Conversation: The conversation between human and AI assistant.
[|Human|] recently almost every day,usually later in the day,my voice becomes very hoarse and scratchy.Im not sure why this is happening.I have not had a change of address or any colds or problems with ventilation in my home.A friend of mine was concerened ,they had cancer discovered when a Dr. noticed his voice was so ruff and hoarse
[|AI|]  Hi, I am Chat Doctor.  The likelihood of your voice hoarseness being of cancerous origin is likely if you smoke, take lots of alcoholic spirits, have a family history of throat cancer, strain a lot with your voice or do oral sex (some strains of HPV virus which can be contracted from oral sex) can cause throat cancer. Otherwise, if you use your voice a lot (at work or somewhere else) especially lately, then you can have voice hoarseness without it being a cancer. Another cause may be the onset of a palsy of the nerve that innervates the voice box. It could also be onset of symptoms of a voice box muscle involvement of a myasthenia graves (or some other related muscle weakness disorder) which often worsens with time of the day. Please see a physician for thorough examination and proper work-up in order to determine the cause. Courage and wish you the best,