What causes a tight feeling in the throat when speaking?

Under normal circumstances, tightness in the throat when speaking may be caused by factors such as overuse of the voice, emotional stress, acute pharyngitis, tonsillitis, or vocal cord paralysis. Treatment may include general management and medication under a doctor's guidance. Specific causes are analyzed as follows:

1. Voice Overuse

Speaking loudly for prolonged periods, singing, or shouting can cause excessive contraction of the vocal cord muscles, increasing friction on the vocal cords and triggering local inflammatory responses, leading to swelling and a sensation of tightness. It is recommended to reduce the intensity and frequency of voice use in daily life.

2. Emotional Stress

Emotional fluctuations, anxiety, or tension can lead to increased muscle tension in the larynx, causing a feeling of tightness when speaking. This can be alleviated through deep breathing, meditation, and relaxation exercises in daily life.

3. Acute Pharyngitis

Acute pharyngitis is an acute inflammation of the pharyngeal mucosa caused by bacterial or viral infections, resulting in congestion and swelling of the mucosa, which leads to the aforementioned symptoms. It may be accompanied by symptoms such as sore throat and dryness. Treatment under medical supervision may include medications such as cefaclor granules, amoxicillin capsules, or roxithromycin dispersible tablets.

4. Tonsillitis

Tonsillitis is an inflammation of the tonsil tissue, commonly caused by bacterial or viral infections. The inflammation may lead to swelling and congestion in the throat area, causing throat tightness. Symptoms may include sore throat and difficulty swallowing. Patients should follow medical advice and take medications such as Lanqin oral liquid, Jinlianhuakeli granules, or Pudilan anti-inflammatory tablets.

5. Vocal Cord Paralysis

Vocal cord paralysis is usually caused by nerve damage or disease. It affects the closure and vibration of the vocal cords, leading to hoarseness, difficulty speaking, and a sensation of tightness in the throat. Symptoms may include hoarseness and breathing difficulties. Medications such as mecobalamin tablets, acyclovir for injection, and methylprednisolone tablets may be prescribed under medical supervision.

In daily life, it is important to use the voice appropriately, avoid excessive shouting or prolonged loud speaking, and maintain emotional stability to minimize adverse stimulation to the throat and promote throat comfort and health.