What Causes Progressive Weakening Of Voice?

Posted on Fri, 30 Jan 2015

Question: I have been slowly losing my voice over the past three years. Currently barelyl audible on days. ENT doc showed my larynx to be quite ikay and there are days whenn for no reason I boom--then back to mousy voice. Am alsmost certain it has to do with phlegm coating as there always is a clear sense of this ( constantly aheming) Curious as to whether there might be medications that could help alleviate mucous issues. I am a XXXXXXX by the way an a retired professor of philosophy but have been inclined to 'ahem' for years when lecturing.Thank you\

Answered by Dr. Dr. Naveen Kumar Nanjasetty (1 hour later)

Brief Answer:
Try prokinetics & consult a good speech therapist.

Detailed Answer:
Hi

Thanks for posting the query

Progressive weakening of voice could be due to various reasons such as:
1. Age related changes in the structure of the vocal cords and the laryngeal framework.
2. Decreased vital capacity of the lungs.
3. Laryngo-pharyngeal reflux, secondary to the reflux of acid from the stomach into the throat.
4. Poor vocal cord hygiene.
5. Dehydration, etc.

Even though, the larynx looks normal on examination, various other factors need to be taken into consideration before arriving at a diagnosis.

My humble suggestions to you are:
1. Take frequent sips of warm water. Warm water keeps the mucosa hydrated and helps in easy movement of the vocal cords.
2. Do steam inhalation- Warm air reduces any congestion present over the vocal cords and the arytenoids.
3. Along with rabeprazole you need to take prokinetic such as metachlopromide or domperidone to prevent the acid reflux, if any.
4. Avoid excessive straining of voice.
5. Avoid chilled food/beverages/smoking/coffee.
6. Consult a voice therapist for identification and rectification of speech issues.

Hope I have answered your queries; I'll be available for the 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. Vinay Bhardwaj