HomeAnswersFamily Physicianacute laryngitisMy voice is so hoarse I can barely speak. What to do?

My voice is so hoarse I can barely speak. Please suggest a remedy.

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Mashfika N Alam

Medically reviewed by

iCliniq medical review team

Published At February 10, 2018
Reviewed AtJanuary 18, 2024

Patient's Query

Hello doctor,

Good day to you. I had post-nasal drip all last week. Yesterday, it was going away, but today I woke up, and my voice was almost gone. I can barely speak. My throat does not hurt. It just feels a little scratchy, with the constant clearing of the throat, too, and I have developed a cough now with dark brown mucus (sometimes clear). The nose gets stuffy with dry bloody mucus but never gets clogged or runny. No fever, no body aches yet. Is there anything I could do to help my voice come back? I have a bottle of Amoxicillin, but not sure if it is viral or bacterial, which is causing my hoarse voice. Please let me know any remedy I could use for my throat. I have attached a picture of my throat. My tonsils were surgically removed ten years ago.

Hello,

Welcome to icliniq.com.

You seem to have a typical case of laryngitis associated with a viral infection. You should rest the voice, that is, speak less until you feel like the symptoms are resolving. Avoid throat clearing as it irritates the throat further and hinders healing.

Steam inhalation three times a day will help with both nasal/ sinus congestion and post-nasal drip. You can add small amounts of menthol crystal to the steam, which works better than steam alone, but do not add too many.

You can use an intranasal steroid spray called Budesonide, one puff in each nostril once daily for two weeks. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent.

Since you already have dry nasal mucosa, do not take antihistamines.

The cough is brownish because it may be mixed with little blood, which may have come from an irritated throat lining. Too much throat clearing or coughing can lead to minor tears in the throat, which heal rapidly, so do not worry. However, if there is fresh blood, you must see your ER doctor.

Acute laryngitis, which is very likely what you are suffering from, resolves on its own in a week. If symptoms worsen or do not improve in a week, or if you come down with a fever, you may require oral antibiotics.

I hope this helps.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Mashfika N Alam

Dr. Mashfika N Alam

General Practitioner

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