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Arsene Lavaux Santonacci, December 6 2023

How to 'get my voice back': Comprehensive Guide for Vocal Recovery

Losing your voice unexpectedly, or not, is not something that you don't want to turn around. Whether it's due to chronic laryngitis, issues with vocal cords, persistent hoarseness, or any other underlying reason, it's crucial to explore solutions other than just maintaining silence.  Beyond the reason why our raison d'être at SilenceSilence.ai, Richard Colantuono, lost his voice - you can read our story for more on Richard's voice disorder - let's delve into various factors that could lead to voice loss and explore ways that could help you silence your silence.

Chronic Laryngitis

Chronic laryngitis, characterized by prolonged inflammation of the larynx, often results in hoarseness or complete voice loss.  This condition might stem from viral infections, overuse of the voice, or exposure to allergens or pollutants.

Solution: While rest is typically recommended, absolute silence might not be the ideal solution. Instead, consider gentle vocal exercises and staying hydrated to alleviate the inflammation.  Employing a humidifier can add moisture to the air, providing relief and easing discomfort in the affected area.

Can laryngitis heal overnight?

Laryngitis typically does not heal overnight, as it is an inflammation of the voice box (larynx) caused by infection, overuse, or irritation. The healing process can take anywhere from a few days to a few weeks, depending on the severity of the inflammation and the underlying cause.  It is important to rest your voice and avoid straining it by talking too much, shouting, or whispering.  Drinking plenty of fluids, using a humidifier, and taking over-the-counter pain relievers can also help ease symptoms and speed up the healing process. If your symptoms persist or worsen, it is best to see a doctor for further evaluation and treatment.

Do I need antibiotics for laryngitis?

Most cases of laryngitis are viral and do not require antibiotics since viruses do not respond to antibiotics. Antibiotics are only effective against bacterial infections, which are rare causes of laryngitis.

The best treatment for most cases of laryngitis is to rest your voice and give your vocal cords time to heal. Drink plenty of fluids (non-caffeinated and non-alcoholic) to keep your throat and vocal cords moisturized. Using a humidifier or steam inhalation can also help soothe your throat.

If your laryngitis is caused by acid reflux or gastroesophageal reflux disease (GERD), your doctor may prescribe antacids to neutralize stomach acid and reduce irritation of your vocal cords.

In rare cases, your doctor may prescribe antibiotics if your laryngitis is caused by a bacterial infection or if you are at risk for complications from a weakened immune system or other medical conditions.

It is important to see your doctor if you have symptoms of laryngitis that persist for more than two weeks, have difficulty swallowing, or have severe pain while talking or swallowing.

Vocal Cord Challenges

Problems related to the vocal cords, such as acute or chronic laryngitis, can significantly impact voice quality. Acute laryngitis typically resolves within a few days, but chronic cases might necessitate medical attention due to prolonged inflammation.

Solution: Apart from resting the voice, consider engaging in vocal therapy. Collaborating with a speech therapist can enhance voice quality and strengthen the vocal cords. Additionally, maintaining adequate hydration and steering clear of irritants like smoking or excessive caffeine intake can aid in the recovery process.

Persistent Hoarseness and Voice Disorders

Persistent hoarseness, often a symptom of underlying voice disorders like vocal cord nodules, polyps, or even vocal cord paralysis, requires attention.

Solution: Seeking medical advice is imperative if hoarseness persists. Voice therapy or sessions with speech-language pathologists can provide tailored exercises to enhance vocal quality. In more severe cases, such as vocal cord paralysis, treatment might involve surgical procedures or specialized therapies.

What are the main voice disorders?

Here are some of the main voice disorders:

Dysphonia

Dysphonia is a term used to describe any voice disorder that affects the quality or sound of the voice. It can be caused by a variety of factors, including vocal cord nodules, laryngitis, acid reflux, or neurological conditions such as ALS.

Aphonia

Aphonia is the loss of voice due to injury or illness affecting the vocal cords. It can result from conditions such as ALS, vocal cord paralysis, or laryngectomy (surgical removal of the larynx).

Spasmodic dysphonia

Spasmodic dysphonia is a neurological disorder that causes involuntary movements of the vocal cords, leading to difficulty speaking or vocal tremors.

Vocal cord paralysis

Vocal cord paralysis occurs when one or both of the vocal cords don't move properly, leading to hoarseness, breathiness, or a weak voice.

Muscle tension dysphonia

Muscle tension dysphonia is a voice disorder caused by tension in the muscles surrounding the vocal cords. This tension can lead to hoarseness, effortful speaking, or vocal fatigue. 

Apraxia of speech

Apraxia of speech is a motor speech disorder that occurs when there is damage to the parts of the brain responsible for coordinating the movements of the lips, tongue, and jaw. This can make it difficult to plan and coordinate the movements necessary for speech production.

Dysarthria

Dysarthria is a motor speech disorder caused by damage to the brain areas that control muscle movement. It can affect the muscles used in speech, making it difficult to articulate words and speak clearly.

Voice tremor

Voice tremor is a type of dysarthria that is characterized by an involuntary shaking or tremor of the voice. It can be caused by damage to the part of the brain that controls the muscles of the vocal cords or by damage to the nerves that control these muscles.

Mutism

Mutism is the inability to speak due to damage to the brain areas responsible for speech production. It can occur after a stroke that affects the brain areas responsible for speech.

Vocal fold paresis or paralysis

Strokes can also cause damage to the nerves that control the muscles of the vocal cords, leading to vocal fold paresis or paralysis. This can cause hoarseness or breathiness in the voice.

ALS

ALS or Amyotrophic lateral sclerosis is a neurodegenerative disease that affects the nerves that control muscle movement, including those responsible for speech and voice. ALS can lead to voice changes, difficulty speaking, or even voice loss.

What takes away a hoarse voice?

There are several things you can do to get rid of a hoarse voice:

Rest your voice

Give your vocal cords a break by not speaking or whispering for a while. Avoid talking loudly, singing, or yelling, as this can further irritate your vocal cords.

Drink plenty of fluids

Keep your vocal cords hydrated by drinking lots of water and other non-caffeinated, non-alcoholic beverages. Avoid sugary or carbonated drinks, which can irritate your throat.

Use a humidifier

Dry air can cause or worsen hoarseness. A humidifier can add moisture to the air and help keep your vocal cords healthy.

Avoid irritants

Stay away from smoking, secondhand smoke, and other irritants such as dust or chemicals that can irritate your throat.

Gargle with salt water

Mix a teaspoon of salt with a cup of warm water and gargle a few times a day. This can help reduce swelling and inflammation in your throat.

Take over-the-counter medication

Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or acetaminophen can help relieve pain and reduce inflammation in your throat.

See a doctor

If your hoarseness persists for more than a week or is accompanied by other symptoms such as difficulty breathing, swallowing, or a fever, you should see a doctor. They can help determine the underlying cause and recommend appropriate treatment.


 Can lemon cure hoarse voice?

Lemon may help relieve some symptoms of a hoarse voice, but it is not a cure for it. Lemon contains citric acid, which can help break up mucus and clear phlegm in the throat. It can also help soothe soreness and irritation in the throat. However, lemon juice is highly acidic and can further irritate the throat, making hoarseness worse in some cases.

Drinking warm lemon water mixed with honey or gargling with a tablespoon of lemon juice mixed in warm water may help soothe your voice and provide temporary relief for some symptoms of hoarseness. However, it is important to drink plenty of fluids and take other measures to protect and heal your vocal cords, such as rest, hydration, avoiding irritants, and seeking medical treatment if necessary.


When should you be worried about a hoarse voice?

While a hoarse voice can be a common symptom of a minor respiratory or vocal cord problem, there are some cases where it could indicate a more serious condition that requires immediate medical attention. Here are some situations where you should be worried about a hoarse voice:

1. If your hoarseness persists for more than two weeks without any improvement even with rest and treatment.

2. If you experience difficulty breathing, chest pain, or coughing up blood.

3. If you have a history of smoking, and your hoarseness occurs for the first time or does not improve despite treatment.

4. If you have trouble swallowing, or feel like something is stuck in your throat.

5. If your voice has suddenly become much lower than usual, and you can’t sing or speak as high as you used to or change pitch easily.

6. If you have had throat or neck surgery, and you develop hoarseness.

7. If you're coughing up blood or have blood in your urine or stool.

If you are experiencing any of the above symptoms, it is important to seek medical attention immediately. Your doctor can help determine the underlying cause of your hoarseness and provide appropriate treatment.


 Can you have a croaky voice without a sore throat?

Yes, it's possible to have a croaky or hoarse voice without experiencing a sore throat. A croaky or hoarse voice is often caused by inflammation of the vocal cords. This inflammation can be due to various factors, such as viral infections, allergies, acid reflux, overuse of the voice, or smoking.

Sometimes, a croaky or hoarse voice may be the only symptom present, without any other accompanying symptoms. In such cases, rest and hydration of the vocal cords may help relieve the symptoms. Drinking plenty of water, avoiding smoking or other irritants, and resting your voice can help improve the condition. However, if the hoarseness persists or worsens or is accompanied by other symptoms such as difficulty swallowing, difficulty breathing, coughing, or fever, you should see a doctor for further evaluation and treatment.


Home Remedies and Vocal Care

While home remedies like gargling with warm salt water or drinking herbal teas with honey offer temporary relief for mild voice issues, they might not suffice for persistent problems.

Solution: Consulting an otolaryngologist (ear, nose, and throat specialist) or a speech therapist can offer personalized solutions for persistent voice issues that surpass the scope of home remedies.

While periods of vocal rest are commonly advised, complete silence might not always be the most effective approach. Gentle vocal exercises, adequate hydration, proper vocal care, and seeking professional advice when necessary can serve as more impactful solutions to restore and sustain a healthy voice.

Can a lost voice go away overnight?

A lost voice or temporary voice loss typically does not go away overnight. That's one of the 10 common misconceptions about voice loss.  The duration of voice loss depends on the underlying cause of the condition. In most cases, voice loss is caused by inflammation or irritation of the vocal cords, which can take several days or even weeks to heal.

Voice Overuse

Overexerting the voice through constant shouting, prolonged periods of loud speaking, or improper singing techniques can lead to temporary voice loss or hoarseness.

Solution: Vocal rest is typically recommended in such instances. However, along with rest, practicing proper vocal techniques is essential. Learning adequate breathing techniques, modulation of voice, and using amplification tools like microphones during extended speaking engagements can prevent voice strain.

Allergies and Irritants

Allergens and air pollutants can irritate the vocal cords, causing hoarseness or voice issues.

Solution: Identifying and avoiding allergens when feasible is crucial. Additionally, using air purifiers and maintaining hydration levels can mitigate the impact of irritants on your voice.

Acid Reflux and GERD

Gastroesophageal reflux disease (GERD) or acid reflux can lead to throat irritation and voice problems due to stomach acid reaching the throat.

Solution: Managing GERD through dietary adjustments, avoiding acidic or spicy foods, elevating the head during sleep, and seeking medical treatment can prevent voice issues linked to acid reflux.

Vocal Cord Nodules or Polyps

Repetitive vocal strain or misuse can result in the formation of nodules or polyps on the vocal cords, affecting voice quality.

Solution: Addressing these issues typically involves medical intervention. While severe cases might require surgery, vocal therapy can also aid in recovery by providing exercises and techniques that prevent further damage.

Vocal Cord Paralysis

Damage to the nerves controlling the vocal cords can lead to vocal cord paralysis, impacting voice production.

Solution: Treatment options include speech therapy to learn compensatory techniques, surgical procedures to reposition the vocal cords, or nerve reinnervation, aiming to restore vocal cord function and improve voice quality.

Psychological Influences

Stress, anxiety, or psychological factors can manifest as voice issues, resulting in functional dysphonia.

Solution: Addressing underlying psychological stress through counseling, stress management techniques, or cognitive behavioral therapy can significantly enhance voice quality in such cases.


Professional Voice Users

Individuals in professions demanding extensive voice use (e.g., teachers, singers, broadcasters) must maintain vocal health.

Solution: Regular vocal exercises, maintaining hydration, ensuring adequate rest, and employing techniques taught by speech therapists can prevent voice fatigue and uphold vocal health in professional voice users.

Find the right way to silence your silence

Understanding the multifaceted reasons behind voice loss and implementing comprehensive solutions is crucial for managing and preventing voice-related issues. Every case might necessitate a tailored approach, from vocal rest to professional interventions. Seeking guidance from medical professionals, speech therapists, or ENT specialists ensures accurate diagnosis and effective treatment for voice problems.

Remember, while silence might serve as a short-term solution for vocal rest, adopting proactive measures and seeking appropriate interventions can contribute to improved long-term vocal health and a stronger, clearer voice.

You can also request a SilenceSilence™ VIP Pass and see for yourself how our new AI solution can help you get your voice back and hold conversations in your own voice.

If you found this article helpful you may also want to read "10 Common Misconceptions About Voice Loss: Busting Myths and Uncovering Truths" and even "Why Do We Lose Our Voice? The Surprising Causes for Losing Voice".

Written by

Arsene Lavaux Santonacci

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