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What Causes Sore Throat And Hoarseness When Diagnosed With Vocal Cord Nodules?
Question: Hello,
I have been suffering from allergic pharangitis for two yrs now. I have shown my condition to three ENTs... The first one said I have nodules in my vocal chords and the other two said I have a gap between my vocal chords. I am a 34 yr old woman without any children and went through a divorce two yrs ago. My throat hurts all the time and my voice changes and throat starts to hurt when I speak continuously in meetings. This is severely affecting my confidence and I really worry if I will get cured. Do you think I can completely heal my throat without a surgery? Thanks a lot
I have been suffering from allergic pharangitis for two yrs now. I have shown my condition to three ENTs... The first one said I have nodules in my vocal chords and the other two said I have a gap between my vocal chords. I am a 34 yr old woman without any children and went through a divorce two yrs ago. My throat hurts all the time and my voice changes and throat starts to hurt when I speak continuously in meetings. This is severely affecting my confidence and I really worry if I will get cured. Do you think I can completely heal my throat without a surgery? Thanks a lot
Brief Answer:
Stroboscopy.Voice rest,speech therapy,anti-allergy medications,steroids.
Detailed Answer:
Hi,
Thank you for your query.
1. A Stroboscopy will give an accurate diagnosis.
2. Vocal nodules usually do not cause pain, which can be attributed to the allergic pharyngitis and vocal strain. The phonatory gap can be due to the vocal nodules. There is a normal anterior phonatory gap in the female larynx.
3. Early vocal nodules are common and respond to voice rest, speech therapy, anti-allergic medication (such as cetirizine, fexofenadine with montelukast) and a short course of steroids (such as prednisolone 1mg/kg/day, tapering over 10 days, if not contraindicated). An anti-reflux medication (such as rabeprazole with levosulpiride) can be started. Surgery is not required for early vocal nodules if you strictly follow the medical regimen.
4. Allergy can be tested to reduce the burden of allergic pharyngitis. A post nasal drip of mucus should be ruled out.
5. Upload the Stroboscopy images or video for discussing further treatment options.
I hope that I have answered your query. If you have any more questions I will be available to answer them.
Regards.
Stroboscopy.Voice rest,speech therapy,anti-allergy medications,steroids.
Detailed Answer:
Hi,
Thank you for your query.
1. A Stroboscopy will give an accurate diagnosis.
2. Vocal nodules usually do not cause pain, which can be attributed to the allergic pharyngitis and vocal strain. The phonatory gap can be due to the vocal nodules. There is a normal anterior phonatory gap in the female larynx.
3. Early vocal nodules are common and respond to voice rest, speech therapy, anti-allergic medication (such as cetirizine, fexofenadine with montelukast) and a short course of steroids (such as prednisolone 1mg/kg/day, tapering over 10 days, if not contraindicated). An anti-reflux medication (such as rabeprazole with levosulpiride) can be started. Surgery is not required for early vocal nodules if you strictly follow the medical regimen.
4. Allergy can be tested to reduce the burden of allergic pharyngitis. A post nasal drip of mucus should be ruled out.
5. Upload the Stroboscopy images or video for discussing further treatment options.
I hope that I have answered your query. If you have any more questions I will be available to answer them.
Regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dear Dr. Bhatti,
I shall send you scanned copies of my reports, as suggested by you.
Thanks very much
I shall send you scanned copies of my reports, as suggested by you.
Thanks very much
Brief Answer:
Yes, you can upload them as and when they are done.
Detailed Answer:
Hi,
Thank you for writing back.
You can follow up here or directly at XXXX
Awaiting your reply,
Regards.
Yes, you can upload them as and when they are done.
Detailed Answer:
Hi,
Thank you for writing back.
You can follow up here or directly at XXXX
Awaiting your reply,
Regards.
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. Chakravarthy Mazumdar
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