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Voice Disorders

Voice Disorders

Description

"Voice disorders" allows a general approach to include several disorders, under a single heading. We are able to detect subtle changes in someone’s voice, even over the telephone, causing us to inquire whether the person is feeling well?

Most of the time, any disorder, usually hoarseness, or the so-called “lost voice” (dysphonia), is temporary and associated with an underlying illness: colds, cough etc.

Problems may also become chronic, or permanent (aphonia).

Causes

Typically, this may involve inflammation affecting the voice box (larynx hence “laryngitis”), or a strain of the vocal cords.

A chronic condition can occur in singers, if they smoke, strain their voice, or perform frequently in smoky nightclubs.

Occasionally, trauma is involved, as with wrestlers or baseball players who are struck hard in the throat. Some surgical procedures remove the voice box, as in throat cancer, or sever the nerves during other procedures in the same vicinity e.g. thyroidectomy.

A laryngoscopic investigation can also reveal the presence of polyps.

Signs & Symptoms

We have all heard someone develop a husky, croaking voice, perhaps unable to rise above a whisper.

If it is our teacher, we may delight in our good fortune!

When there is a simple reason for it, the condition clears up rapidly. If it recurs, or becomes chronic, or even permanent, it involves a more serious disease process.

Nutritional Supplements

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General Supplements
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Garlic*
Propolis (lozenges)*
Shark Cartilage*
Vitamin C500 mg hourly
VItamin E400 IU
Zinc Gluconate (lozenges)



*Please refer to the respective topic for specific nutrient amounts.

Note: All amounts are in addition to those supplements having a Recommended Dietary Allowance (RDA). Due to individual needs, one must always be aware of a possible undetermined effect when taking nutritional supplements. If any disturbances from the use of a particular supplement should occur, stop its use immediately and seek the care of a qualified health care professional.

Dietary Considerations

Recommendations often include avoiding sweetened or fried foods, to allow healing to take place.

Drinking lemon (or other citrus fruit) juice and water is an old standby both as a standard beverage and a gargle.

Broths are also helpful.

Homeopathic Remedy

DescriptionRemedy
Hoarseness after damp weatherCarbo vegetabilis
Laryngitis:
Barking cough & tickling throatDrosera rotundifolia tinct.
Hard dry cough and loss of voicePhosphorus ruber



Treatment Schedule

Over-the-counter homeopathic remedies may be single strength (of fairly weak potency e.g. 6X ) or a blend of several weaker strengths (6X, 8X, 10X).

This may comprise a single remedy, or several remedies.

Doses are administered on a 3 times daily (tid), between meals,schedule and continued for 3 days.

Liquid preparations usually use 8-10 drops per dose.

Solid preparations are usually 2 or 3 pellets per dose.

Children use 1/2 dose i.e. 1 pellet.

If there is aggravation of the symptoms, stop taking the remedy and consult a homeopath.

References

Murphy, R. : Homeopathic Medical Repertory. Hahneman Academy, Pagosa Springs, Colorado. 1993.

Murphy, R. : Lotus Materia Medica. Hahneman Academy, Pagosa Springs, Colorado. 1995.

Pert, J.C.: Homeopathy for the Family. The Homoeopathic Development Foundation, London. 1985 edition.

Tissue Salts

Hoarseness:

Calc. Phos.albuminous (egg-white) phlegm;
Ferr. Phos.painful, speakers, singers;
Kali Mur.huskiness, from cold;


Herbal Approaches

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Herbs
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Chamomile
Ginseng
Goldenseal
Sage
Tea Tree Oil (throat spray)
White Oak Bark

Laryngitis

Echinacea
Goldenseal
Licorice root

Note: The misdirected use of an herb can produce severely adverse effects, especially in combination with prescription drugs. This Herbal information is for educational purposes and is not intended as a replacement for medical advice.

Aromatherapy - Essential Oils

"Hoarseness":

Clary Sage Essence,Cypress Essence,
Lavender Essence,Myrrh Essence,
Pepper Essence,Rose Essence,
Sandalwood Essence,Tea Tree Essence.



Related Health Conditions

Laryngitis
Sore Throat
Strep Throat

Abstracts

References

Ackermann, H &; Ziegler, W: Acoustic analysis of vocal instability in cerebellar dysfunctions. Ann Otol Rhinol Laryngol 1994 Feb;103(2):98-104.

Cohn, JR et al: Vocal disorders and the professional voice user: the allergist's role. Ann Allergy Asthma Immunol 1995 May;74(5):363-73; quiz 373-6.

Dromey, C et al: Phonatory and articulatory changes associated with increased vocal intensity in Parkinson disease: a case study. J Speech Hear Res 1995 Aug;38(4):751-64.

Elias ME et al.., Normal strobovideolaryngoscopy: variability in healthy singers. J Voice, 1997 Mar, 11:1, 104-7.

Gordon MT et al., Predictive assessment of vocal efficiency (PAVE). A method for voice therapy outcome measurement. J Laryngol Otol, 1997 Feb, 111:2, 129-33.

Higgins, MB et al: Physiological assessment of speech and voice production of adults with hearing loss. J Speech Hear Res 1994 Jun;37(3):510-21.

Leinonen L & Poppius H: Voice reactions to histamine inhalation in asthma. Allergy, 1997 Jan, 52:1, 27-31.

Lyons, BM: 'Doctor, my voice seems husky'. Aust Fam Physician 1994 Nov;23(11):2111-9.

Morrison, MD & Rammage, LA: Muscle misuse voice disorders: description and classification. Acta Otolaryngol (Stockh) 1993 May;113(3):428-34.

Niedzielska, G et al Acoustic evaluation of voice in individuals with alcohol addiction. Folia Phoniatr Logop 1994;46(3):115-22. <

Papsin, BC et al: The developing role of a paediatric voice clinic: a review of our experience. J Laryngol Otol 1996 Nov;110(11):1022-

Sataloff RT et al., The aging adult voice. J Voice, 1997 Jun, 11:2, 156-60.

Selker-LG: Clinical research in allied health. J-Allied-Health. 1994 Fall; 23(4): 201-28.

Smith E et al., Frequency and effects of teachers' voice problems. J Voice, 1997 Mar, 11:1, 81-7.

Smith, ME et al: Intensive voice treatment in Parkinson disease: laryngostroboscopic findings. J Voice 1995 Dec;9(4):453-9.

Stemple, JC et al: Objective measures of voice production in normal subjects following prolonged voice use. J Voice 1995 Jun;9(2):127-33.

Vecerina Volic S et al., Correlation between instability of fundamental voice frequency and malignant infiltration of vocal fold nerve endings. Acta Otolaryngol Suppl (Stockh), 1997, 527:, 131-3.

Verdolini-Marston, K et al: Effect of hydration treatments on laryngeal nodules and polyps and related voice measures. J Voice 1994 Mar;8(1):30-47.

Wolfe, V et al: Acoustic prediction of severity in commonly occurring voice problems. J Speech Hear Res 1995 Apr;38(2):273-9.