I used to be able to talk . As time goes on I ' m finding it increasingly difficult to do so . I took a sip of water when I woke up and it felt like someone digging a pointed fingernail into a fresh wound . Holy shit did that hurt ! !

Question: What is it that is making it difficult for the narrator to speak ?
Answer: The narrator has strep throat and a sore throat is hard to speak with .None of the above choices .She has a throat surgery and while it hurt , it is almost healed .She is not able to talk because she is in a library and people keep hushing her .