Throat · General information

Hoarseness & voice changes

Hoarseness is a change in the voice: it may sound rough, strained, breathy or weak. It is often temporary, for example after a cold, but lasting changes should be checked.

Common symptoms

  • A rough, raspy or breathy voice
  • Voice tiring quickly, or loss of vocal range
  • Throat discomfort when speaking
  • Frequent throat clearing

Common causes

  • Laryngitis, often after a cold
  • Voice overuse or strain
  • Acid reflux
  • Smoking
  • Growths on the vocal cords (such as nodules or polyps), nerve problems, or, rarely, more serious conditions

When to see an ENT specialist

  • Hoarseness lasts longer than 3 weeks, especially if you smoke
  • It keeps coming back
  • You rely on your voice for work
  • It comes with a sore throat, ear pain or a lump in the neck

Seek urgent medical care if

  • Difficulty breathing or noisy breathing
  • Coughing up blood, or difficulty swallowing

How it is usually assessed

An ENT specialist will usually examine the voice box (larynx) with a small camera passed through the nose or mouth. The examination is quick and is done in the clinic.

General management

Management depends on the cause. It may include voice rest, staying well hydrated, treating reflux, voice therapy, and, for some vocal cord conditions, surgery. Stopping smoking helps protect the voice.

This page provides general information only. It is not medical advice, a diagnosis or a treatment plan, and it does not describe the specific services of any doctor. Please consult a doctor about your own situation.

Dr. Ali Alakbar Samahaد. علي الأكبر سماحةД-р Али Алакбар Самаха

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