It is also a problem if the speaker experiences pain or discomfort when speaking or singing. Voice problems can be indicated by hoarseness, breathiness, voice breaks, inappropriate pitch, and inappropriate loudness, as well as medical symptoms.
Medical evaluation is often the first step in the diagnosis of a voice problem.
After medical diagnosis, speech therapy is often the indicated treatment. Good vocal cord habits can help you avoid trouble . . . Avoid constant throat-clearing, coughing, and loud talking. Don't strain your voice by yelling, or lowering the pitch of your voice too much. If you feel strain or tension in your throat, neck or shoulders, you're too loud.