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Which med. conditions cause hoarseness
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OhNoYo
New Member
How do you know for sure your father does NOT have esophageal cancer? Did get get a laryngescopy and/or EGDscope, Sir? Here are some common causes for sore throat...
Post-Nasal Drip
Heartburn/GERD
Allergies
Smoking
Alcoholism
Throat Infection
Laryngitis
Pharyngitis
Does ur father have Globus Hystericus, Sir?
[ame]http://en.wikipedia.org/wiki/Globus_hystericus[/ame]
Schwartz SR, Cohen SM, Dailey SH, et al. Clinical practice guideline: hoarseness (dysphonia). Otolaryngol Head Neck Surg 2009;141(3 Suppl 2):S1-S31.
OBJECTIVE: This guideline provides evidence-based recommendations on managing hoarseness (dysphonia), defined as a disorder characterized by altered vocal quality, pitch, loudness, or vocal effort that impairs communication or reduces voice-related quality of life (QOL). Hoarseness affects nearly one-third of the population at some point in their lives. This guideline applies to all age groups evaluated in a setting where hoarseness would be identified or managed. It is intended for all clinicians who are likely to diagnose and manage patients with hoarseness.
PURPOSE: The primary purpose of this guideline is to improve diagnostic accuracy for hoarseness (dysphonia), reduce inappropriate antibiotic use, reduce inappropriate steroid use, reduce inappropriate use of anti-reflux medications, reduce inappropriate use of radiographic imaging, and promote appropriate use of laryngoscopy, voice therapy, and surgery. In creating this guideline the American Academy of Otolaryngology-Head and Neck Surgery Foundation selected a panel representing the fields of neurology, speech-language pathology, professional voice teaching, family medicine, pulmonology, geriatric medicine, nursing, internal medicine, otolaryngology-head and neck surgery, pediatrics, and consumers.
RESULTS: The panel made strong recommendations that 1) the clinician should not routinely prescribe antibiotics to treat hoarseness and 2) the clinician should advocate voice therapy for patients diagnosed with hoarseness that reduces voice-related QOL.
The panel made recommendations that
1) the clinician should diagnose hoarseness (dysphonia) in a patient with altered voice quality, pitch, loudness, or vocal effort that impairs communication or reduces voice-related QOL;
2) the clinician should assess the patient with hoarseness by history and/or physical examination for factors that modify management, such as one or more of the following: recent surgical procedures involving the neck or affecting the recurrent laryngeal nerve, recent endotracheal intubation, radiation treatment to the neck, a history of tobacco abuse, and occupation as a singer or vocal performer;
3) the clinician should visualize the patient's larynx, or refer the patient to a clinician who can visualize the larynx, when hoarseness fails to resolve by a maximum of three months after onset, or irrespective of duration if a serious underlying cause is suspected;
4) the clinician should not obtain computed tomography or magnetic resonance imaging of the patient with a primary complaint of hoarseness prior to visualizing the larynx;
5) the clinician should not prescribe anti-reflux medications for patients with hoarseness without signs or symptoms of gastroesophageal reflux disease;
6) the clinician should not routinely prescribe oral corticosteroids to treat hoarseness;
7) the clinician should visualize the larynx before prescribing voice therapy and document/communicate the results to the speech-language pathologist; and
8) the clinician should prescribe, or refer the patient to a clinician who can prescribe, botulinum toxin injections for the treatment of hoarseness caused by adductor spasmodic dysphonia.
The panel offered as options that
1) the clinician may perform laryngoscopy at any time in a patient with hoarseness, or may refer the patient to a clinician who can visualize the larynx;
2) the clinician may prescribe anti-reflux medication for patients with hoarseness and signs of chronic laryngitis; and
3) the clinician may educate/counsel patients with hoarseness about control/preventive measures.
DISCLAIMER: This clinical practice guideline is not intended as a sole source of guidance in managing hoarseness (dysphonia). Rather, it is designed to assist clinicians by providing an evidence-based framework for decision-making strategies. The guideline is not intended to replace clinical judgment or establish a protocol for all individuals with this condition, and may not provide the only appropriate approach to diagnosing and managing this problem.
OBJECTIVE: This guideline provides evidence-based recommendations on managing hoarseness (dysphonia), defined as a disorder characterized by altered vocal quality, pitch, loudness, or vocal effort that impairs communication or reduces voice-related quality of life (QOL). Hoarseness affects nearly one-third of the population at some point in their lives. This guideline applies to all age groups evaluated in a setting where hoarseness would be identified or managed. It is intended for all clinicians who are likely to diagnose and manage patients with hoarseness.
PURPOSE: The primary purpose of this guideline is to improve diagnostic accuracy for hoarseness (dysphonia), reduce inappropriate antibiotic use, reduce inappropriate steroid use, reduce inappropriate use of anti-reflux medications, reduce inappropriate use of radiographic imaging, and promote appropriate use of laryngoscopy, voice therapy, and surgery. In creating this guideline the American Academy of Otolaryngology-Head and Neck Surgery Foundation selected a panel representing the fields of neurology, speech-language pathology, professional voice teaching, family medicine, pulmonology, geriatric medicine, nursing, internal medicine, otolaryngology-head and neck surgery, pediatrics, and consumers.
RESULTS: The panel made strong recommendations that 1) the clinician should not routinely prescribe antibiotics to treat hoarseness and 2) the clinician should advocate voice therapy for patients diagnosed with hoarseness that reduces voice-related QOL.
The panel made recommendations that
1) the clinician should diagnose hoarseness (dysphonia) in a patient with altered voice quality, pitch, loudness, or vocal effort that impairs communication or reduces voice-related QOL;
2) the clinician should assess the patient with hoarseness by history and/or physical examination for factors that modify management, such as one or more of the following: recent surgical procedures involving the neck or affecting the recurrent laryngeal nerve, recent endotracheal intubation, radiation treatment to the neck, a history of tobacco abuse, and occupation as a singer or vocal performer;
3) the clinician should visualize the patient's larynx, or refer the patient to a clinician who can visualize the larynx, when hoarseness fails to resolve by a maximum of three months after onset, or irrespective of duration if a serious underlying cause is suspected;
4) the clinician should not obtain computed tomography or magnetic resonance imaging of the patient with a primary complaint of hoarseness prior to visualizing the larynx;
5) the clinician should not prescribe anti-reflux medications for patients with hoarseness without signs or symptoms of gastroesophageal reflux disease;
6) the clinician should not routinely prescribe oral corticosteroids to treat hoarseness;
7) the clinician should visualize the larynx before prescribing voice therapy and document/communicate the results to the speech-language pathologist; and
8) the clinician should prescribe, or refer the patient to a clinician who can prescribe, botulinum toxin injections for the treatment of hoarseness caused by adductor spasmodic dysphonia.
The panel offered as options that
1) the clinician may perform laryngoscopy at any time in a patient with hoarseness, or may refer the patient to a clinician who can visualize the larynx;
2) the clinician may prescribe anti-reflux medication for patients with hoarseness and signs of chronic laryngitis; and
3) the clinician may educate/counsel patients with hoarseness about control/preventive measures.
DISCLAIMER: This clinical practice guideline is not intended as a sole source of guidance in managing hoarseness (dysphonia). Rather, it is designed to assist clinicians by providing an evidence-based framework for decision-making strategies. The guideline is not intended to replace clinical judgment or establish a protocol for all individuals with this condition, and may not provide the only appropriate approach to diagnosing and managing this problem.
OhNoYo
New Member
I'm surprised that journal article didn't say anything about doctors making the assessment of HPV diagnosis or history of alcohol use.
You are so right. I was shocked myself when I saw a report 2 years ago stating the EC is up some 400% in Americans for some reason.
OhNoYo
New Member
Wr welcum!
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OhNoYo
New Member
Two of the main reasons b/c of this is that 1) ppl live longer & 2) HPV transmission is on the rise.
montrealstaysspa
New Member
Hi!
Hoarseness is an abnormal deep, harsh voice caused by a variety of conditions.It is generally caused by irritation of, or injury to, the vocal cords .
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Hoarseness is an abnormal deep, harsh voice caused by a variety of conditions.It is generally caused by irritation of, or injury to, the vocal cords .
--------------------------------------------------------------------------------------------
spa treatments for men
corporate massage therapy
So right you are. Seems like I read that out of the 150 or so strains of HPV, its the flat wart type that really causes some nasty problems all around. There is no doubt that cervical cancers are caused by it, and almost exclusively it would seem when you hear all the talk. I also have no doubt that in the sexually active/promiscuous population, odds of having it are about 40% I would guess. Shit, I am pretty sure I got it at one point in my late 20's. Just a little self surgical procedure and all done right??[
)] Well it seems they say once you have it seeds will always prevail contageous. Still while the photos I have seen of the glamorous raised wart colonies is gruesome, I am doubltful that this one is all that cancerous... Flat is another story.
Warts are still funny in that the body seems to learn to live with most of them. It really wasn't that compound W that ever took them out when we got them as children. Its more like immunity or something (perhaps lack there of). Perhaps the physical wart is just the body's way of "encysting" a toxin, or contagion. I also often wonder how cancer in general really associates. And just how "contageous" some cancers may be. "Inherited"??? Perhaps in more ways than we realize. What if lung, or breast cancer is just the end result of a viral type infection spread. Similar to shingles resulting down the road from herpes/chicken pox....? Wouldn't it be a bitch if women were just passing viral strains along causing breast cancer, per say. Who really knows.... And would society even ever tell if they did. The meek and all....
)] Well it seems they say once you have it seeds will always prevail contageous. Still while the photos I have seen of the glamorous raised wart colonies is gruesome, I am doubltful that this one is all that cancerous... Flat is another story.Warts are still funny in that the body seems to learn to live with most of them. It really wasn't that compound W that ever took them out when we got them as children. Its more like immunity or something (perhaps lack there of). Perhaps the physical wart is just the body's way of "encysting" a toxin, or contagion. I also often wonder how cancer in general really associates. And just how "contageous" some cancers may be. "Inherited"??? Perhaps in more ways than we realize. What if lung, or breast cancer is just the end result of a viral type infection spread. Similar to shingles resulting down the road from herpes/chicken pox....? Wouldn't it be a bitch if women were just passing viral strains along causing breast cancer, per say. Who really knows.... And would society even ever tell if they did. The meek and all....
OhNoYo
New Member
So right you are. Seems like I read that out of the 150 or so strains of HPV, its the flat wart type that really causes some nasty problems all around. There is no doubt that cervical cancers are caused by it, and almost exclusively it would seem when you hear all the talk. I also have no doubt that in the sexually active/promiscuous population, odds of having it are about 40% I would guess. Shit, I am pretty sure I got it at one point in my late 20's. Just a little self surgical procedure and all done right??[
Warts are still funny in that the body seems to learn to live with most of them. It really wasn't that compound W that ever took them out when we got them as children. Its more like immunity or something (perhaps lack there of). Perhaps the physical wart is just the body's way of "encysting" a toxin, or contagion. I also often wonder how cancer in general really associates. And just how "contageous" some cancers may be. "Inherited"??? Perhaps in more ways than we realize. What if lung, or breast cancer is just the end result of a viral type infection spread. Similar to shingles resulting down the road from herpes/chicken pox....? Wouldn't it be a bitch if women were just passing viral strains along causing breast cancer, per say. Who really knows.... And would society even ever tell if they did. The meek and all....
They used to think that back in the day, but now researchers are starting to reconsider that its possible after a year or so you can kill off the virus in your body or have immunity to it and not be contagious.
Also, as for the strains that cause warts, they are usually not the same strains that cause cancer...
[ame="http://en.wikipedia.org/wiki/Hpv"]Human papillomavirus - Wikipedia, the free encyclopedia@@AMEPARAM@@/wiki/File:HPV_tree_1.png" class="image"><img alt="" src="http://upload.wikimedia.org/wikipedia/en/thumb/c/c8/HPV_tree_1.png/220px-HPV_tree_1.png"@@AMEPARAM@@en/thumb/c/c8/HPV_tree_1.png/220px-HPV_tree_1.png[/ame]
Yes I probably meant more "similar in nature". However, don't be to sure with living too comfortably within the "box'. Its common knowledge that any type of repeated abrasion activity to tissue can soon eventually result in cancer. Just the simple act of biting ones cheek due to a jaw issue can cause cancer. ANY TYPE wart is certainly grounds for consideration of a potentially dangerous point of aggrivation....
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