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What Causes Horseness In Voice?

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Posted on Thu, 4 Dec 2014
Question: I have been continually becoming more horse. I have Acid reflux and do get severe heartburn. I also have scar tissue in esophagus. Could this be causing my hoarseness? I have to clear my throat more frequently also. I have also had a sore throat off and on.
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Answered by Dr. Dr. Naveen Kumar Nanjasetty (46 minutes later)
Brief Answer:
Acid reflux is the cause of your hoarseness...

Detailed Answer:
Hi

Thanks for posting the query

One of the prime cause of your hoarseness is the acid reflux. When the acid from the stomach regurgitates into the throat, the first part in the throat to get exposed are arytenoids and the vocal cords. Hence, there is irritation of the mucosa, followed by inflammation. Inflamed and edematous mucosa makes the vocal cords bulky, leading to hoarseness.

My suggestions to you are:
1. Drink plenty of warm water
2. Do steam inhalation - this will reduce edema over the vocal cords and makes the voice normal.
3. Try taking proton pump inhibitors such as omeprazole or pantoperazole, a prokinteic such as domperidone or metachlopramide. The former will reduce the production of the acid in the stomach whereas the latter prevents the regurgitation of the acid from the stomach into the throat.
4. Avoid those things which induces acidity.

With the above measures you will definitely feel better. Revert back to me if you have any follow-up queries.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
Dr.
Dr. Dr. Naveen Kumar Nanjasetty

Otolaryngologist / ENT Specialist

Practicing since :2001

Answered : 2543 Questions

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What Causes Horseness In Voice?

Brief Answer: Acid reflux is the cause of your hoarseness... Detailed Answer: Hi Thanks for posting the query One of the prime cause of your hoarseness is the acid reflux. When the acid from the stomach regurgitates into the throat, the first part in the throat to get exposed are arytenoids and the vocal cords. Hence, there is irritation of the mucosa, followed by inflammation. Inflamed and edematous mucosa makes the vocal cords bulky, leading to hoarseness. My suggestions to you are: 1. Drink plenty of warm water 2. Do steam inhalation - this will reduce edema over the vocal cords and makes the voice normal. 3. Try taking proton pump inhibitors such as omeprazole or pantoperazole, a prokinteic such as domperidone or metachlopramide. The former will reduce the production of the acid in the stomach whereas the latter prevents the regurgitation of the acid from the stomach into the throat. 4. Avoid those things which induces acidity. With the above measures you will definitely feel better. Revert back to me if you have any follow-up queries. Regards Dr. Naveen Kumar N. ENT and Head & Neck Surgeon