Voice becoming increasingly hoarse

May 25, 2023 Source: Cainiu Health

Dr. Xu Gang

Introduction

In general, a progressively hoarse voice may be caused by physiological changes, improper voice use, pharyngitis, abnormal nerve control of the vocal cords, or laryngeal cancer, and requires symptomatic treatment. During puberty, hormonal changes in the body can lead to voice changes, including increasing hoarseness, which is usually a normal physiological phenomenon.

Generally, a progressively hoarse voice may result from physiological changes, improper voice use, pharyngitis, abnormalities in the nerves controlling the vocal cords, or laryngeal cancer, among other causes. Appropriate treatment should be administered based on the specific cause. The details are as follows:

1. Physiological changes

During puberty, hormonal changes in the body can lead to voice alterations, including increasing hoarseness. This is usually considered a normal physiological phenomenon.

2. Improper voice use

Extended speaking or loud singing may damage the vocal cords, causing the voice to become progressively hoarser. Reducing the frequency of voice use in daily life can help alleviate symptoms.

3. Pharyngitis

Pharyngitis may lead to proliferative diseases of the vocal cords, resulting in hoarseness. Under medical guidance, medications such as Pudilan Xiaoyan Tablets, Lanqin Oral Liquid, or Yinhuan Granules may be used for treatment.

4. Abnormalities in vocal cord innervation

Nerve dysfunction affecting the vocal cords may restrict movement of one vocal cord, or even cause it to become fixed, leading to progressive hoarseness. Treatment options include hospital-based nebulized inhalation therapy or oral antibiotics prescribed by a doctor, such as Cefdinir tablets or Azithromycin tablets.

5. Laryngeal cancer

Early-stage laryngeal cancer may also present with hoarseness. Treatment depends on disease severity. Early-stage laryngeal cancer may be treated with laser therapy, low-temperature plasma surgery, or open partial laryngectomy. If cervical lymph node metastasis occurs, neck lymph node dissection is also required. In cases of significant lymph node metastasis, radiotherapy, chemotherapy, and targeted therapy may be needed in addition.

If symptoms are severe, patients are advised to seek timely medical attention to avoid delays in diagnosis and treatment. It is also important to maintain healthy lifestyle habits and avoid spicy or irritating foods, which may hinder recovery.

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