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I'm a singer with a sore throat which has been around for 5…

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I'm a singer with...

I'm a singer with a sore throat which has been around for 5 weeks. There is no mucous (for the last few weeks) and no cough. As I sing it sort-of clouds over & I begin to croak. It's uncomfortable rather than painful. I've tried steam & agrgling

Doctor's Assistant: How long have you had the symptoms? Do you have a fever?

5 weeks. very slight fever or none at all

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

I tend to get something similar approx. every 18 months accompanied with Post Nasal Drip & then a cough.

Submitted: 9 months ago.Category: Medical
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Answered in 3 minutes by:
9/10/2017
Doctor: Dr. Arun Phophalia, Doctor replied 9 months ago
Dr. Arun Phophalia
Category: Medical
Satisfied Customers: 38,428
Experience: MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
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Doctor: Dr. Arun Phophalia, Doctor replied 9 months ago

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Doctor: Dr. Arun Phophalia, Doctor replied 9 months ago

You should be looked for;

1) Functional voice disorders

2) Infectious or allergic chronic laryngitis.

3) Thyroid dysfunction or disease.

In functional voice disorder, which occur in people who need to sing / speak for long hours or in loud voice; there is no anatomical larynx issue. Altered laryngeal muscle tension is suspected to result in altered laryngeal performance despite normal anatomy. Thus this is also termed as muscle tension dysphonia.This is treated by;

a) Vocal hygiene; avoid throat clearing, habitual loud speaking, habitual breath holding.
b) Avoid smoking if you do and any other toxic chemicals.
c) Acid reflux / Gastroesophageal reflux should be meticulously managed.
c) Plenty of fluid intake,
d) Medications with throat drying potential may be stopped.

Environmental pollutants and toxic products found in workplaces can cause chronic laryngitis. Infectious and allergic laryngitis is identified by following investigations;

a) MRI of larynx

b) Skin allergy test

c) Serologic markers for autoimmune disorders/ autoimmune panel.

d) Swab of the larynx, culture and sensitivities for bacteria, fungi, and viruses.

e) Sputum culture.

Chronic laryngitis is treated by;

1) Antibiotics

2) Anti allergic
3) Avoidance of fat, alcohol, and caffeine (if one does)

4) Avoid tobacco or smoking (if you do)

5) Avoid environment pollutants and irritants.
6) Steam inhalation
7) Room humidifier

8) Drinking plenty of liquids (2-3 liters a day).

Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

Thanks for using Just Answer.

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Doctor: Dr. Arun Phophalia, Doctor replied 9 months ago

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Doctor: Dr. Arun Phophalia, Doctor replied 9 months ago

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