[45F] Experiencing loss of voice and dry cough

Patient Description

A 45-year-old female presents with a loss of voice, described as a dry throat with occasional low voice, ongoing for a month with a severity of 7 out of 10. The patient also reports a dry cough for two weeks, rated at a severity of 5 out of 10, which worsens with physical activity. No relief measures for the loss of voice have been found, and no fever is present. The patient has no known allergies, no current medications, and no past medical history of chronic illnesses or conditions.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, the following conditions may be possible:

  • Laryngitis: This is inflammation of the voice box from overuse, irritation or infection. It can be caused by a viral infection or by straining the voice. In your case, the prolonged voice loss and dry cough could be indicative of this condition.

    • Treatment for laryngitis usually involves resting your voice and drinking plenty of fluids. If a bacterial infection is causing your laryngitis, your doctor may recommend antibiotics.
  • Vocal cord nodules or polyps: These are noncancerous growths on the vocal cords that can cause voice changes. They often result from overuse of the voice, but can also be caused by long-term exposure to irritants such as smoke or allergens.

    • Treatment usually involves voice therapy, but in some cases, surgical removal may be necessary.
  • Gastroesophageal reflux disease (GERD): This is a chronic condition where stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus). This backwash (acid reflux) can irritate the lining of your esophagus and potentially affect your voice.

    • Treatment for GERD typically involves lifestyle changes and over-the-counter medication. If these don't help, your doctor may recommend prescription medication or surgery.

What you can do

While waiting for your appointment with a healthcare professional, here are some things you can do to help manage your symptoms:

  1. Rest your voice as much as possible. Avoid shouting or whispering, as both can strain your voice.
  2. Stay hydrated. Drink plenty of water to keep your throat moist and reduce symptoms of throat dryness and irritation.
  3. Use a humidifier to moisten your home's air.
  4. Avoid dehydrating substances like caffeine and alcohol.
  5. Avoid clearing your throat. This can cause further irritation and harm to your vocal cords.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Difficulty breathing or swallowing
  • Coughing up blood
  • A high fever or severe pain
  • Symptoms that last for more than two weeks despite self-care measures

Remember, this advice is intended to be general in nature, and specific causes may not apply to your personal circumstances. Always consult with a healthcare provider for appropriate examination, diagnosis, and treatment.

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11 mo ago

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People Also Ask


What are the common causes of a prolonged loss of voice?

Prolonged loss of voice can be caused by laryngitis, vocal cord nodules or polyps, and gastroesophageal reflux disease (GERD). It can also result from overuse of the voice, infections, or exposure to irritants.


How can laryngitis be treated at home?

Laryngitis can often be managed at home by resting your voice, staying hydrated, using a humidifier, and avoiding irritants like smoke. If symptoms persist, it's important to consult a healthcare provider.


What are vocal cord nodules and how are they treated?

Vocal cord nodules are noncancerous growths that can develop from overuse of the voice or exposure to irritants. Treatment typically involves voice therapy, and in some cases, surgical removal may be necessary.


Can GERD affect my voice and what are the treatment options?

Yes, GERD can affect your voice by causing irritation from stomach acid reflux. Treatment options include lifestyle changes, over-the-counter medications, and possibly prescription medications or surgery if symptoms persist.


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