HomeAnswersOtolaryngology (E.N.T)vocal cord paralysisShould I get medical attention for vocal cord paralysis?

I was diagnosed with vocal cord paralysis, and my voice has not come back. What can I do?

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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.

Medically reviewed by

Dr. Sneha Kannan

Published At September 28, 2020
Reviewed AtAugust 14, 2023

Patient's Query

Hi doctor,

I was diagnosed with vocal cord paralysis. But I think it as paresis as there is a little mobility. I have done a CT scan to make sure that there is nothing serious. But now, I have trouble in getting back my voice. I have increased pain on the left side with a feeling of numbness. I have this vocal cord problem only on the left side. Do I need medical attention? Pain increases a lot when I talk and it is present only on the left side. I have a bad headache on the left side alone. I still have shortness of breath.

Hi,

Welcome to icliniq.com.

A vocal cord paresis is diagnosed through laryngoscopic assessment and a contrast-enhanced computed tomography of the skull should be taken to identify the cause of paresis. If there is no involvement of limbs, then everything seems to be fine. You can do the above-mentined investigation soon. If you have a weakness, then an MRI (magnetic resonance imaging) of the brain should be taken to rule out the intracranial cause. In many situations, we cannot identify the exact cause of paresis even by doing radiological and other investigations. In this condition, it is termed idiopathic paresis. In some cases, paresis resolves partially up to fifty percent within four to six months and in the rest of the cases, it persists throughout life. I suggest you follow these measures. Have a strict voice rest till the CT (computed tomography) scan is done. Whispering is more dangerous and try to refrain yourself. Antireflux therapy can be followed. You can take tablet Pan-D (Pantoprazole) one tablet in the morning and evening before thirty minutes of taking food for a month. Avoid smoking and drinking alcohol. Have a follow-up with the investigations done and we can discuss further management.

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

Dr. Bhadragiri Vageesh Padiyar
Dr. Bhadragiri Vageesh Padiyar

Otolaryngology (E.N.T)

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