Hoarseness

at Allergy & ENT Associates of Middle TN

Hoarseness is an inflammation of the larynx that results in a change in the voice, making it sound breathy, raspy, scratchy, or strained. There may be changes in volume and pitch as well. Hoarseness falls under the medical category of dysphonia, which refers to voice impairment or any sort of difficulty speaking.

What Causes Hoarseness?

Hoarseness is the result of a problem with the vocal cords. It can be caused by a variety of conditions, including:


  • Cold or sinus infections


  • Acute laryngitis


  • Voice misuse or abuse


  • Benign vocal cord lesions


  • Acid reflux


  • Vocal hemorrhage


  • Tobacco and alcohol use


  • Thyroid diseases


  • Cancer


  • Trauma to the voice box


  • Neurological diseases such as Parkinson’s


  • Spasmodic dysphonia (a chronic vocal cord disorder)

How Is Hoarseness Treated?

Many times, hoarseness clears up on its own without medical intervention. Many patients take a wait-and-see approach and treat symptoms at home by resting the voice, staying hydrated by drinking plenty of fluids, and using a humidifier to add moisture to the air.


Lifestyle changes can also help reduce or eliminate symptoms associated with chronic hoarseness. These include eliminating spicy foods, alcohol and caffeine from the diet, giving up cigarettes, and avoiding activities that strain the vocal cords such as shouting, whispering, or using inappropriate pitch or volume.


Sometimes, evaluation by an otolaryngologist or other ENT specialist is necessary. If hoarseness lasts longer than three weeks, is not accompanied by cold or flu symptoms, affects your ability to swallow or breathe, or interferes with your livelihood, schedule an appointment with Allergy & ENT Associates.



During your visit, you will receive a thorough physical examination, including the ears, nose, and throat. You may also be given a laryngoscopy or other special test to help analyze the vocal folds. Treatment depends on the cause and may include medication, surgery, and/or voice therapy.

Frequently Asked Questions

  • What is hoarseness?

    Hoarseness is inflammation of the larynx that causes a change in the voice, such as a raspy, scratchy, strained, or breathy sound. It is also referred to medically as dysphonia.

  • When should I see a doctor for hoarseness?

    You should seek medical evaluation if hoarseness lasts longer than three weeks, is not related to a cold or flu, or affects swallowing, breathing, or daily function.

  • How can I treat hoarseness at home?

    Many cases improve with voice rest, hydration, and using a humidifier. Avoiding smoking, alcohol, caffeine, spicy foods, and vocal strain can also help.

Call Allergy & ENT Associates at (615) 889-8802 to learn more or schedule an appointment.