What is voice problems?

Typically, symptoms that mean you may have a voice problem include:

• A low, raspy, or rough voice.
• Hoarseness that continues for more than 2 or 3 weeks.
• Trouble swallowing or breathing.
• Coughing or choking when you swallow.
• Frequent throat clearing or the sensation that you have a lump in your throat.

For many voice problems, resting your vocal cords is all that is needed, although this can be difficult for some people. If you have a more serious or chronic voice problem, you may need medicines, surgery, voice therapy, or a combination of these. Treatment frequently succeeds in restoring the voice to normal. But it may take some time for your voice to return to normal, depending on the severity and cause of your voice problem.

Your doctor can usually diagnose a voice problem using information from a medical history and by doing a physical exam. Other tests may be done to evaluate vocal cord vibration or to detect suspicious areas in your throat. Additional testing doesn't necessarily mean you have a serious voice problem—it just helps your doctor pinpoint the cause of your voice problem.

There are things you can do to take care of your voice.

• Drink plenty of water to keep your throat moist. If you have kidney, heart, or liver disease and have to limit fluids, talk with your doctor before you increase the amount of fluids you drink.
• Do not smoke. Smoking can make your voice raspy and can increase your risk of throat cancer. If you need help quitting, talk to your doctor about stop-smoking programs and medicines. These can increase your chances of quitting for good.
• Use a vaporizer or humidifier to add moisture to your bedroom. Follow the directions for cleaning the machine.
• Rest your voice when it is irritated. Use email, send text messages, or write notes when you can.
• When you do talk, speak at a moderate volume. Don't whisper. It can be hard on your voice. And try not to talk loudly or shout.

You might be one of those people who gets laryngitis every time you get the common cold. This is temporary and usually not serious. If your voice problem is accompanied by a cold and goes away within 2 to 3 weeks after your cold or flu is gone, it's probably nothing serious. If you feel concerned, you may want to see your doctor just to make sure.

But when unexplained changes in your voice continue for more than 2 or 3 weeks or interfere with your ability to communicate, you may have a more serious problem. For some people, the changes might get better but then reappear.

If you notice a change in your voice or if your voice problems get better but then come back, it's worth making an appointment with your doctor for further evaluation.

Anyone can develop a voice problem, but your risk is greatest if your job puts a high demand on your vocal cords. For example, singers, preachers, and teachers have high-risk jobs. Aging also strains the vocal cords. If you scream or talk loudly, you increase your risk for voice problems. If you have ever had surgery on or near your vocal cords, are a smoker, or have had throat cancer, your risk for developing scar tissue and future voice problems increases as well.

Voice problems usually include pain or discomfort when you speak or difficulty controlling the pitch, loudness, hoarseness, or quality of your voice.

As you exhale, air gently passes through your throat, across your open vocal cords, and out your mouth and nose. When you speak, your vocal cords close partially as air travels through them, causing vibrations and the unique sound of your voice. Your voice is the result of remarkable and complex interactions involving several body parts—especially the lungs, voice box (larynx), and mouth. Damage to any of these body parts can lead to a voice problem.