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Laryngitis is an inflammation
of the voice box, or larynx (say "LAIR-inks"), that causes your voice to become raspy or hoarse.
be short-term or long-lasting (chronic). Most of the time, it comes on quickly
and lasts no more than 2 weeks.
Chronic symptoms are those that
last 2 weeks or longer. Check with your doctor if your symptoms last longer than
2 weeks. Your laryngitis may be caused by more severe problems.
Laryngitis can be caused
Acid reflux is the most common cause of chronic
laryngitis. But chronic laryngitis may be caused by more severe problems such
as nerve damage, sores,
polyps, cancer, or hard and thick lumps (nodules) on your
vocal cords. The vocal cords are the vibrating elastic bands inside the larynx that
produce your voice.
Some hoarseness may occur naturally with age
as your vocal cords loosen and grow thinner.
The main symptom of
laryngitis is hoarseness. Your voice may sound raspy, be deeper than normal, or
break now and then. You may lose your voice completely. Other symptoms may
include a dry or sore throat, coughing, and trouble swallowing.
More severe symptoms may mean there is another problem.
A doctor can
identify laryngitis by doing a physical exam that will probably include feeling
your neck for sensitive areas or lumps and checking your nose, mouth, and
If you have voice problems and
hoarseness that don't have an obvious cause and that last longer than 2 weeks, your doctor may refer you to a specialist (otolaryngologist). The way
your vocal cords look and the sound of your voice will help the specialist find
out if your laryngitis will go away on its own or if you need treatment.
With most cases of laryngitis,
home treatment is all that you need.
If acid reflux (GERD) is causing your laryngitis, you may need to take steps to reduce the reflux.
Chronic laryngitis may need more treatment. For example, if you keep getting
laryngitis because of a problem with the way you talk or sing, you may need
speech training. This can help you change habits that can cause laryngitis. It
can also help your larynx heal.
You may need surgery if your vocal
cords have been damaged, such as by sores or
Learning about laryngitis:
The American Academy of Otolaryngology is a society of doctors who
treat ear, nose, and throat conditions. The organization provides information
on a variety of ailments, including dizziness and motion sickness, allergies,
and sinus problems.
The National Institute on Deafness and Other
Communication Disorders, part of the U.S. National Institutes of Health,
advances research in all aspects of human communication and helps people who
have communication disorders. The website has information about hearing,
balance, smell, taste, voice, speech, and language.
Other Works Consulted
Akst L (2011). Hoarseness and laryngitis. In ET Bope et al., eds., Conn's Current Therapy 2012, pp. 223–228. Philadelphia: Saunders.
Caserta MT (2005). Acute laryngitis. In GL Mandell et al., eds., Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases, 6th ed., vol. 1, pp.758–759. Philadelphia: Elsevier/Churchill Livingstone.
Cherry JD (2009). Croup (laryngitis, laryngotracheitis, spasmodic croup, laryngotracheobronchitis, bacterial tracheitis, and laryngotracheobronchopneumonitis). In RD Feigin et al., eds., Feigin and Cherry's Textbook of Pediatrics Infectious Diseases, 6th ed., vol. 1, pp. 254–268. Philadelphia: Saunders Elsevier.
Koufman JA, Belafsky PC (2003). Infectious and inflammatory diseases of the larynx. In JB Snow, JJ Ballenger, eds., Ballenger's Otorhinolaryngology Head and Neck Surgery, 16th ed., pp. 1185–1217. Hamilton, ON: BC Decker.
Rubin MA, et al. (2012). Pharyngitis, sinusitis, otitis, and other respiratory tract infections. In DL Longo et al., eds., Harrison's Principles of Internal Medicine, 18th ed., vol. 1, pp. 255–267. New York: McGraw-Hill.
Schwartz SR, et al. (2009). Clinical practice guideline: Hoarseness (dysphonia). Otolaryngology-Head and Neck Surgery, 141: S1–S31.
October 9, 2012
Adam Husney, MD - Family Medicine & Donald R. Mintz, MD - Otolaryngology
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