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Conditions

Hoarseness and voice change

A persistently hoarse, rough or weak voice.

Hoarseness is a change in the voice that makes it rough, breathy or weak. Most short-lived hoarseness follows a cold and settles on its own. A hoarse voice lasting more than three weeks should be examined, particularly in people who smoke.

Common causes

  • Viral infection or overuse of the voice
  • Acid reflux irritating the voice box
  • Nodules or polyps on the vocal cords
  • Less commonly, growths that need to be excluded

Assessment and treatment

The voice box is examined, usually with a fine flexible camera passed through the nose. Treatment depends on the cause and may include voice care, treating reflux, speech and language therapy, or surgery in selected cases.

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This page is general information and not a substitute for individual medical advice.