A thorough history of your hoarseness and your general health is obtained. A breathy voice may suggest poor vocal cord function, which may be caused by a benign tumor, polyp or cancer of the larynx. A raspy voice may indicate vocal cord thickening due to swelling, inflammation from infection, a chemical irritant, voice abuse or paralysis of the vocal chords. A high, shaky voice or a soft voice may suggest trouble getting enough breathing force or air. Lab tests, such as a biopsy, x-rays, or thyroid function may be ordered depending on the findings of the physical exam.
Treatment varies depending on the condition causing the hoarseness.
Most hoarseness can be treated by simply resting the voice or modifying how the voice is used. If smoking is related to the hoarseness, you may be advised to stop smoking, as well as resting your voice. For all patients, it is recommended to avoid smoking or the exposure to second hand smoke and drink plenty of fluids. Surgery may be recommended if there are nodules or polyps on the vocal folds. Seek professional help if your voice is injured or hoarse This information is for educational purposes only and should not be relied upon as medical advice.