Neurological conditions: Strokes, Parkinson’s disease, and multiple sclerosis may all cause hoarseness due to their effects on the nerves supplying the vocal cords.Metastatic cancer spreading to the mediastinum (the area between the lungs), can press on the recurrent laryngeal nerves leading to the voice box and cause hoarseness. Cancer: Cancers of the voicebox ( laryngeal cancer), throat, lungs, thyroid, and lymphomas may have hoarseness as a symptom, sometimes as the first symptom.It appears that some inhaled corticosteroids are more likely than others to cause problems. Long-term use of inhaled corticosteroids: Inhaled corticosteroids, a category of inhalers used chronically for asthma or COPD can result in a hoarse voice.Most are caused by HPV types 6 and 11, strains that are included in HPV vaccinations. It is seen most often in children and usually caused by the human papillomavirus (HPV). Recurrent respiratory papillomavirus: Papillomas on the larynx are fairly common and may result in slowly worsening hoarseness.Thyroid cancer can also cause hoarseness. Exposure to other irritating substances: Irritants, ranging from air pollution to chemicals used in the home, can cause hoarseness.Smoking: Smoking and secondhand smoke exposure may result in a hoarse voice.Thyroid conditions: Thyroid conditions, especially untreated hypothyroidism (low thyroid), can cause hoarseness.When reflux affects the vocal folds it is called laryngopharyngeal reflux or silent reflux. Hoarseness is usually worse in the morning and may be accompanied by chronic symptoms such as throat clearing, cough, sore throat, and postnasal drip. Acid reflux/heartburn: Gastroesophageal reflux (GERD) is a fairly common cause of hoarseness as stomach acid affects the vocal cords.Allergies: Both seasonal and year-round allergies can result in hoarseness. ![]() Singers, teachers, and other professionals who use their voices a lot can get polyps. They usually result from overuse of your voice, much like skin calluses develop. Vocal cord nodules: Vocal cord nodules are "lumps" on your vocal cords that interfere with their normal closing during speaking. ![]()
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