Fatigue in my vocal cord is refraining me from speaking and singing. Please help.

Hello,

Welcome to icliniq.com.

I assume that these videos are one month prior to today's condition. (attachment removed to protect patient identity).

I see some amount of inter arytenoid pachydermia (suggestive of acid reflux and associated changes in the posterior part of the vocal apparatus) and an anterior phonatory gap. Although I cannot see the anterior one-third of the vocal cords that clearly, I understand that your ENT has found that those portions had some hemorrhages. He was right in advising you to voice rest and proton pump inhibitors. Ideally, a week of absolute voice rest is sufficient. Followed by voice restriction, vocal hygiene, antiallergic treatment, nasal sprays (based on nasal symptoms), increased hydration, etc.

Now considering you have taken a month of voice rest, I think it is sufficient. But do you have any symptoms whatsoever now? Any nasal symptoms or allergic symptoms? Any history of substance abuse? Do you suffer from diabetes or hypertension? In my practice in addition to antireflux (PPI tablets), antiallergics (antihistaminics like Fexofenadine, Allegra, Deslor, etc), hydration, voice rest, dietary and lifestyle changes. I add some voice therapy. Probably you should explore some vocal hygiene tips from a speech-language pathologist or voice therapist.

Hi,

Welcome back to icliniq.com.

I super appreciate the laryngoscopies that you are doing yourself (attachment removed to protect patient identity).

Your cords look fine to me. The pearly white color is how they usually look. But yeah, it can be a bit more moist. Do you take steam inhalation?

Because you have started making money with your voice, I guess you can start your singing in a mild way, without straining. Keep sipping water every now and then. Avoid acid reflux and allergy at all costs. Stay away from dust, smoke, pollen, pollution, cold winds, direct aircon blow, direct fan, etc. I hope you do not smoke or drink.

Once you restart your singing make sure you do not experience vocal strain or pain or fatigue. In such a case, you must take it slow. Avoid high-pitched or low-pitched singing. Avoid raising your voice as well as avoiding whispering. Try to sing only in the most natural frequency that your vocal apparatus is used to. But be very careful and do not strain at all. If you feel at any instant that you are straining then stop singing and wait for some more time. You did not tell me if you have any of the other symptoms that I asked you. Regarding your diet and habits, etc. What is your weight and height? Any medical conditions? I presume that you do not have any due to your young age.

It is said that drinking a glass of warm water mixed with two tablespoons of honey as soon as you wake up is very good for the vocal cords. Never let it go dry.