Hoarseness of voice – Fractured voice

Hoarseness of voice – Fractured voice

THROAT– Hoarseness of voice – Fractured voice

Voice is waves of sounds. It should not be treated just as sound, since it reflects one’s inner feelings / thoughts. Intelligent use of voice with variation in tone and pitch can influence anyone with deeper meanings. Harmony of tone can also give a clue to one’s emotional and health status.
Phonation quality usually differs from person to person, i.e., one’s voice may be soft or hard or hoarse. Changes in voice quality, volume, pitch may arise from throat ailments. Usually, to strengthen the argument or to be heard properly, people raise their voice. This raising in tone may stretch the larynx in an abnormal manner to produced injured voice – hoarseness.
Hoarseness of voice is commonly treated as a voice problem. It is otherwise called laryngitis (inflammation of larynx). Creation of voice is made in the voice box/larynx. The networking of brain , tongue, lungs, pharynx, lips, nose and sinuses will give add-on features and figure out the expected sound (word) with good clarity. In case of hoarseness, the voice will be weak, scratchy, indistinct and difficult to produce. So one will take more effort to speak loudly which further makes the voice more and more rough and harsh. Hoarseness may sometime compel one to pause in speech.
Incidences – Overuse or misuse often brings complications. The vocal cord is in no way an exception. Everyone would have experienced hoarseness of voice in their lifetime due to cold/cough or after shouting in joy or sobbing in sorrow or dehydration.
Hoarseness of voice occurs mostly in teachers, public speakers, callers and singers.

Hoarseness can occur due to various reasons. Usually, leak of air with improper closure of vocal cords is the fundamental cause of hoarseness. It may be because of functional or structural complaints. Commonly, it is associated with cold or upper respiratory infection. It can be acute or chronic depending upon the cause, intensity and nature of the complaint.
  • Anxiety, tension, stress can cause tremor all over the body and the vocal cord too to cause hoarseness of voice.

  • Puberty changes due to enlargement of larynx
  • Misuse or overuse of the voice – speaking / singing / shouting / crying / doing mimicry loudly and continuously
  • Stretching and damaging larynx with procedures of using endoscopy / bronchoscopy / ventillators
  • Foreign body aspiration or hnhaling / taking irritants or allergens / administration of anaesthesia
  • Habit of clearing throat oftenOveruse of alcohol / smoking / drugs 
  • Using cough lozenges often
  • Dryness of throat with overuse or dehydration
  • Infection, inflammation and oedema due to viral or bacterial infection (laryngitis) -
  • Cold / sore throat / TB / Diphtheria / STD infections.
  • Tonsillitis / bronchitis with violent cough
  • Allergies , sinusitis and post nasal drip
  • Reflux oesophagitis (GERD)
  • Growths / tumours – nodules / cysts / polyps in vocal cords and cancer in the throat
  • Systemic illness – Hypothyrodism, Sjogrens’s syndrome, multiple sclerosis ,
Presentation of complaints usually varies from person to person depending upon the intensity and nature of the complaint(s). It can be temporary or intermittent or continuous. Creaky voice most often ensues slowly to muffle the voice. Unless otherwise cared for, it will sustain hoarseness or mute the voice totally. Common symptoms are
  • Tickling sensation in the throat
  • Sensation of foreign material in the throat
  • Voice struck in the throat / inability to produce expected clear sounds
  • Hoarseness or change in voice with or without throat pain
  • Pain / difficulty in swallowing
  • Induction of cough
Diagnosis and investigations – Mostly just for hoarseness, no one will wish to go for investigations or treatment, since it commonly goes off very shortly. If it happens to persist, then detailed evaluation needs to be followed, i.e. with
  • Oral examination for throat
  • Blood tests (Tc, Dc, ESR, Hb, Absolute eosinophil count, Ig E, etc) to rule out infection and allergies
  • X-ray, CT / MRI scan to rule out sinusitis, structural deformities in phonating
    organs, etc.
  • Laryngoscopy to visualise vocal cords clearly to rule out nodules, cysts, polyps, throat cancer, etc.
  • Throat swab / culture
  • Hormonal evaluation of thyroid to rule out its dysfunctions
Prevention and management – In case of recurrent bout of hoarseness of voice, care should be taken to manage and to root out all the cause to prevent further bouts.
  • Voice rest at least for 1- 2 days (vocal fasting)
  • Take lukewarm water often to maintain moisture of throat
  • Salt water gurgling – 2 to 3 times / day
  • Care for room humidity
  • Speaking / shouting / crying loudly and continuously
  • Overusing voice while having cold or hoarseness
  • Doing mimicry
  • Clearing throat & spitting often
  • Preservative added foods or known other triggers like ice creams, cool drinks, chocolates, fruits, etc.
  • Inhaling chemical fumes / smoke / pollutants
  • Tobacco chewing / smoking / alcohol / drugs
  • Spicy, hot and acid foods to stay away from reflux oesophagitis
  • Unnecessary drugs and nasal decongestants
General treatment – People used to ignore treatment / management since most of the time, hoarseness of voice will go off on its own (shortly or in course of time). Even though hoarseness of voice arises commonly as a medical problem, it can become a surgical complaint too. So, one need to be cautious and take care of hoarseness at the early stages itself. Negligence can sustain the complaints and extend the suffering period. In Allopathy, routine line of management is antibiotic course, pain killers (if pain is there) and treatment according to the associated diseases (allergies, bronchitis, cancer, thyroid problems, etc). In case of surgical complaints (tumour, nodule, etc), surgery will be advised.
Homeopathic approach 

The scope of Homeopathy in treating hoarseness of voice is higher than any other system. Usually recurrent hoarseness of voice is very difficult to cure and antibiotics
usually won’t have any beneficial effects on hoarseness, since it is often caused by virus or strain. Homeopathy has excellent remedies to clear hoarseness or laryngitis. Treating to the core, it can strengthen the vocal cord and larynx to resist infection and withstand strain. It can avoid surgery in most of the cases. To have good response, it is the first duty of the physician to educate the sufferer about the disease, need for vocal rest and its care. Also it is essential to educate them to have precaution against strain and respiratory infections (cold, cough, flu, etc.) with hygienic measures, since they all can bring flare-ups during treatment.
Precipitation of the episode (hoarseness) usually varies from person to person. It is often found to be related to a particular season / event / incident. Also, with respect to disease or complaints, patient’s feelings too differ. For some, there will be betterment on continuous use of voice (better in the evening than in the morning). For some, it may get worsened with usage (better in the morning and worst in the evening) and for some others, clearing the throat can give some relief. Homeopathy stands here with individualisation. In medicine selection, Homeopathy gives importance to the feelings / sensations, constitution of the patient, modalities (aggravating factors and ameliorating factors), to treat the nucleus of the suffering. With suitable medicines, Homeopathy can provide miraculous relief, shorten the suffering period and can resist further attacks by strengthening the immune system.
Homeopathic medicines commonly used in cases of voice hoarseness are Aconite, Ammon caust, Apis, Arg met, Arnica, Ars alb, Arum triphyllum, Belladonna, Borax, Bromium, Bryonia, Calc carb, Carbo veg, Causticum, Drosera, Ferrum phos, Ferrum picricum, Gelsemium, Hepa sulf, Hyosyamus, Iodium, Ipecac, Kali bich, Kali Iod, Lachesis, Lycopodium, Mag carb, Merc bin iod, Merc sol, Natrum mur, Nitric acid, Nux moschata, Nux vom, Phosphorus, Phytolacco, Plumbum met, Pulsatilla, Rhus tox, Rumex, Ruta, Sambucus, Sangunaria, Senega, Silicea, Spongia, Sulphur, Tarentula, Thuja, Valeriana, Vipera, Wyethia, Zinc met, etc, These Medicines should be taken under the advice and diagnosis of a qualified Homeopath.

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Dr. S. Chidambaranathan, BHMS, MD (Homeo)
Laxmi Homeo Clinic
24 E. New Mahalipatti Road
Madurai, TN 625 001

Tel:  +91-452-233-8833 | +91-984-319-1011 (Mob)
Fax: +91-452-233-0196
E-mail:  drcheena@yahoo.com

(Disclaimer - The contents of this column are for informational purpose only. The content is not intended to be a substitute for professional healthcare advice, diagnosis, or treatment. Always seek the advice of healthcare professional for any health problem or medical condition.)

Dr Cheena

Dr Cheena

Simple notes on Drcheena

Dr S. Chidambaranathan is a compassionate and highly skilled homeopathic doctor who has been rated as the Best Homoeopathic Doctor in Madurai.

Because of him “LAXMI HOMOEO CLINIC” is a “Healing Gateway” Imparting quality treatment to his patients with dignity and utmost care.

He is always reachable and concerned for comfort of the sick to cope up with their expectation. Because of his treatment with highest standard many patients were able to avoid surgeries in many incidences. In LAXMI HOMOEO CLINIC patients are treated with dignity, kindness and respect with privacy.

Further Dr S. Chidambaranathan helps the patients to manage their health on their own and to stay independent from all sorts of medicines as much as possible.

To cope up with ever changing trends in medicine and disease management he continues to upgrade his knowledge evident by the various papers presented
in different seminars and articles published online by him.

What is homeopathy ?

What is homeopathy ?
Homoeopathic medicines are very refined and are given in minimal and minute doses, so there are no side-effects. The system treats the patient as a whole i.e. mind and body, and makes one free of the disease condition, and prevents recurrence. Homoeopathic medicines can be used in all types of disease, at all ages, in all circumstances. By acting in a natural way it increases immunity. It also removes tendencies, allergies and thus helps mankind to live in a modern world that is highly polluted. It also reduces the impact of hereditary-familial diseases by raising the immunity level. Also, in some painful conditions like peptic ulcer, patients cannot take Allopathy painkillers since the ulcer will get aggravated. But in Homoeopathy we can treat in a better way the painful condition and peptic ulcer. Homoeopathy medicines act through nerve endings in the tongue – the doctor will merely ask the patient to place the medicine under the tongue and let it melt slowly – so they are no way related to the stomach or blood. So, even pregnant women can take these medicines safely.

Mode of taking Homeopathy Medicines

Homeopathy TreatmentUnder the diagnosis and advice of a qualified Homeopath, Homeopathy medicines will usually give comfort, calmness and hope to suffering mankind even in difficult cases, for some of which the modern medical world says nothing can be done. Homeopathic medicines can provide cure gently, promptly and permanently if they are taken properly. The medicine, its potency (power), its frequency (repetition), may vary according to the patient and the condition. Even with long time medications, Homeopathy medicines are completely safe and free from all sorts of side-effects and addiction. It can be safely used in infants, children, adolescents, adults, elderly people and even in pregnant women.


Wonders of Homeopathy

Best Homeopathy TreatmentHomeopathy is gaining in acceptance the world over due to its nature of treatment. Homeopathy does wonders when applied scientifically. As Homeopathy works on certain principles, it never fails within its limitations. However, a Homeopath may fail in treating the patient when he cannot elicit the characteristic symptom of the patient to match with the drug symptoms for selecting similimum (apt drug in right dosage). Homeopathy usually believes in internal treatment rather than topical applications or external interventions (removal of the disease or its effects using surgery, acids, freezing, burning, banding, laser, radiation, cauterization, ointments, liniments, oils, etc.) since internal medicines can only throw/expel the disease. Internal Homeopathic medicines treat patient as a whole by supporting the body’s own process of healing (immune mechanism) without any side-effects.


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The contents of this column are for informational purpose only. The content is not intended to be a substitute for professional healthcare advice, diagnosis, or treatment. Always seek the advice of healthcare professional for any health problem or medical condition.

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Smarter way of handling cancer

Best Homeopathy TreatmentCancer seems to be a lot more prevalent now, due to a variety of unknown causes and known causes like use of plastics as food servers, fertilizer usage, microwave oven usage, etc. So, with all available advanced technologies, one needs to take care of their health by modifying life style / proper food habits / good body hydration / judicious use of medicinesand regular checkups. Sustained treatment is essential to combat / post pone recurrences in cancer. Likewise all the benign tumours need to be analyzed every year to make sure that it remains benign without growing in size or differentiating. What is Cancer? Any abnormal proliferation in cytology or numbers of the cells is considered to be a tumour or growth. There are two types of tumours, i.e. Benign and Malignant. Benign tumours are the growth which has more number of cells but has similar pattern of cytology of existing normal cells. In case of malignancy, i.e. cancer, the cells will go out of range in size, cytology and numbers in uncontrollable manner invading other tissues and spread to other parts (metastasis) endangering life. Tumours either benign or malignant can cause different set of symptoms in different set of people according to the location, involvement of structure and spreading nature.


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