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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Voice Getting Hoarse, Throat Soreness, Voice Fatigue. Diagnosed With Phonesthenia And Throat Congestion. Not Responding To Neuromet. Any Suggestions?

hello doctor , i m a singer and past 4-5 months i m suffering from severe throat problems . If i use my voice for an hour or so it gets hoarse and my throat gets dry and kind of soreness persists and there is voice fatugueness . When consulted an ENT doctor i was told that it was phonesthenia and congestion in the throat . I prescribed to a tablet called Neuromet . Even after completing the course of medication for several months the problem hasn t subsided . Pls help me recover doctor .
Sat, 24 Aug 2013
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ENT Specialist 's  Response
hello and welcome to HCM,

First of all let me start by telling you that since you are a singer, your voice is a very precious commodity for you and you need to take care of the same judiciously. Let us see if we can help you in achieving that:
1. Get an endoscopy of your vocal cords to rule out vocal cord nodule which can cause similar problems and is quite common in singers. Also this will help us in further treatment and follow up.
2. Meet a speech therapist who will analyze your speech and advice you on how to properly modulate your voice without strain
3. Ask the speech therapist about vocal cord hygiene and follow them religiously
4. Start anti reflux treatment with the consultation of the doctor and continue them properly
5. Ask for anti reflux measures and follow them too

remember that that there is no direct and absolute treatment for your problem. The way you take care of your voice determines your course so take care and do not whisper or scream.

get well soon

Dr Sriram Nathan

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Voice Getting Hoarse, Throat Soreness, Voice Fatigue. Diagnosed With Phonesthenia And Throat Congestion. Not Responding To Neuromet. Any Suggestions?

hello and welcome to HCM, First of all let me start by telling you that since you are a singer, your voice is a very precious commodity for you and you need to take care of the same judiciously. Let us see if we can help you in achieving that: 1. Get an endoscopy of your vocal cords to rule out vocal cord nodule which can cause similar problems and is quite common in singers. Also this will help us in further treatment and follow up. 2. Meet a speech therapist who will analyze your speech and advice you on how to properly modulate your voice without strain 3. Ask the speech therapist about vocal cord hygiene and follow them religiously 4. Start anti reflux treatment with the consultation of the doctor and continue them properly 5. Ask for anti reflux measures and follow them too remember that that there is no direct and absolute treatment for your problem. The way you take care of your voice determines your course so take care and do not whisper or scream. get well soon Dr Sriram Nathan