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What Causes Rough Hoarse Voice During Pregnancy?

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Posted on Thu, 21 Jan 2016
Question: Dear Doctor,

How are you doing? I hope you remember me. I was very much in touch with you last year around this time for D&C, uterine polyp and also as explained to you I had a borderline ovarian tumor as well.

Although your expertise is related to OBGYN, I was wondering if you would advice me about a ENT issue. Or else if you could advice a good ENT specialist on this panel.

When I was pregnant 2.5 - 3 years ago, I noticed that my voice started changing. It started to become hoarse and rough. I just assumed that it was one of my pregnancy symptoms. However, this continued even after delivery. I went to a doctor and he inserted a small camera through my nose and checked the voice box. He told me that I have small vocal nodules. They were so small that he just advised to give rest to my voice and not to scream.

I gave a gap of few months and then went for a second check. He said that they have reduced in size and I think he said that one of them almost even disappeared.

I think my voice was getting back to normal sometime ago but however it started to get rough again. I even have a feeling of a lump (maybe it is just psychological, I am not sure).

My question is, can the vocal nodules come back again? Is there any treatment for vocal nodules? Can they pose any threat to any other serious complication? Do I need to make any further checks or scans?

Your advice would help.

Regards
Abagtha

doctor
Answered by Dr. Aarti Abraham (4 hours later)
Brief Answer:
Have attached a link that you might find useful.

Detailed Answer:
Dear Abagtha,
It is indeed good to hear from you, and it has been a long while, but I definitely remember you.
I am honoured that you seek my opinion on an ENT related issue.
But yes, to be positive side, I have seen quite a few patients of vocal cord nodules.
This is because they are very commonly seen in females between the ages of 20 - 50 years.
The mainstay of treatment is - voice rest, as the commonest reason is vocal abuse.
Yes, they tend to recur.
Surgery is the penultimate treatment for recurrent, very troublesome or very large nodules.
There is no corelation with any ominous complication such as malignancy et.
You need to reschedule your appointment with your ENT surgeon for a repeat evaluation of the vocal nodules.
I am hereby attaching a link, that you should go through, as it will provide a lot of information that you need, I think you will appreciate the info -http://www XXXXXXX org/public/speech/disorders/NodulesPolyps/
Please feel free to get back for a further discussion.
Take care.
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Aarti Abraham

OBGYN

Practicing since :1998

Answered : 6004 Questions

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What Causes Rough Hoarse Voice During Pregnancy?

Brief Answer: Have attached a link that you might find useful. Detailed Answer: Dear Abagtha, It is indeed good to hear from you, and it has been a long while, but I definitely remember you. I am honoured that you seek my opinion on an ENT related issue. But yes, to be positive side, I have seen quite a few patients of vocal cord nodules. This is because they are very commonly seen in females between the ages of 20 - 50 years. The mainstay of treatment is - voice rest, as the commonest reason is vocal abuse. Yes, they tend to recur. Surgery is the penultimate treatment for recurrent, very troublesome or very large nodules. There is no corelation with any ominous complication such as malignancy et. You need to reschedule your appointment with your ENT surgeon for a repeat evaluation of the vocal nodules. I am hereby attaching a link, that you should go through, as it will provide a lot of information that you need, I think you will appreciate the info -http://www XXXXXXX org/public/speech/disorders/NodulesPolyps/ Please feel free to get back for a further discussion. Take care.