Having sore throat. Suggest the treatment? - Online Doctor Chats
Good afternoon Doctor
what are probable causes for this
Before I can answer that question of yours I would like to know a little more about the condition
By sore throat, do you mean pain in the throat?
not always, only change in voice
What kind of change have you noticed in your voice?
has it become horse?
I mean Hoarse?
Do you have any recurrent bouts of cough?
Have you noticed any other significant issue around your neck, like a swelling in the front of the neck or any small nodes which are hard?
And if you don't mind, may know your age and gender please
Are you there?
i am 36, femal
no other thing\
Do you have cough?
Have you consulted an ENT doctor for this problem?
if yes what did the doctor say?
How did this sore throat start? Did you have any bacterial or viral throat infection 2 months ago, and that is still continuing, or is it like you are getting the throat infection very often?
how could i see that
It is difficult to see the back of the throat
I wanted to know if you have tried seeing it, then did it look red?
Just another question, Do you smoke? If yes, how many? And where do you live?
are you there?
Are you there mam?
no, i dont smoke
i live in delhi
I guess you are busy, I will try to be brief
The change in the voice could be due some common reasons like vocal cord overuse
what is the treatment
or it could also be due many other things
The other worrying cause is Thyroid cancers
if thyroid is normal
but since you said there is no swelling in the front of the neck
The thyroid hormones can be normal till very late stages in some forms of thyroid cancers
so that one needs to be further evaluated
other reason for hoarseness of voice is chronic pharyngitis
it could be bacterial or viral
In my practice I would advise an ultrasound scan of the thyroid gland after a thorough examination of the gland physically to see if there are any small nodules in the thyroid
If there is anything like that then I would suggest an FNAC (fine needle aspiration cytology), a small needle based biopsy
Before any of these, an ENT specialist's review will be appropriate to rule out the simpler and benign conditions which I mentioned
I am suggesting you to visit an ENT doctor because you have been having this issue for 2 months, if the duration was less I would have suggested some home remedies
Though, for the time being doing salt water gargling will help you along with steam inhalation and giving rest to your voice for a few days
Please do consult your ENT doctor and ask him/her to examine your thyroid along with looking at the back of your throat and vocal cords..
Rule out all possibilities
are you there?
i have visited an ENT
upon 90 laryngscopy, there are nodules on the vocal cords
That explains everything
That is why I had asked if you had visited an ENT
The problem is vocal nodules
the treatment for this condition is Voice rest
that is actually not possible
I guess it is quite possible, but takes a strong will mam
You have to stop talking loud
or maybe you should just take a 2 week holiday and go to some remote location with your family and get rest
can i speak in normal voice
You can speak lower than normal voice, or speak very minimal,
voice rest means, not talk as much as possible
I would suggest you ask your ENT doctor to give you medical leave certificate and take a leave from the work
if your work is what is making you talk in loud voice
if work is not the cause, the you will have to find a way yourself to sort out the issues
are you there
Since you are not responding, i am forced close the chat, You can re-initiate the chat again when you find time.
Thank you for chatting with me, have a good day ahead
sorry, i was on call
do you wish to continue the chat at this time, or would you prefer to come back when you are free?
my problem is that i am unable to do voice rest
may I know the reason why you are not able to do voice rest?
as i am a sales trainer, with a part in business development
Okay, Why don't you use a load speaker and a microphone if you have to speak to many people?
Please go through my earlier suggestions, I have suggested you to take a vacation for 2 weeks
it is not possible
Okay, What according to you is possible to do mam?
what are your limitations and what are your options?
I will be closing this chat now as you seem to be busy.. Please log back in once you find time.
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