Practice diagnosis and treatment of hoarseness

2021-02-05 12:00 AM

Due to trying to talk a lot, talk loudly continuously for a while, excessively strain the small muscles of the larynx, such as speakers

Hoarseness, or sometimes muted (or muted) sounds, is a very common symptom associated with upper respiratory tract infections. The patient has a voice change, pronunciation is very difficult, a gossip is difficult to hear and sometimes no longer able to speak. Hoarseness usually appears only for a short time and will go away on its own, but sometimes it persists if the cause of the hoarseness is a serious untreated illness.


Due to trying to speak a lot, speak loudly continuously for a while, excessively strain the small muscles of the larynx, such as speakers, teachers, singers ... after long working sessions and trying too hard.

Upper respiratory tract infections, colds, pharyngitis ... lead to acute laryngitis, damaging the vocal cords in the larynx.

Chronic bronchitis.

Laryngeal irritation a lot and often due to smoking, drinking too much alcohol.

A displacement of the nasal septum, allergic rhinitis, or sinusitis causes mucus to enter the larynx and irritate the vocal cord polyps.

Hypothyroidism, due to tissue neogenesis on the vocal cords.

Diphtheria (in children), caused by inflammation that narrows the airways.

Very rare is laryngeal cancer.


Pay attention to any accompanying symptoms to determine the cause. If hoarseness persists, the patient should be referred to a specialist in time to promptly detect serious causes, if any. The following tests are often needed in diagnosing the cause of hoarseness:

Complete blood count.

Chest X-ray.

Check liver function.

Cases of hoarseness lasting more than 3 weeks of unknown cause should be referred to a specialist for a diagnosis to rule out the possibility of laryngeal cancer (usually laryngoscopy is required).


Treatment depends on the identified cause of hoarseness.

In most cases, the vocal cords always need rest, so it is advisable that the patient is quiet or quiet for a while. If only the hoarseness is caused by the vocal cords overworked then this is the only measure to take.

Advise patient to stop or limit smoking or drinking alcohol.