Hi, These are the symptoms I found. Previously I worked as a teacher. Currently I am working as a medical coder. As doctors suggested everything is clear. Could you please suggest any medicine. I am from Vizag. It is very difficult for me to travel. Please do the needful. Change in pitch Reduced pitch range Difficulty in speaking loudly / softly Pain / scratchy feeling in the throat while or after speaking Repeated sore throats / chronic throat irritation. Need to clear the throat frequently Breaks in the voice Feeling of lump in the throat Tremors or shakiness in the voice Strained strangled quality to your voice Voice drops to a whisper as you speak Voice use is effortful. Mostly I am taking more breath while talking and aspiration and sometimes getting sweat while speaking Mostly I am taking more breath while talking and aspiration and sometimes getting sweat while speaking.