Voice strain; Dysphonia; Loss of voice
Hoarseness refers to a difficulty making sounds when trying to speak. Vocal sounds may be weak, breathy, scratchy, or husky, and the pitch or quality of the voice may change.
Hoarseness is most often caused by a problem with the vocal cords. The vocal cords are part of your voice box (larynx) located in the throat. When the vocal cords become inflamed or infected, they swell. This can cause hoarseness.
The most common cause of hoarseness is a cold or sinus infection, which most often goes away on its own within 2 weeks.
A rare but serious cause of hoarseness that does not go away in a few weeks is cancer of the voice box.
Hoarseness may be caused by:
Less common causes include:
Things you can do at home to help relieve the problem include:
Call your provider if:
The provider will examine your throat, neck, and mouth and ask you some questions about your symptoms and medical history. These may include:
You may have one or more of the following tests:
Choi SS, Zalzal GH. Voice disorders. In: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Head and Neck Surgery. 6th ed. Philadelphia, PA: Elsevier Saunders; 2015:chap 203.
Flint PW. Throat disorders. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 429.
Stachler RJ, Francis DO, Schwartz SR, et al. Clinical Practice Guideline: Hoarseness (Dysphonia) (Update). Otolaryngol Head Neck Surg. 2018;158(1_suppl):S1-S42. PMID: 29494321 www.ncbi.nlm.nih.gov/pubmed/29494321.BACK TO TOP
Review Date: 11/4/2018
Reviewed By: Josef Shargorodsky, MD, MPH, Johns Hopkins University School of Medicine, Baltimore, MD. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
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