Common causes Hoarseness may result from viral laryngitis, voice overuse, reflux, allergy, smoking, vocal-fold nodules, medication effects or age-related changes. Most short episodes associated with a cold improve within one to two weeks.
Evaluation Persistent hoarseness is assessed through medical history and examination of the voice box, often using flexible laryngoscopy. Professional voice users may also benefit from voice assessment by a speech and language therapist.
Treatment Treatment depends on the cause and may include voice rest from shouting, hydration, reflux or allergy management, voice therapy or treatment of a vocal-fold lesion. Whispering can strain the voice and is not always helpful.
Warning signs Prompt assessment is required for hoarseness lasting more than three to four weeks, especially with smoking history, difficulty swallowing, coughing blood, breathing difficulty, neck lump, unexplained weight loss or ear pain.
Frequently Asked Questions
How long can hoarseness from a cold last?
Often one to two weeks.
Is whispering good for the voice?
Not always; whispering can increase strain.
How is the voice box checked?
Usually with flexible laryngoscopy.
When should hoarseness be assessed?
When persistent beyond three to four weeks or associated with warning signs.
This information is for education only and does not replace medical assessment or treatment by a qualified physician.