation of dry throat which might lead to permanent impairment of voice
  2. Persistent sensation of titillation in the throat coupled with a persistent dry cough
  3. Significant pain while swallowing food
  4. Feeling of fullness in the throat
  5. Severe pain in the throat

If you wish to discuss about any specific problem, you can consult an Ent Specialist.

3708 people found this helpful

Hoarseness Of Voice - How Can It Be Treated?

Dr. J. K.Gupta 91% (121 ratings)
MS ENT, MBBS
ENT Specialist, Noida
Hoarseness Of Voice - How Can It Be Treated?

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:

  1. In most cases, hoarseness can be treated just by resting your throat or modifying the use of your voice.
  2. To avoid smoking or passive smoking
  3. Referred to a speech therapist to improve sound of voice.
  4. 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.
2700 people found this helpful

Hoarseness - How To Handle It?

Dr. Pradeep R K A 92% (305 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MS - ENT
ENT Specialist, Kannur
Hoarseness - How To Handle It?

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:

  1. In most cases, hoarseness can be treated just by resting your throat or modifying the use of your voice.
  2. To avoid smoking or passive smoking
  3. Referred to a speech therapist to improve sound of voice.
  4. 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.
4143 people found this helpful

Hoarseness - How To Avoid It?

ENT Specialist, Faridabad
Hoarseness - How To Avoid It?

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:

  1. In most cases, hoarseness can be treated just by resting your throat or modifying the use of your voice.
  2. To avoid smoking or passive smoking
  3. Referred to a speech therapist to improve sound of voice.
  4. 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.
5231 people found this helpful

What Are The Ways to Diagnose Breast Cancer?

Dr. Smita Dwivedi 92% (460 ratings)
MBBS, DGO
Gynaecologist, Lucknow
What Are The Ways to Diagnose Breast Cancer?

Breast cancer is a form of cancer which develops from the breast tissue. Breast cancer is indicated by signs such as a lump in the breast, changes in breast shape, fluid flowing from the nipple, dimpling of skin, or the development of red scaly patches. Breast cancer is a fatal form of cancer in women and immediate diagnosis is required on observing the symptoms.

Diagnosis of breast cancer
Other than the regular breast screening, the diagnosis of breast cancer involves the following steps and methods:

  1. Seeing your general practitioner (GP): It is very important to visit your GP soon after noticing the symptoms of breast cancer. Your GP will examine you properly and in case your symptoms need more assessment, he/she will refer you to a breast cancer clinic.
  2. Mammogram and breast ultrasoundYou will be required to have a mammogram, as recommended by a specialist breast unit. This is an X-ray of the breasts. An ultrasound scan may also be required. Breast ultrasound should be undertaken only if you are less than 35 years of age. This is because, young women have denser breasts and a mammogram is not as effective as ultrasound in the diagnosis of breast cancer. In ultrasound, high frequency sound waves are used for obtaining an image of your breasts. It is observed to notice any abnormality or lumps. A breast ultrasound is also important for determining whether a lump is solid or contains liquid.
  3. BiopsyIn this diagnosis process, a sample of the tissue cells is taken from the breasts and tested under a microscope to find out if it is cancerous. A scan and needle test for the lymph nodes present in your armpit is also done to check whether they have also been affected. A biopsy is undertaken in several ways, depending upon the condition and severity. A needle aspiration biopsy is used for testing a sample of your breast cells without the removal of the tissues. This is the most common form of biopsy and it is also used for draining a small fluid-filled lump or benign cyst. During the process, you will be given a local anesthetic. Usually, a needle biopsy is carried out guided by an X-ray, ultrasound and an MRI scan as well. This helps in distinguishing it from non-invasive changes such as ductal carcinoma in situ.

Another form of biopsy used for the diagnosis of breast cancer is called vacuum assisted biopsy or mammotome biopsy. In this process, a needle gets attached to a suction tube, which helps in obtaining the sample and for clearing the bleeding.

2712 people found this helpful

How Is Breast Cancer Diagnosed?

Dr. Vijay Lakshmi Rawat 91% (326 ratings)
MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
How Is Breast Cancer Diagnosed?

Breast cancer is a form of cancer which develops from the breast tissue. Breast cancer is indicated by signs such as a lump in the breast, changes in breast shape, fluid flowing from the nipple, dimpling of skin, or the development of red scaly patches. Breast cancer is a fatal form of cancer in women and immediate diagnosis is required on observing the symptoms.

Diagnosis of breast cancer
Other than the regular breast screening, the diagnosis of breast cancer involves the following steps and methods:

  1. Seeing your general practitioner (GP): It is very important to visit your GP soon after noticing the symptoms of breast cancer. Your GP will examine you properly and in case your symptoms need more assessment, he/she will refer you to a breast cancer clinic.
  2. Mammogram and breast ultrasoundYou will be required to have a mammogram, as recommended by a specialist breast unit. This is an X-ray of the breasts. An ultrasound scan may also be required. Breast ultrasound should be undertaken only if you are less than 35 years of age. This is because, young women have denser breasts and a mammogram is not as effective as ultrasound in the diagnosis of breast cancer. In ultrasound, high frequency sound waves are used for obtaining an image of your breasts. It is observed to notice any abnormality or lumps. A breast ultrasound is also important for determining whether a lump is solid or contains liquid.
  3. BiopsyIn this diagnosis process, a sample of the tissue cells is taken from the breasts and tested under a microscope to find out if it is cancerous. A scan and needle test for the lymph nodes present in your armpit is also done to check whether they have also been affected. A biopsy is undertaken in several ways, depending upon the condition and severity. A needle aspiration biopsy is used for testing a sample of your breast cells without the removal of the tissues. This is the most common form of biopsy and it is also used for draining a small fluid-filled lump or benign cyst. During the process, you will be given a local anesthetic. Usually, a needle biopsy is carried out guided by an X-ray, ultrasound and an MRI scan as well. This helps in distinguishing it from non-invasive changes such as ductal carcinoma in situ.

Another form of biopsy used for the diagnosis of breast cancer is called vacuum assisted biopsy or mammotome biopsy. In this process, a needle gets attached to a suction tube, which helps in obtaining the sample and for clearing the bleeding. If you wish to discuss about any specific problem, you can consult a general-surgeon.

3014 people found this helpful

Endocrine Surgery - Must Know Facts About It!

Dr. Sourabh Aggarwal 90% (77 ratings)
MS - General Surgery
General Surgeon, Sri Ganganagar
Endocrine Surgery - Must Know Facts About It!

All the surgical operations performed on any of the endocrine glands come under the roof of endocrine surgery. Endocrine glands function as hormone secretor and have a major impact on the normal functioning of all the cells of body. Endocrine surgeons expertise in treating and operating either thyroid glands or parathyroid glands or adrenal glands or endocrine pancreas or neuro-endocrine glands. Duties of Endocrine surgeons range from initial diagnosis to examination of endocrine disorders. They further collaborate with pathologists, geneticists, radiologists, anesthetists and contribute in higher researches related to endocrine glands.

A brief about thyroid surgery
It is one of the most common endocrine surgeries. Symptoms that suggest a person shall undertake a thyroid surgery

  1. A lump which can be a malignant tumor in disguise. A fine needle biopsy of the lump is performed to detect the chances of tumor.
  2. goitre which may be indicated by hindrance in breathing, persistent coughand difficulty in wallowing. This may cause load on adjacent organs.
  3. A retrosternal goiter.

Following operations are performed during thyroid surgery

  1. Bilateral subtotal thyroidectomyFor eleminating major part of thyroid except both part of lobes.
  2. Hemithyroidectomy: For eleminating half of thyroid
  3. Total thyroidectomy: For exclusion of entire thyroid
  4. Removal of thyroid nodule: Cutting out a lump from the thyroid

The procedure for thyroid surgery

The patient undertaking thyroid surgery is given either general anesthesia or local anesthesia. The surgery starts with making an incision, in front of the neck. This cut is made at about 2 - 3cm above collarbone. Then the muscles are divided so that the thyroid can be cut out. This entire operation is to be carried out with utmost care and attention so that parathyroid glands and voice box are unharmed.

Complexities involved in thyroid surgery

  1. While undergoing a thyroid surgery, chances of experiencing chest infection, infection due to anesthetics,heart problems, blood clotting, cut infections still persist.
  2. If bleeding continues post the surgery, it may result in swollen throat. Normal breathing may also be hampered. If during the operation, the voice box is damaged, it may result in hoarseness of the voice.
  3. Damage to the parathyroid glands may cause decrement in level of calcium in blood.
  4. If the scar tissue grows abnormally, it may result in surgical scar.

Remedies for the above complications

  1. Effects due to the damage to the voice box can be diminished by utilizing speech therapy. An additional surgery of the vocal cords can also be an option.
  2. One can overcome the drop in the level of calcium by taking calcium and vitamin D tablets.
  3. Surgical scars can be treated with the aid of steroid injections or silicone gel tape.
2320 people found this helpful